Posted on: 11 April 2019
A time to plant, and a time to reap what’s been planted
This month’s QI learning event (more about this later in the newsletter) brought together a range of staff, service users and carers from across the Trust. Over the course of the day some delegates heard about the QI model for improvement for the first time; some had the germ of an idea for a QI project they wanted to explore, while others were there to share the success of QI projects they’d been involved in. These project teams had achieved, sustained, and often surpassed the original improvement goal they originally set for themselves.
QI in continues to grow and indeed flourish in CNWL through learning events such as these, where the emphasis of ‘all teach all learn’ recognises the skills and expertise of everyone, regardless of whether they have previous experience of involvement in QI projects.
Wherever you are on your QI journey there are opportunities to become more involved, and it’s never too late! For those of you just starting out, why not register for Bitesize QI, a monthly half-day training session outlining the key components of the model for improvement. Details of the training are available here.
Alternatively, for those happy to go it alone, the IHI modules QI101-QI105 of the excellent online training will give you what you need to get your project start. You also get certificates for completing each module- good for your CV.
Camden Rapid Response complete 75% of discharge summaries within two days
Gareth Turner, Therapy Lead at Rapid Access Services in Camden, and his team led a quality improvement project to improve discharge summaries.
A discharge summary is a letter given to a patient when they are discharged and it includes a summary of their care and treatment and helps to improve the patient experience and continuity of care.
The team in Camden set a target to complete 75% of summaries within two days. They hope to increase this target to 95%.
Find out how they achieve this by watching their short film.
HMP Woodhill encourage 40% more patients to get blood borne virus tests
Staff at HMP Woodhill have encouraged 40% more patients each month to get tested for blood borne viruses through a quality improvement project.
Teams at the prison have increased the number of patients accepting a Hepatitis B, Hepatitis C and HIV test from twenty per cent per month to sixty per cent. They did this over a period of six months and one person tested positively and is now receiving treatment.
In our short film, Nurse Nikwe Gaze, explains how the team made this change, and how they encouraged patients to take up testing. Michelle Dowling, Quality and Performance Manager, explains the method behind these results. Watch the film in Our QI Stories.
QI spotted on Twitter this month
Management Fundamentals support
Members of the 2018 to19 Management Fundamentals programme came together at the end of March to update Dorothy Griffiths (CNWL Chair) and Dr Con Kelly (Medical Director) on the progress of QI projects they’ve been leading as a requirement of the programme. In addition coaching support was also provided on the day by three QI coaches who recently completed the first wave of the QI Coaching Development Programme.
CNWL Wins QI Award
Congratulations to CNWL’s Quality Improvement (QI) Programme Team, which has received an Excellence in Building QI Capacity Award.
The team was presented with this for its success in developing and building up interest, capacity and capability across the Trust in the whole programme. QI refers to making healthcare safer, effective, patient centred, timely, efficient and equitable through using a systematic change method and strategies.
Last year more than 1,000 staff were trained in QI methodology. There are currently 281 active QI projects across CNWL; more than a quarter of which have service user and carer involvement.
Alison Butler, Associate Director of Programme Management and also the Trust-wide Quality Improvement (QI) Programme Lead said: “We are delighted by this recognition of the hard work of everyone across the Trust, which has resulted in a large number of active QI projects across the organisation.
“We are driven in our ambition to improve patient care and to make sure the care delivered is patient centred.”
The award was presented during a meeting of the South of England Mental Health Quality and Patient Safety Improvement Collaborative in Bristol.
Eleven mental health trusts in the South of England make up the membership of the collaborative.
QI Learning Event 3: 2 April 2019 ‘Growing our QI community’
A total of 68 staff, service users and carers joined the QI Learning event at 350 Euston Road on 2 April and took part in a series of masterclass sessions to learn about all aspects of the QI Model for Improvement. It was great to see many new faces at the event, as well as service users and carers from Kensington and Chelsea.
Our guest speakers included Dr James Mountford, Director of Quality at the Royal Free London NHS Foundation Trust, who shared the impact of service user and carer involvement in improving pathways; knitted orange hats highlight to staff which infants are receiving specialist treatment on the neonatal unit at the Royal Free Hospital. Dr Francesca Cleugh, Associate Medical Director Quality Improvement, described how Imperial College Healthcare NHS Trust has built improvement capability with a ‘dosing’ model and a standardised quality improvement approach.
The event celebrated sixteen QI projects that have progressed and achieved sustained improvement with certificate awards and videos. During the afternoon session we heard from Sandra Jayacodi, Janet Seale, and Chris Wait, helping us learn what it means to engage service users and carers in our QI projects. It was fantastic to hear about the development of a service user led QI project on reducing DNAs in Addiction Services and how an independent service user group now supports the service.
The first Spring Learning Event of 2019 was fully packed out with attendees, but if you missed out, please put the date of the Autumn Learning Event in your diary: Monday 9 September 2019, and watch out for announcements that the LDZ booking is open. There are plenty of opportunities to start or continue your QI journey before then. There's available to view here.
QI team building exercise with Gordon CTL Clinical and Leadership Development Programme 4 to 12 April
Staff from the Gordon Hospital enthusiastically engaged in a team building exercise that involved assembling ‘Mr Potato Head’ quickly and efficiently without compromising on quality. With minimal prompting those taking part in the exercise made important connections with their day to day working lives, in particular the importance offering and accepting support from others plays in effective team work.
QI tip of the month: Setting the privacy of your project on Life QI
There are two privacy options on Life QI – “Everyone” and “Only Members”.
'Everyone can view' - Allows everyone on Life QI to view your project data, this means all organisations using Life QI will have access to your project.
'Only members can view' - Only the members listed on your project are able to view all the data. We advise you to choose this option. You project will still remain open to all staff in CNWL with the “Only members can view” setting.
Click the 'Change Privacy' button to amend your privacy settings.
If you would like more information on privacy settings you can find more information here
Your QI Stories
You can learn more about their PDSAs, change ideas and measures on their posters. Both posters and other QI stories are available here.
If you have a QI poster or would like to share your learning in a video please get in touch via cnw-tr.improvementsupport@nhs.net.
IHI Open School and Life QI users
Here’s an update on numbers of live projects on Life QI .
o We now have 281 active projects on Life QI
o 1022 staff have now registered on Life QI
o 32 QI projects have been completed on Life QI
You can see here that more of you have joined our Life QI community online:
