Poor leadership will become one of the chief reasons for recommending that trusts are placed in “special measures”, the health and social care regulator has proposed.

The Care Quality Commision will also increased the regularity of its new “comprehensive” inspections for “outstanding” trust” from every five to every three years, it revealed in a series of “provider handbooks” release last week.

In addition to these “comprehensive” checks, all trust can also now appeal for single “focused” inspections which zone in on areas they have tried to improve, they say.

According to the handbooks, the CQC is also likely to recommend that trusts are put under special measures when rated “inadequate” in its “well-led” plus one other category.

The special measures status will then only be lifted once its leadership rating has improved.

Further details of the appeal process for unfavourable ratings is also revealed in the handbooks.

Under one new proposal, providers will have the right to request inspections to prove they have improved. Such a request can only be made once the CQC has published its report.

 Miriam Deakin, head of policy at the Foundation Trust Network said the handbooks provided “welcome clarity” on the detail of the new inspection process.

Poor leadership will become one of the chief reasons for recommending that trusts are placed in “special measures”, the health and social care regulator has proposed.

The Care Quality Commision will also increased the regularity of its inspection rounds from ever five to every three years, it revealed in a series of “provider handbooks” release last week.

In addition to these “comprehensive” checks, trust can also now appeal for single “focused” inspections which zone in on areas they have tried to improve.

According to the handbooks, the CQC is likely to recommend that trusts are put under special measures when rated “inadequate” in its “well-led” and one other category.

The special measures will then only be lifted once its leadership rating is improved.

Further details of the appeal process for unfavourable ratings is also revealed in the handbooks.

Under one new proposal, providers will have the right to request inspections to prove they have improved. Such a request can only be made once the CQC has published its report.

Miriam Deakin, head of policy at the Foundation Trust Network said the handbooks provided “welcome clarity” on the detail of the new inspection process.

She urged the CQC to ensure the inspection process worked “consistently in practice” and added that it  kept pace with the “changing landscape” by taking on board “new ways to regulate pathways and integrated care”.