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Rammya Mathew's activity

In group: Primary Care

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  • Rammya Mathew posted an update in the group Primary Care 3 years, 1 month ago

    As promised – my reflections on what makes a successful Q exchange submission.

    The theme for Q exchange 2021 will only be published in the Summer, but in my opinion it’s worth thinking about possible projects you could put forward from much earlier on – which is why I’m posting this now! Having read through the 2020 winning ideas, here are my top tips:

    1. Many of the winning ideas involved collaboration between multiple partners. If you have an idea, consider whether you can build on it with other local or even national organisations. It might be worth talking to your Academic Health Science Network, your local Trust, or relevant Voluntary, Community and Social Enterprise organisations.
    2. Demonstrate how you will purposefully involve patients and the public in your project. Many of the winning project teams were co-producing their resources with end users, who in most cases were patients.
    3. The reach of your project seems to be important – even if your idea will only be implemented in a particular region, you need to demonstrate how the learning from your project will be of benefit to a much wider group. You need to have a clear plan about how you will spread and share the learning.
    4. It’s helpful to show that you have expertise in your project area – what results do you have to date to be able to demonstrate this?
    5. You don’t need to pitch an entirely novel idea, although it can be helpful, it’s definitely not a must.
    6. Surprisingly your project doesn’t need to be (what purists consider) QI. Many of the winning ideas were leaning more towards research, and others were training interventions. You do however need to tell the story of how this will improve whatever you are trying to improve – be that patient care, staff morale, system efficiency, knowledge base, and so on.
    7. Remember the funding is for £30,000 – which doesn’t necessarily go very far. Quite a few of the winning teams were using the funding for work that they had already started in some way, or they were using the funding for a specific part of a bigger project.

    Hope that is helpful. Happy to support anyone hoping to apply in 2021. I’ve uploaded these tips and saved them in the files section also, in case you want to refer to them later in the year.

    • That’s really helpful Rammya. I feel one of the barriers is the energy and time needed to put together a good bid, so I can see why it is easier for teams already working on something. Often what is needed is a good project manager, and the money won’t fund one of these full time for very long. I’m wondering though about how we promote the sustainability agenda in Primary care – especially the complex area of changing our inhaler prescribing habits.

      • Hi Joanna, I completely agree. Putting together a bid in the first place some may be a new concept for some as well, so that project management support is key even before you have started! Sustainability is a huge issue – it is great to pump prime an idea but we need to build in how it will be self-sustaining in the future.

      • Thanks Joanna and Sameena. Sustainability is a hot topic at the moment, and one that probably hasn’t received sufficient attention in primary care, until now.

        Is anyone in this group involved in the #NetZero movement? If so, would be good to hear more about this. Otherwise I can ask Aarti Bansal from the College to come and speak to us about possible QI initiatives that could be worked up to support greener general practice.

        Sameena, I also note your point about ensuring anything that we do is self-sustaining. Have you (or anyone else) got any thoughts on how we might do this?

      • Sameena, One way to make QI projects more sustainable and self-sustaining is to focus the project on process rather that output/outcome. Process management is to only way to manage quality. If you would like to give it a try I can help.

    • I think that resourcing Spread is also crucial. We have evaluated several projects and found that Spread was the key issue. Just because you have developed, validated and published in a peer-review journal that you have a better mouse-trap or whatever, does not mean that others will either adopt it, or if they do will get good results. It usually boils down to inadequate resourcing of Spread by either developer or adopter or both.

      • Excellent point on spread. The AHSNs are tasked with this for many initiatives, and so a great job, though there are always so many complex barriers to spreading even ‘no brainer’ good initiatives. In GM we are trying to ensure the system is well-networked and this has helped quite a bit.

    • Rammya -Aarti has coincidentally just made contact with me about building a QI approach into the move towards zero net carbon general practice and we are goign to arrange a conversation. Could be a great topic for Q SIG webinar. I notice there is also a Q SIG on sustainability. Is anyone on this group?

      • Thanks Joanna – it might not be a coincidence. @tamar-koch has been in touch with Aarti to discuss a potential session on sustainability. I think the plan is for us to hold more of a workshop style session – as it seems that quite a lot of thinking has gone into the policy aspects, but this group could really add value by helping to shape a QI framework and move policy into action.

    • https://www.susqi.org has some great QI resources for promoting sustainability, but weighted quite heavily towards secondary care in terms of examples/case studies.

    • Yes, I think my conversation with Aarti spurred her into getting in touch with you @Joanna. Really looking forward to Aarti’s session, she is so passionate about planetary health and really keen to harness the group’s ideas for using a QI approach to implementing change at primary care level.