NHS foundation trusts must include a report on the quality of care they provide in their annual report to improve public accountability.
These documents are only mandatory for NHS foundation trusts. NHS trusts prepare a quality account but not a quality report, however the documents contain guidance for NHS trusts who may choose to adopt the principles applied by NHS foundation trusts.
The requirements for quality accounts are published in a separate letter.
Detailed requirements for quality reports 2018/19
Detailed requirements for external assurance for quality reports 2018/19
Updates to guidance
April 2019 update: Application of breach allocation guidance to reporting against 62 day cancer indicator in quality reports 2018/19
Updated guidance was issued in 2016 how to deal with cancer waiting time breaches where a patient transfers between trusts, but there have been delays in implementing this in national reporting systems. Up to the end of March 2019, official performance statistics will continue to be based on the 50:50 allocation rules which have been in place for several years. From April 2019 official performance will be based on the revised rules, based on determining responsibility at day 38. While the original guidance encouraged providers to develop their own systems for breach allocation information, there has been a consistent approach in national reporting.
Therefore we expect that the data used in preparing the cancer waiting time indicator(s) in the 2018/19 quality reports will be based, by default, on the long-standing arrangements for 50:50 breach allocation. In 2018/19 we do not expect auditors to raise concerns where reporting does not reflect the updated breach allocation guidance. However if a Trust has put its own processes in place locally to implement the new guidance consistently in 2018/19 and wishes to report on this basis this is also acceptable. If this is the case it must be clearly stated alongside presentation of the indicator in the quality report, and the auditor can perform assurance work on the indicator on this basis.