Introduction from the Chair
Dear Candidate,
Thank you for your interest in our Non-Executive Director roles. As the independent regulator, CQC helps ensure health and adult social care services across England are safe and high quality.
This is an exciting time to join the CQC Board. After a challenging 2024, we are making essential changes to the way we work. With the results of internal and external reviews helping guide our work and a new Chief Executive in place, we must now progress the changes necessary to enable us to deliver for all who need us.
We need to transform the way we register providers, improve the number and quality of our assessments of services and deliver clear and effective information for those who use health and care services. We need to ensure providers and our own staff have access to simple, effective systems. We must also work with Government to agree and progress how we assess local authorities and support integrated care systems.
We cannot do this well without a strong, capable Board guiding our work. We are seeking new non-executive members with the skills and ambition to help drive us forward.
If you can help us on this journey, I hope you will apply and I look forward to meeting you.
Ian Dilks OBE
Chair of the Care Quality Commission
Appointment description
The Secretary of State wishes to appoint at least three new Non-Executive Directors to the Board of the CQC.
The CQC plays an important and significant role at a national level. The health and care sector accounts for around 12% of the economy and 20% of public expenditure and is one of the most significant drivers of health, public satisfaction and economic growth.
As a Non-Executive Director of the CQC Board, you will be responsible for helping to ensure the CQC is a successful organisation - in terms of its effectiveness as a regulator, making sure that health and social care services provide safe, high-quality care, and as an employer. Non-Executive Directors play a key role in ensuring continuous organisational improvement, high performance management, excellent customer focus and service delivery, scrutiny, challenge, fairness, accountability, and effective corporate governance.
CQC is in a period of change following a review of their operational performance. Board members will play a significant role in enabling CQC to deliver the necessary improvements. Non-Executive Directors will specifically:
• Provide an independent view and creative contribution at board meetings and any committees of which they are members, including ensuring the long-term strategic focus, effectiveness and reputation of the CQC through purposeful and constructive scrutiny and challenge.
• Monitor and challenge the performance of the CQC’s executive management, in meeting the strategic vision, organisational priorities and business plan objectives including monitoring of organisational performance, service delivery, quality and reputation. Provide assurance regarding the CQC governance, including in relation to periodic reviews of the organisation.
• Support the Chair and the executive team to ensure the CQC fully embraces and embeds an excellent customer service ethos and delivers accordingly in order to enhance and develop its credibility and reputation.
• Uphold the values of the CQC to deliver excellence, and demonstrating care, integrity and teamwork into all aspects of its work, and ensure that the organisation promotes equality and diversity for all providers, people who use services, people who work for CQC and other stakeholders.
Organisation description
The Care Quality Commission (CQC) is the independent regulator of health and adult social care in England. Its purpose is to ensure health and social care services provide safe, effective, compassionate, high-quality care and the regulator encourages improvement, where providers fall short of CQC’s fundamental standards. Its role is to register providers of services, monitor, inspect and rate, take enforcement action for poor care, and speak independently on matters of quality in health and adult social care services.
CQC receives the large majority (82% in 2023/24) of its funding through fees charged to registered providers, with a much smaller proportion coming from Grant in Aid from the Department of Health and Social Care.
Total fee income in 2023/24 was £223.3m. Adult social care provided 41% of fee income, with 32% coming from NHS trusts, 17% from GP practices, 5% from independent healthcare providers and 4% from dental practices.
Provider fees have remained static since 2019/20. If they had risen in line with inflation, CQC would have received an additional £25.3m in 2023/24.
In terms of employee numbers, the number of directly employed whole-time equivalents was 3,057 in January 2025.
CQC’s strategy sets out 4 strategic ambitions:
1. People and communities: Regulation driven by people’s needs and experiences, focusing on what’s important to people and communities when they access, use and move between services.
2. Smarter regulation: Smarter, more dynamic and flexible regulation that provides up-to-date and high-quality information and ratings, easier ways of working with us and a more proportionate response.
3. Safety through learning: Regulating for stronger safety cultures across health and care, prioritising learning and improvement and collaborating to value everyone’s perspectives.
4. Accelerating improvement: Enabling health and care services and local systems to access support to help improve the quality of care where it’s needed most.
In addition to its role described above, the CQC is required to maintain a statutory committee, Healthwatch England, which acts as a national consumer champion in collecting and disseminating the views of people who use health and social care services. Although Healthwatch England is part of the CQC, it sets its own priorities, has its own brand identity, and speaks with an independent voice.
The National Guardian is a non-statutory appointment by the CQC to lead cultural change in the NHS, to establish and support a strong network of Freedom to Speak Up Guardians. The National Guardian’s Office highlight NHS providers that are successful in creating the right environment for staff to speak up safely and share this best practice across the NHS. It Independently reviews cases where healthcare providers may have failed to follow good practice, working with statutory bodies to take action where needed.
It has been well publicised that the CQC has been, and is still subject to ongoing reviews, regarding its regulatory approach and methodology of assessing health and social care providers. It has been a challenging period for the organisation but it has put in place a recovery plan together with new leadership at the helm, including the appointment of Julian Hartley as Chief Executive.
Board composition
Board meetings are mainly held in London.
Care Quality Commission
2 Redman Place,
London,
E20 1JQ
Upcoming meetings: 26 March 2025, 14 May 2025 and 16 June 2025.
Regulation of appointment
This post is regulated by the Commissioner for Public Appointments. For more information, please refer to the
Commissioner’s website
Essential criteria
• A career record of achievement, with an ability to operate effectively as a non-executive on the board of a high-profile national organisation.
• An ability to focus on innovation, culture change, and care quality and how to encourage providers to make improvements.
• An ability to guide the CQC’s strategic direction, and use sound judgement, based on the ability to consider and challenge complex issues from an impartial and balanced viewpoint.
• Good communication skills, with the ability to work as part of a team, with a positive and constructive style, challenging management recommendations where necessary.
In addition, one of the NEDs to be appointed must have experience in the provision of mental health services, knowledge of the Mental Health Act, an understanding of the issues and challenges within this sector, and the ability to articulate those in a board setting.
Desirable criteria
• Experience and understanding of healthcare in England, with an awareness of the issues that can affect both service provision and patient experience, and the ability to articulate those in a board setting.
• Experience and understanding of one or more of the following:
o operational turnaround.
o cultural transformation.
o data-led regulation.