Introduction: Audits That Do More Than Measure
When the Care Quality Commission introduced its new Single Assessment Framework, governance teams across the NHS quickly recognised a shift, not in what audits were for, but in how they needed to work.
No longer was it about ticking the right boxes or ensuring every policy had been reviewed. Instead, audits were being reframed as evidence of lived experience, organisational learning, and impactful care.
This blog post reflects what we’ve seen—and learned—alongside NHS Trusts using MEG to make this shift. We’ll explore how teams are:
Reframing audits as part of a broader assurance story
Aligning templates to Quality Statements with minimal disruption
Using domain-based reporting to surface insight, not just activity
Coming up in this article:
The Shift from KLOEs to Quality Statements
What We’re Hearing from NHS Partners
Three Ways Teams Are Adapting Their Audit Approach
How MEG Supports Domain-Aligned Auditing
Conclusion: From Coverage to Confidence
The Shift from KLOEs to Quality Statements
The transition from Key Lines of Enquiry (KLOEs) to 34 Quality Statements is more than cosmetic. It signals a shift in CQC’s expectations:
Each Quality Statement is supported by six evidence categories, including:
People’s experience
Policies and processes
Observation and feedback
Culture, leadership, and outcomes
Meaning: audits now need to fit into a bigger story; one that connects what’s checked with what’s changed.
What We’re Hearing from NHS Partners
Governance leads and quality managers we've worked with have shared some consistent themes:
🔸 “We don’t need more audits, we need better alignment.”
Many teams have strong audit coverage, but lack clarity on which Quality Statements are being evidenced (and where gaps exist).
🔸 “Our audits still reflect old structures.”
Some audit templates were designed around KLOEs or historical policies. They’re still useful but they don’t always reflect the new framework’s language or intent.
🔸 “We want to audit what matters not just what’s measurable.”
There’s a growing appetite to include cultural and experience-based domains (like Responsive and Caring) in audit programmes, not just procedural areas.
Three Ways Teams Are Adapting Their Audit Approach
1. Tagging, Not Rebuilding
Rather than redesign every audit from scratch, many teams are tagging existing audits to their relevant Quality Statements.
Example: An audit titled “Ward-Based Medicines Safety” is now tagged under “Safe: We learn when things go wrong.”
In MEG, these tags become filters for dashboards and reports.
2. Using Quality Statements to Identify Gaps
Some Trusts have used the CQC Statement list as a mapping tool, cross-referencing against audit coverage to see:
Where duplication exists
Where gaps are hidden
Which domains lack current audit data
This allows them to rationalise, not expand, their audit programme.
3. Making Audits Part of Domain Dashboards
By integrating audit results into MEG’s domain dashboards, teams can:
Track audit coverage across Safe, Effective, Well-Led, etc.
Monitor audit performance by service, location, or team
Include audits in regular governance reporting, not just inspection prep
How MEG Supports Domain-Aligned Auditing
MEG was designed to support audit frameworks that evolve with regulatory needs.
Key features include:
📂 Domain-Based Audit Templates
Easily tag audits to one or more Quality Statements
📊 Filterable Dashboards
Track coverage and performance by domain, service, or audit type
🔗 Link to Incidents and Actions
Surface learning and improvement journeys, from incident to audit follow-up
🧾 Auto-Generated Reports
Create board-ready views showing audit alignment across the organisation
Related Reading
Conclusion: From Coverage to Confidence
The most effective audit programmes we’ve seen aren’t bigger.
They’re better aligned.
They reflect Quality Statements not just in name, but in outcome-focused evidence. And they make it easier for governance leads to demonstrate assurance, not just activity.
As more NHS teams embed this alignment into their tools and workflows, audits are becoming more than checks.
They’re becoming stories of progress and trust.
Curious how your audit programme aligns with CQC’s Quality Statements?
Book a call with the MEG team and get a domain-based snapshot in under 30 minutes.