Accessibility statement

This accessibility statement applies to the NHS England web application: Calculating Quality Reporting Service (CQRS) National web application: cqrs.nhs.uk

The application is managed by the CSU Collaborative which represents the four NHS Commissioning Support Units (CSUs) on behalf of NHS England and is hosted by Arden and Greater East Midlands (AGEM).

NHS England is committed to ensuring the CQRS National web application is accessible to as many people as possible. This means you should be able to:

• change colours, contrast levels and fonts using browser or device settings
• zoom in up to 400% without the text spilling off the screen
• navigate most of the website using a keyboard or speech recognition software
• listen to most of the website using a screen reader (including the most recent versions of JAWS, NVDA and VoiceOver)

We aim to make the CQRS National Web Application simple to use and understand for all users, including healthcare professionals and commissioners.

AbilityNet has advice on making your device easier to use if you have a disability.

If you need information on this web application in a different format like an accessible PDF, large print, easy read, audio recording or braille, email Support@CQRS.co.uk or call 0330 124 4039.

We`ll consider your request and aim to get back to you in five working days.

The Equality and Human Rights Commission (EHRC) is responsible for enforcing the Public Sector Bodies (Websites and Mobile Applications) (No. 2) Accessibility Regulations 2018 (the `accessibility regulations`).

If you contact us with a complaint and you are not happy with our response, please contact the Equality Advisory and Support Service (EASS).

The CSU Collaborative is committed to making the CQRS National web application accessible, in accordance with the Public Sector Bodies (Websites and Mobile Applications) (No. 2) Accessibility Regulations 2018.

This web application is partially compliant with the Web Content Accessibility Guidelines version 2.2 AA standard due to the non-compliances and exemptions listed below.

The following items are currently non-compliant with the Web Content Accessibility Guidelines version 2.2 AA, although we are actively working to address these issues as part of an ongoing programme to improve the accessibility of this web application.

• Link names are not clear - affected links with link names are not clearly defined
• Two or more links with same names and different destinations
• Link names with full stop
• Redundant links - download component has redundant links
• Button names are not clear

WCAG 1.1.1 Non-text Content

• Alt text does not match with the image - alt text does not match with the image in some cases
• Alt text is not read by the screen reader - alt text is available but is not captured by the screen reader in some cases
• Image is not captured by the screen reader - reads out only the title and skips the image and its content
• Alt text is not read by the screen reader clearly

WCAG 1.3.1 Info and Relationships

• Headings are not captured - some headings are not captured in the webpage by screen readers or are missing
• Heading structure is not proper - some headings do not follow the correct structure
• Tables do not have headers
• A group of check boxes or radio buttons is not enclosed in a fieldset - a group of check boxes or radio buttons is not enclosed in a fieldset

WCAG 1.3.4 Orientation

• Heading is not displayed fully in mobile view
• Title is not displayed fully in mobile view
• The download button overlaps the logo in mobile view
• Lost content - page title is not fully displayed in mobile view

WCAG 1.4.10 Reflow

• Headings display affected when the page is zoomed in to 300% and above
• Lost content at 250+% zoom - the main heading of the page is not fully displayed when the page is zoomed to 250 + zoom level
• Lost content at 400% - page title is not fully displayed at 400% zoom level

WCAG 1.4.3 Contrast (Minimum)

• Low contrast - Code block - content inside the code block shows low contrast error

WCAG 2.4.6 Headings and Labels

• Empty headings
• Issues with navigation

WCAG 2.4.1 Bypass Blocks

• Menu tabs - aria-labelled by to name regions and landmarks
• Some pages do not use aria-labels to provide labels for objects

WCAG 2.4.3 Focus Order

• Focus order is illogical - focus order not in the correct order

WCAG 2.4.7 Focus Visible

• Some focus indicators either cannot be visually located, or are highly visible

WCAG 2.5.3 Label in Name

• Some content cannot be captured by screen readers
• Labels that include text or images of text
• Label in name changes presentation of user interface
• Content not captured by the screen reader

WCAG 3.3.2 Labels or Instructions

• Form label is not associated with a form control

WCAG 4.1.2 Name, Role, Value

• Frame does not have a title

Some archived content and legacy documents were created before 23 September 2018 and may not be fully accessible. We do not plan to update these as they are no longer actively used.

We are currently in the planning phase of a major project to improve accessibility to ensure compliance with the WCAG 2.2 AA standard.

This statement was prepared on 20 October 2025. It was last reviewed on 20 October 2025.

The CQRS National web application underwent a full review by AGEM on January 2025, following a self-assessment and automated testing using Axe, WAVE, and Lighthouse tools.

We're always looking to improve the accessibility of the CQRS National web application.

If you find any problems not listed on this page, or think we're not meeting accessibility requirements, email Support@CQRS.co.uk with details of problems you have encountered.