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Special Measures’ Support

If you are a healthcare provider, receiving a ‘Special Measures’ designation from the Care Quality Commission (CQC) is a critical juncture that demands immediate, comprehensive, and proactive action. It signifies that a healthcare provider has fallen below the threshold of acceptable quality, and the consequences of inaction can be severe.

At HLTH Group, we understand the gravity of this situation and are here to provide specialised support tailored to the unique challenges faced by healthcare providers in ‘Special Measures’.

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Key Lines of Enquiry (“KLOES”)

The CQC assesses healthcare services using Key Lines of Enquiry (“KLOES”) and rates them as ‘Outstanding’, ‘Good’, ‘Requires Improvement’, or ‘Inadequate’. It’s important to note that, according to the “Fundamental Standards of Care,” only a ‘Good’ rating is considered good enough when a service is evaluated against the legal service compliance standards. Any rating below ‘Good’ is regarded as a breach of regulations, which may trigger some form of “enforcement action.”


If a service receives an ‘Inadequate’ rating in any aspect during an inspection, it will undergo re-inspection within six months. If it receives another ‘Inadequate’ rating, even if unrelated to the previous finding, it may trigger ‘Special Measures.’ This can have far-reaching consequences, including reduced income, local authority concerns, negative local media coverage, and a loss of consumer confidence. This has led some healthcare providers to make the difficult decision to close services rapidly, fearing the repercussions of ‘Special Measures.’

  Healthcare Compliance. HR. Software Solutions – Learn more about us by clicking here.

At HLTH Group, we believe that addressing ‘Inadequate’ findings comprehensively and promptly is crucial to a healthcare provider’s recovery. Our approach includes:

Launching an Internal Inquiry

We work with you to launch an internal inquiry to understand the root causes of the issues identified and develop a strategic plan for improvement.

Crisis CQC Compliance Support

Our team of former CQC inspectors, healthcare professionals and compliance experts will provide expert guidance on the approach needed to rectify problems and continuously monitors progress.

Communicating with the Care Quality Commission

Transparency and demonstrating your proactivity to the CQC is incredibly important.

Independently Assessing the CQC's Findings

We review the CQC’s findings and, when necessary, challenge the draft inspection report to ensure accuracy and fairness.

Seeking Support for Residents and Service Users

We help you engage positively with residents and service users to build support and trust within the community.

Interim Management Support

Often, in-post Registered Managers leave their positions following a difficult CQC inspection. We can place an experienced Interim and Crisis Manager to help steady the ship.

HR Management

We provide guidance on addressing personnel issues, ensuring that staff are aligned with the goals of improvement.

PR Support

We can offer advice and guidance on communicating transparently, proactively and effectively with your local community, media and service users.

Navigating the challenges of ‘Special Measures’ demands a strategic, proactive, and informed approach. At HLTH Group, we stand ready to assist healthcare providers in this critical phase, offering the expertise and support needed to emerge from ‘Special Measures’ stronger, more resilient, and committed to delivering the highest standards of care. Contact us today to discuss how we can help you navigate this challenging journey and work towards a brighter healthcare future.a

  Healthcare Compliance. HR. Software Solutions – Learn more about us by clicking here.

At HLTH HR we provide purpose-built HR software and expert support to healthcare providers nationwide, ensuring they successfully optimise their management of staff and HR processes. HLTH HR provides the expert support you need to remain legally compliant with your obligations as an employer. Supported by our HLTH Manage software system, you can manage your staff more easily, and improve employee satisfaction and wellbeing.

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We specialise in finding highly skilled, compliant professionals for a wide range of roles within Healthcare, Adult Social Care, and Medical Services. We believe the success of healthcare services begins with their staff, and at HLTH Group we are industry-leading experts in interim management and permanent healthcare recruitment. Learn more by clicking below.

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HLTH Manage is the UK’s leading CQC Compliance Software. The system is an innovative software solution that ensures providers are one step ahead of CQC requirements via our state-of-the-art system and the support provided by a team of compliance experts – ensuring that we offer holistic, tech-enabled solutions. Learn more by clicking below.

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Board of Directors

Greg Bamber
Chief Executive
Greg joined the organisation as Chief Executive after a long and successful period as founder and CEO of CQC Compliance Limited, which was acquired by WorkNest/Marlowe PLC in the summer of 2021. Following a successful handover period, Greg has taken up the position as CEO of the HLTH Group, while maintaining a close working relationship with CQC Compliance. With more than 15 years' experience operating in the healthcare sector, Greg has a fundamental understanding of how to support healthcare providers in the UK, he is dedicated to ensuring that the HLTH Group provides both an expert-led and a tech-enabled approach to the delivery of business-critical healthcare compliance solutions.
Matt Hibberd
Managing Director
Matt has over 25 years of extensive experience in the Health and Social Care sector. Prior to joining the HLTH Group, Matt notably served as a Regional Director and CQC Nominated Individual for All Care, one of the UK’s largest domiciliary care providers, overseeing the delivery of 16000 hours of care a week. His expertise extends to fostering growth strategies, ensuring compliance, and delivering successful acquisitions and tenders. Matt's understanding of the healthcare sector's challenges and his ability to support clients in navigating compliance and achieving commercial development make him an invaluable asset to HLTH Group’s partners and clients.
Dr Atif Ghaffar
Medical Director
Dr Atif Ghaffar is the Medical Director of the HLTH Group and supports our clients with his decades of experience in the healthcare sector. He has experience working within the NHS and as a private GP, covering all aspects of primary and acute care. As a GP Principal for 16 years and an experienced CQC Lead – Dr Ghaffar provides invaluable support and guidance particularly to our clients looking to start bespoke GP services. As the former Medical Director at CQC Compliance Limited, Dr Ghaffar understands the fundamental importance of healthcare compliance and the need for primary and acute organisations to be forward-thinking in ensuring they are CQC-ready.
Tony Carlin
Head of Compliance & Training
Tony is a Registered Nurse, specialising in mental health, and has worked in forensic and secure mental health services across a variety of settings. Teaching and training have always been incredibly important to Tony, and for many years he has delivered training courses in small and large settings focused on compliance, the CQC, and specialist areas of health and social care. Tony also has experience in adult social care, in which he worked at all levels including Registered Manager. His range of experience has developed his specialist insight into how to remain compliant and succeed in line with the legislation and evolving framework of the regulator in a variety of settings.
Jayne Downey
Non-Executive Director
Jayne joined the HLTH Group as our Non-Executive Clinical Director, following a successful period as a Director at CQC Compliance Limited. Jayne works with our clients to ensure long-term improvement in their compliance. Alongside her work with the HLTH Group, Jayne has worked as the Director of Governance and Corporate Nursing and until recently was the nominated individual for the Salford Royal NHS Foundation Trust – an ‘Outstanding’ hospital trust.
Will Rosebury
Marketing Director
As Marketing Director of the HLTH Group, Will leads the organisation in relation to brand communications and strategy, sales and marketing, and oversees the operational performance of the HLTH Group. A former director at CQC Compliance Limited, Will joined the HLTH Group with the simple idea to provide forward-thinking compliance solutions directly to healthcare providers across the UK. With the UK healthcare in a state of significant flux and evolution, Will is dedicated to ensuring that the HLTH Group helps healthcare providers navigate these changes in the years ahead.
Sophie Cross
HR Director
Sophie is our Head of HR and has worked in HR for over 10 years, working in the charitable and social care sector as well as more recent experience within local authority. With broad experience in the day to day of HR management ensuring successful and compliant employment, as well as supporting companies with complex employee relations cases which included successful communication with Union and ACAS representatives, she is able to offer advice and guidance to ensure pragmatic and fair outcomes for employers and employees alike. Working collaboratively with operations within the care sector for the majority of her career she understands the challenges the care environment brings and is able to bring an extra dynamic to delivery.
Marc Hulligan
Finance Director
With a career spanning over two decades in the field of finance, Marc brings a wealth of experience and expertise to his role as Finance Director. His journey began as a qualified accountant, honing his skills at HMRC, Grant Thornton, and Moore and Smalley, before becoming an integral part of the HLTH Group team in May 2023. As the head of our finance and accounts department, Marc plays a pivotal role in safeguarding the confidentiality of client information, remaining vigilant and compliant with GDPR and all official finance regulations.