This guidance is about the scope of registration for health care and adult social care providers. Care Quality Commission (CQC) is the independent regulator of health and adult social care in England. Providers of these services must register with CQC, in accordance with the Health and Social Care Act 2008. A service provider can be an individual, a partnership or an organisation – examples of organisations are companies, charities, NHS trusts and local authorities. The document includes detailed explanations of what constitutes 'regulated activities' and which regulated activities service providers are most likely to need to register for. It also outlines the exemptions from registration for providers meeting very specific criteria, including some medical practitioners in independent practice. This is the fifth edition of the scope guidance.