Care Quality Commission’s primary role will be to ensure patient care is safe. It will have a wide range of powers including issuing warning notices, closing wards and de-registering providers. Administrative fines are just one part of the picture. The level of administrative fine will be based on the Ministry of Justice’s standard scales, and any income will go to the Consolidated Fund. But, we do not intend to take large sums of money away from front-line health services. Rather, the ability of patients to choose where they are treated means that hospitals that cannot assure the public that they are free from serious infection will not be chosen.