This article relates to the CQC key question: Is your practice well-led?
What is a registered manager?
The Health and Social Care Act 2008 states that registered providers must have a registered manager, set out in Regulation 7: requirements relating to registered managers.
The intention of this regulation is to ensure that people who use services have their needs met because the regulated activity is managed by an appropriate person.
This is because providers who comply with the regulations will have a registered manager who:
- Is of good character.
- Is able to properly perform tasks that are intrinsic to their role.
- Has the necessary qualifications, competence, skills and experience to manage the regulated activity.
- Has supplied them with documents that confirm their suitability.
Which providers need to have a registered manager?
All providers must have a registered manager, except:
- Where the service provider is an individual who manages the service day-to-day and who is fit to carry on the service. Some single handed GPs will meet this criteria and will not need a registered manager.
- NHS trusts.
Any GP practice registered with CQC as a partnership or as an organisation is required to have a registered manager.
Who can be a registered manager?
GP practices should not need to employ anyone new to be a registered manager, but it is important to consider carefully who the registered manager is. It is most likely that a partner is the most appropriate person for this role because they:
- have legal liabilities in relation to the regulated activities that they manage
- must be able to demonstrate their ‘fitness’ to carry out their role, and
- should hold a role that enables them to ensure the quality and safety of the services they are registered for.
They should be in day-to-day charge of carrying on the regulated activity or activities they apply to be registered for.
What is the role of a registered manager?
CQC aims to ensure that people who use services are safeguarded by a rigorous but proportionate registration process for all managers. When applying to be a registered manager the applicant must demonstrate that they:
- comply with the relevant regulations, and
- can demonstrate their fitness to be registered as a registered manager.
They must apply for a CQC counter-signed Disclosure and Barring Service check before submitting an application.
Registered managers are responsible for maintaining their own registration. When a registered manager leaves a location or a provider they must apply to vary or cancel their registration; this is their responsibility, not the provider’s.
Our inspectors will often use the registered manager as the key contact to make arrangements for an inspection both beforehand and on the day. When we inspect we usually hold introductory and feedback sessions with the registered manager. However, if they are not available we will liaise with another senior partner or manager.
It is important that registered managers are familiar with the requirements of the inspection process and the fundamental standards.
For more information
- NHS GP practices and GP out-of-hours services: provider handbook
- NHS GP practices and GP out-of-hours services: provider handbook appendices
- Regulations for service providers and managers (including the fundamental standards)
Professor Nigel Sparrow is senior national GP advisor and responsible officer at the CQC
More CQC resources
- View the full CQC Essentials series on Medeconomics
- CQC's recommended reading to help practices meet regulations and prepare for an inspection