Under Healthwatch regulations, local Healthwatch organisations have the power to ‘Enter and View’ providers so that our authorised representatives can observe matters relating to health and social care services.
Organisations must allow an authorised representative to ‘Enter and View’ and observe activities on premises controlled by the provider as long as this does not affect the provision of care or the privacy and dignity of people using services.
The purpose of the visit will be to identify good practice that can be celebrated and shared with others, and to identify any issues about which service users feel concerned.
Enter & View Reports
West Berkshire Pharmacies
Strawberry Hill Medical Centre
UPDATE_Strawberry Hill (Version 2, January 2017)
Hungerford Care Home
What is Enter and View?
‘Enter and View’ is the opportunity for authorised representatives:
- To go into health and social care premises to hear and see how the consumer experiences the service
- To collect the views of service users (patients and residents) at the point of service delivery
- To collect the views of carers and relatives of service users
- To observe the nature and quality of services – observation involving all the senses
- To collate evidence-based feedback
- To report to providers, CQC, Local Authority and NHS commissioners and quality assurers, Healthwatch England and any other relevant partners
- To develop insights and recommendations across multiple visits to inform strategic decision making at local and national levels
Key benefits of ‘Enter and View’
To encourage, support, recommend and influence service improvement – by:
- Capturing and reflecting the views of service users who often go unheard, e.g. care home residents
- Offering service users an independent, trusted party (lay person) with whom they feel comfortable sharing experiences
- Engaging carers and relatives
- Identifying and sharing ‘best practice’, e.g. activities that work well
- Keeping ‘quality of life’ matters firmly on the agenda
- Encouraging providers to engage with local Healthwatch as a ‘critical friend’, outside of formal inspection
- Gathering evidence at the point of service delivery, to add to a wider understanding of how services are delivered to local people
- Supporting the local Healthwatch remit to help ensure that the views and feedback from service users and carers play an integral part in local commissioning
- Spreading the word about local Healthwatch
Where does ‘Enter and View’ apply?
Guiding principle: premises where health and social care is funded from the public purse.
Legislation allows ‘Enter and View’ activity to be undertaken with regard to the following organisations or persons:
- NHS Trusts
- NHS Foundation Trusts
- Local Authorities
- a person providing primary medical services (e.g. GPs)
- a person providing primary dental services (i.e. dentists)
- a person providing primary ophthalmic services (i.e. opticians)
- a person providing pharmaceutical services (e.g. community pharmacists)
- a person who owns or controls premises where ophthalmic and pharmaceutical services are provided
- Bodies or institutions which are contracted by Local Authorities or the NHS to provide health or care services (e.g. adult social care homes and day-care centres)
The duty to allow entry does not apply in the following circumstances:
- if the visit compromises either the effective provision of a service or the privacy or dignity of any person
- if the premises where the care is being provided is a person’s own home (this does not mean that an authorised representative cannot enter when invited by residents – it just means that there is no duty to allow them to enter)
- where the part(s) of premises are used solely as accommodation for employees
- where the premises are non-communal parts of care homes
- where health and social care services are not provided at the premises (such as offices) or where they are not being provided at the time of the visit (for example when facilities and premises are closed)
- if, in the opinion of the provider of the service being visited, the authorised representative, in seeking to ‘Enter and View’ its premises, is not acting reasonably and proportionately
- if the authorised representative does not provide evidence that he or she is authorised
- the duty does not apply to the observing of any activities which relate to the provision of social care services to children
Only authorised representatives may undertake ‘Enter and View’, and then only for the purpose of carrying out the activities of the local Healthwatch they represent.
Click here for a list of representatives authorised by Healthwatch West Berkshire to carry out ‘Enter and View’ on our behalf. All Healthwatch West Berkshire ‘Enter and View’ representatives have undergone specific ‘Enter and View’ training and a criminal record check by the Disclosure and Barring Service.