From 1 April 2009, trusts will be required to be registered with the new Care Quality Commission (CQC). The CQC will take over responsibility for the quality of health and social care and look after the interests of those detained under the Mental Health Act 2007. The Government is keen to ensure that the momentum gained in reducing hospital infections is sustained. This accounts for the early powers being put in place relating to healthcare associated infection as far as trusts are concerned. So, with the demise of the Healthcare Commission will come the glare of the CQC – promising to be firm but fair. In this climate of accountability, let there be no doubt that the CQC will seek to ensure that trusts do not rain on their parade!