If your organisation is already registered with the Care Quality Commission (CQC), expanding into another regulated activity can feel like a natural next step. Whether you are branching into supported living, opening a new clinic, or adding diagnostic services to your care provision, it is important to remember that CQC treats this as a formal change to your registration.

The good news is that adding a new regulated activity is generally simpler than your first application because you already have many of the foundations in place. However, there are still steps you need to take to ensure full compliance.

Why You Need to Apply for a New Regulated Activity

Every regulated activity such as personal care, treatment of disease, or diagnostic and screening procedures has specific requirements. Even if your current services are safe and effective, CQC needs to be satisfied that your organisation can deliver the same high standards in the new area.

This process is called a variation of registration, and it is a crucial step before you can start providing the new service legally.

Now, let’s take a look at the things you need to do…

Identify the Correct Regulated Activity

CQC provides clear definitions for each regulated activity. Make sure you match your new service to the right category. This avoids delays and questions from inspectors.

Consider Your Location

If the new service is at an existing site, you may only need to add the activity there.

If it is a new location, you will need to register the site with CQC as well.

Review Your Registered Manager Arrangements

Some regulated activities legally require a Registered Manager while others may not. It is important to check whether the new activity falls into this category.

If your current Registered Manager has relevant experience in the new activity and the service is at a location they can reasonably supervise, they may be able to cover it.

If the new service is at a different building that is too far away, or if your manager lacks the necessary experience, you will need to appoint a new Registered Manager for that activity.

Having the right Registered Manager in place is essential for compliance, quality, and safety.

Update Your Statement of Purpose

Your Statement of Purpose must reflect all services and locations you provide. This is a legal requirement and must be submitted to CQC.

Prepare Your Evidence

CQC will want to see that your organisation can deliver the new service safely and effectively. Be ready with policies and procedures, staffing and training plans, governance and quality assurance processes, and risk assessments and safeguarding measures.

Apply via the CQC Provider Portal

Submit your variation of registration online. CQC recommends applying at least ten weeks before you plan to start the new service. The portal has been inconsistent at times, so you can also send your application via email if needed.

Wait for Approval

You cannot deliver the new regulated activity until CQC approves your application and issues an updated registration certificate. Often, CQC will come back with specific questions or requests for additional information, so be prepared to respond promptly to avoid delays.

Tips for a Smooth Application

• Start early to avoid last-minute stress.
• Double-check your documents because outdated or missing policies are a common reason for delays.
• Think practically because CQC wants to see your staff have the right training, skills, and supervision for the new activity.

Feeling Overwhelmed?

You are not alone. The HLTH Group supports providers with CQC registration and compliance every single day. We know the requirements inside out and can guide you step by step, making the journey far less stressful.