South West Trusts (Peninsula & Severn)
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Cornwall Partnership NHS Trust:
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Medical Director:
Adrian Flynn
Leadership & Development Lead / Head of Education:
Sally Wilson
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Devon Partnership NHS Trust:
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QI Lead:
Simon Dallas
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Livewell South West:
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Leadership & Development Lead
Kelly Matthews
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Plymouth University Hospitals NHS Trust:
We are on a learning journey at University Hospitals Plymouth, and part of that journey is the drive to create a culture of Continuous Quality Improvement throughout the organisation, with a focus on staff-driven change, meaningful training and coaching, and patient-centred Quality Improvement (QI) projects. UHP has a designated programme to achieve this called “People First”; the programme is supported by the Quality Academy Team and is centred on three core values:
- Respect for staff
- Value to the ‘person we care for’
- Teams driving their own improvements
The People First programme that UHP continues to work on, comprises:
- Building the capability to enable and empower improvement via a standard approach. There is a comprehensive training and coaching programme which can be targeted or bespoke to any level/staff group within the organisation
- Establishing a Management System and “Golden Thread”, which comprises team huddles focussed on improvement and the health of teams, and which fundamentally support the strategic ambition setting from “board to ward”
- Supporting and running Improvement Events with a wide range of Stakeholders for some of the bigger issues.
All new staff joining the Trust are introduced to our People First improvement programme and made aware of what support is available to them at Induction.
We build on this for our newly qualified registered nursing staff where QI features as a key module within our Preceptorship Programme. This results in meaningful improvement projects being delivered and learning being shared throughout our clinical areas. Looking forward there are plans for this offering to be extended to a wider field of staff.
Quality Improvement is also a prominent part of our link with the Peninsula Medical School; all 4th Year students undertake a Quality Improvement Special Study Unit within teams across UHP. This commences with a QI skills “boot camp” training day and then subsequent contact sessions to support students in delivering real improvement projects as part of their assessment.
More widely, the Trust continues to collate active projects in a UHP QI project bank.
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QI Champions:
Dr David Adams
Dr Matt Hill
Mr Richard Berrisford
Mr Paul McArdle
Foundation Contact: Jennifer Hole (Foundation Programme Coordinator)
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Royal Cornwall Hospitals NHS Trust:
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QI Champion:
Richard Noble
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Royal Devon & Exeter NHS Foundation Trust:
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QI Champion:
Mr Rob Bethune
Foundation Contacts:
Neil Walker (F2 Foundation Programme Director)
Angela Cottrell (F1 Foundation Programme Director)
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Torbay & South Devon Healthcare NHS Foundation Trust:
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QI Champions:
Dr Simon Barnes
Dr Joanne Watson
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South West Academic Health Science Network:
The South West Academic Health Science Network (SWAHSN) is running a regional quality improvement collaborative and is very supportive of quality improvement work done by junior doctors. Our aim is to help front line staff in three ways; coaching through existing projects, connecting to others from around the region and providing formal quality improvement (QI) training. If you would like to know more and get involved with the regional work then e-mail the QI Champion.
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QI Champion:
Emer Scanlon
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Avon and Wiltshire Mental Health Partnership NHS Trust:
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QI & Clinical Audit Manager:
Carla Carter
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Gloucestershire Health & Care NHS Foundation Trust:
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QI Lead:
Ross Runciman
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Gloucestershire Hospitals NHS Trust:
The Gloucestershire Safety & Quality Improvement Academy was established at Gloucestershire Hospitals NHS Foundation Trust in June 2015.
Our aim is that our structured programmes will contribute to the development of a culture of continuous quality improvement within our Trust, where staff at all levels have the confidence to highlight areas for improvement and then have the skills, knowledge and support to be able to implement tests of change and evidence of improvement.
The GSQIA faculty promote improvement in all aspect of quality; clinical effectiveness, patient safety and the experience of patients and staff members, as well as supporting the Trusts Green Agenda.
QI Training and support is available to Trust staff of all roles and grades.
Our Vision
To develop a patient safety aware workforce with the knowledge, skills and confidence to continually strive for safety and quality improvement and excellence throughout the Gloucestershire Hospitals NHS Foundation Trust.
We offer 4 levels of QI training:
- Bronze Introduction to QI and methodologies
- Silver QI in action with project support and final graduation
- Gold QI coaching programme
- Platinum recognition of QI and governance structure
Link to resources:
https://www.gloshospitals.nhs.uk/work-for-us/training-staff/gsqia/qi-resources/
People:
Quality Improvement & Safety Director: Andrew Seaton
Head of Human Factors and Patient Safety Systems: Victoria Collins
Clinical Effectiveness & Quality Improvement Manager: Alexandra Purcell
GSQIA Coordinator & Trainer: Rachel Poulter
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Quality Improvement Team:
Gloucestershire Safety and Quality Improvement Academy
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Great Western Hospitals NHS Foundation Trust:
The Great Western Hospital started its QI programme in 2015 with the primary focus on Foundation Doctors. There is a structured programme with lectures and workshops to encourage teamwork without compromising on autonomy within projects. Emphasis is placed on the methodology to establish a strong foundation overlying its principles. Junior Doctors have had several publications in the BMJ Quality Journal and more recently a trainee who collaborated with several regional hospitals to improve the management of sepsis in surgical patients – the Precission Trial in the South West was part of the team that won the BMJ 2021 QI prize.
In addition to Academy supervised Foundation Doctor projects, there are numerous projects run within Departments. Both the Academy and Trust QI pages have a wealth of information on how to run a QI, where to get additional resources and useful links to previous projects. These include longer term ward-based projects to facilitate continuity. There is also a new Improvement & Partnerships team specifically aimed at broadening QI uptake within the Trust.
The Academy has a dedicated motivated team to organise and support projects as well as established QI fellows to share their past experiences with projects. We are always trying to improve particularly with using virtual platforms and social media to ensure training. There is a QI and Audit prize for the best poster and presentation.
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QI Lead:
Sue Day
Steve Ramchaitar
Jessica Daniel
Claire Thompson
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North Bristol NHS Trust:
The Quality Safety Improvement Team (QSIT) at North Bristol NHS Trust (NBT) have three main areas of focus:
1. Enabling Improvement Capability across the organisation
2. Co-Leading/Collaborating on 2-4 key patient safety large scale improvement projects per year that can either be trust-wide or regionally/nationally driven.
3. Networking both internally and externally with local and national improvement communities e.g. Q Community, via our local AHSN and networks such as the delivering improvement network.
The team is composed of staff with clinical backgrounds working as patient safety improvement practitioners/coaches. We support colleagues with improvement work by:
• Providing and managing an official internal quality improvement project registration service
• Providing coaching and QI consultation support via our weekly QI hub, where colleagues interested in discussing improvement ideas and projects can easily connect with the team
• Providing quality improvement resources in the form of interactive and practical QI workshops, collating useful materials and signposting colleagues to other essential services such as patient experience, sustainability team and project management support within the organisation.
• Introducing colleagues to a range of QI approaches which include Model for Improvement, methods to creative problem solving and bringing people together via liberating structures and additional techniques such as appreciative inquiry
QSIT report to the Medical Director via the Associate Medical Director of Safer Care and the patient safety improvement practitioners are managed by the Senior Continuous Improvement Manager. Contact QSIT@NBT.nhs.uk for further details and assistance.
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Quality & Safety Improvement Team:
Seema Srivastava
Vardeep Deogan
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Royal United Hospitals Bath NHS Trust:
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QI & Patient Safety Lead:
Lesley Jordan
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Taunton & Somerset NHS Foundation Trust:
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Awaiting Update
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University Hospitals Bristol & Weston:
At UHBW everyone can make improvements, and there is support available to help you via the QI Programme. This has four aspects:
• The QI Hub, where you can log your QI projects and ideas, or request support and advice from the QI Faculty
• The QI Academy with four tiers of training:
o Introduction to improvement e-learning, available on Kallidus
o QI Bronze to teach you the basics of how to make improvements, available to book on Kallidus
o QI Silver to help you to do an improvement project.
o QI Gold which is an annual course, where each division delivers a large scale and complex project
• The annual QI Forum, where you can present the poster of your project, and share your learning and successes.
• The QI Resources page on the Connect intranet site contains loads of templates, guidance, videos, and further reading on Quality Improvement tools and techniques
In addition to the above Trust wide offer, Junior Doctors are supported via:
• Two QI Fellows, who can advise you on your QI Projects
• In person QI Bronze training, currently delivered by QI Fellows in a couple of times a year
• A developing project ‘matchmaking’ service, which endeavours to link Junior Doctors into existing improvement projects
• An annual, Deanery-wide Junior Doctor QI Forum, which is organised and delivered by the QI Fellows
More information about the various aspects of the programme are available on the Trust intranet sites:
• Connect > Quality and Patient Safety > Quality Improvement
• Weston Intranet > Departments > Quality Improvement
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QI Lead:
Caitlin Bateman
Transformation Team
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Yeovil District Hospital NHS Trust:
At YDH the Medical Education Department and the Transformation team work closely together to ensure QI is a core principle of trainee development. Through the provision of training, coaching and support, trainees are provided with the tools and resources in improvement methodology which can be easily followed and applied to practice.
Our QI approach is based around teams undertaking projects that have a direct impact on their everyday work. Through a database of potential projects that have been identified by Clinicians and the Trust, teams of trainees can undertake projects they have a specific interest in or alternatively, through support and mentoring can develop a project they have identified. Trainees are encouraged to celebrate and share their achievements through internal trust processes and external routes including conferences and conventions.
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QI Lead:
Rachel Johns
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Severn Foundation School
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Foundation School Director:
Clare Van Hamel
QI Lead:
Rachel Johns
F2 QI Fellow Severn:
Rosie Gosling
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Peninsula Foundation School
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Foundation School Director:
Angela Cottrell
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