Consultation document: regulatory fees for integrated care system assessments

The Health and Social Care Act 2008 (as amended by the Health and Care Act 2022) gives us a new duty. This is to carry out an independent review and performance assessment of integrated care systems.

Our fee model is compliant with section 6 of HM Treasury’s guidance on managing public money. It recovers the full regulatory cost associated with discharging our regulatory purpose and requirements. As such, and in the absence of funding from elsewhere, we are expected to charge a fee for any new regulatory requirement we undertake.

The Care Quality Commission (Fees) (Reviews and Performance Assessments: Integrated Care System) Regulations 2023 prescribes this new function for the purposes of section 85 of the Health and Social Care Act 2008. This enables CQC to charge fees to cover the cost of performing that function.

CQC is a statutory non-departmental public body, established by the Health and Social Care Act 2008. The Act requires us to:

• register providers of health and social care
• maintain a register through the exercise of our regulatory functions.

We have the power to charge a fee, which we charge annually to health and social care providers, through our statutory fee scheme. We are a predominantly fee-funded organisation. Approximately 90% of our revenue comes from provider fees.