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In group: Quality Management in Healthcare

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  • Joriam Ramos posted an update in the group Quality Management in Healthcare 1 year, 10 months ago

    Hey folks, those were the questions asked during this afternoon’s Webinar. As promised, @thomasjohnrose will answer them via text below.

    Please don’t forget to sign up for part 2: https://q.health.org.uk/event/what-is-quality-part-two/

    Tanya Stacey asked:
    Quality Improvement is one aspect of Quality Management?

    Yvonne Morgan (@yvonnemorgan) asked:
    In looking at service specifications, are all of the documents aligning with ISO 9001 in the context of what ISO 9001 QMS looks at for this for service delivery?

    Angela Rowe (@angelarowe) asked:
    Has our over-emphasis on QI in the last 10-12 years in the NHS helped or hindered us in the pursuit of high-quality services? Wondered what Thomas’ thoughts are around this?

    • Tanya Stacey asked:
      Quality Improvement is one aspect of Quality Management?
      Answer – Quality Improvement as defined the Health Foundation’s guide ‘Quality improvement made simple’ (April 2021 version) is a step in the right direction of Quality Management.
      Yvonne Morgan (@yvonnemorgan) asked:
      In looking at service specifications, are all of the documents aligning with ISO 9001 in the context of what ISO 9001 QMS looks at for this for service delivery?
      Answer – Quality Management looks at the operation of the processes that have been designed to deliver the Service to meet the requirements of the Service specifications.
      Angela Rowe (@angelarowe) asked:
      Has our over-emphasis on QI in the last 10-12 years in the NHS helped or hindered us in the pursuit of high-quality services? Wondered what Thomas’ thoughts are around this?
      Answer – My thoughts are that it has helped little q but hindered big q.
      Jem Ramazanoglu:
      Thanks Tom – very interesting presentation – a lot of this is very theoretical and requires massive changes to how the NHS functions to function in the way you describe. Is there a pragmatic way we can use this insight in the current context?
      Answer – The second webinar discusses how to achieve this and also some practical steps to be taken via this SIG to help Trusts that are interested in adopting Quality Management.
      Samuel Guest:
      I think the change from clinical audit being seen as end in itself to being seen as a part of the process of Quality Improvement will help [MM: well, this isn’t a question, but might be worth a response.
      Answer – Certainly the results of Clinical Audit are part of the Continuous Improvement process. The audit is based on the requirements of the Service specifications. Because work processes are ill defined in the NHS (i.e. not documented and standardized) it is difficult to relate the detailed requirements of the specifications to relevant work processes and therefor make the necessary improvements to the relevant work processes in line with the audit findings.
      Additional point from Tanya Stacey:
      Also important to talk to people on the ground who know what the problems are and may have some really good ideas to test and learn from. [MM: again, might not merit a response – but if you have anything key to say re frontline involvement, this might be good to add…
      Answer – The people on the ground ARE the people that have most knowledge of the work process and the problems. They must play a key roll in the continuous improvement process. But – and it’s a big but – there is currently too much variation in work processes for improvement to be sustainable and achieve spread.