| Later in 2023we will implement ournew regulatory approach. Our new approach will give us the ability to make judgements about quality more regularly, instead of only after an inspection as we do today. Well use evidence from a variety of sources and look at any number of quality statements to do this. Well continue to describe the quality of care using our 4 ratings: outstanding, good, requires improvement, or inadequate. In forming a view of quality,we use a scoring frameworkto enable us to make consistent judgements. Our scores will translate into one of the ratings for the key questions (safe, effective, caring, responsive, and well-led). Scores will also be the basis for our view of quality at an overall service level. At first, we will only publish the ratings, but we also intend to publish the scores in future. Using scoring as part of our assessments will: help us be clearer and more open about how weve reached a judgement on quality show if a service is close to another rating. For example, for a rating of good the score can show if its nearing either outstanding or requires improvement help us to see if quality is moving up or down within a rating. To support this new approach we are changing the way we present reports and ratings on our website. We'd like your feedback on our proposals for these changes, we'll use this feedback to inform further changes. Share your feedback by 31 March through the survey below | 