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In group: Building improvement capability across boundaries

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  • Anna Burhouse posted an update in the group Building improvement capability across boundaries 3 years, 2 months ago

    Welcome everyone to this exciting new group. It’s a friendly space to think about how to build improvement capability across boundaries.

    My name is Anna and I have a long standing area of interest in building improvement capability across boundaries . I work for Northumbria Healthcare NHS FT as Director of Quality Development and also practice as a Consultant Child and Adolescent Psychotherapist in 2Gether NHS FT.

    I’m really interested to know a little more about everyone in the group, so do please say hello and let people know who you are, what you do, why you’ve joined the group and what you’d like to get out of being a member.

    I think it’s a great forum for us all to learn and co-create together, so I’m looking forward to hearing about your great ideas for the Q Exchange and for us to build some strong collective links with each other.

    If I can help in any way then do let me know.

    Looking forward to getting to know you all.

    thanks all

    best wishes

    • Hi Anna,

      Thanks for the welcome. I am Amy Rylance and I am Head of Improving Care for Prostate Cancer UK. I joined the group because I am fascinated by how we can create improvement at scale by actively supporting clinicians working in the system to grow their leadership and influencing skills. I have experience of building targeted clinical leadership programmes that have had a significant impact on health. I am fairly new to Prostate Cancer UK and one of my key areas of work is to build new Improvement Programmes that enable us to work with clinicians to build improvement capacity – so this group felt like the perfect place to be.

      Looking forward to working with the group.


      • Great to have your expertise in the group Amy. Have you got an idea for the Q Exchange in particular?

      • I am interested in how a third sector organisation with a condition specific focus can cut across the traditional boundaries in healthcare and enable clinicians to lead improvement programmes. I think that we can be uniquely placed in understanding the challenges from both a patient and clinician perspective and understanding the variability in care across the UK. By creating programmes for clinicians that balance more formal learning about leadership skills or QI, with coaching and peer based learning, my experience is that we can have a big impact on patient outcomes and massively improve clinician job satisfaction.

        I haven’t previously been part of a Q Exchange, so not quite sure how this process works – but saw it and it felt like the right place to be whilst we’re building our new programmes.

    • Hi Anna,

      Thanks for the welcome – really looking forward to being part of the discussion around building improvement capability across boundaries. We are currently look at how we do this within our ICP in Surrey Heartlands and I’ve joined the group to share ideas and help others shape theirs too – thinking together is definitely a productive way of developing and building on ideas.

      • Brilliant Sarah. It will be so interesting to get your perspective on system transformation. Surrey Heartlands seem to be doing some really innovative work and I’d love to hear more as it evolves.

    • Hi Anna,

      Thank you for the warm welcome. I am 8 weeks into new job as assistant director of QI in NHS Ayrshire and Arran! One of my first priortites is to outline how we will create a culture of QI of culture as well as developing a strategy to build QI capacity and capability. I have started to look at this locally within Scotalnd but will be great to here from other areas about what has worked well and where improvements could be made.Looking forward to being part of this forum.


      • Congratulations Jennifer, what a wonderful new role. Have you seen the new Health Foundation Report called ‘The Improvement Journey’? It’s a great read and several senior leaders I know have told me it was very helpful for thinking about a strategic approach to building organisation wide QI approaches.

        Good luck and if I can help at all, just give me a shout.
        Anna 😊

    • Hi Anna,

      I am Mark Cheetham. I am a Consultant Surgeon and Care Group Medical Director in Shrewsbury and Telford NHS Hospital Trust. We are one of the Trusts involved in the Virginia Mason Institute Collaboration.
      To date I and the organisation have had a largely internal focus on improvement and developing improvement capability. I am starting to think about how we could develop both improvement capability and improvements across our local system. I am curious about working across organisational boundaries in elective care.


    • Hi Anna,
      I am fairly new to the Q community and have not been part of a Q Exchange before so I am very much looking forward to finding out more about this programme. I work at the University Hospitals of Derby and Burton NHS Foundation Trust and we are one of 7 NHS trusts implementing a new methodology (Vital Signs Improvement Practice) supported by NHS Improvement, which has been adapted from the Virginia Mason Institute. In our first year we are looking at improving the pathways of care for patients with frailty who have fallen. This process initially engaged partners from the whole Derbyshire system, where we mapped the end to end patient pathway. This programme has an emphasis on embedding continuous improvement through skilling up front line staff. It would be great to hear others experiences of supporting front line staff to make improvements to their services and how best to engage system partners in this venture. I am also currently evaluating this piece of work as part of my MSc dissertation so am interested from an academic perspective as well.

    • Hi Anna,
      I work in the School of Health Sciences at UEA, Norwich. I have a Human Factors background. I am working with St Nicholas Hospice Care in Bury St Edmunds on a public health approach to palliative and end of life care. The Hospice is in the grounds of W Suffolk hospital and we’re working with a GP practice and the East of England Ambulance Service on developing an idea to enter for consideration in the Q Exchange. I look forward to co-developing the idea with group members.

    • Hi Anna,
      Thank you for the warm welcome. I work for the NHS as a consultant surgeon for 3 days a week, and the rest of the time as an health care systems engineer i.e. applying tried-and-tested systems engineering methods in the health care domain and training/coaching individuals and teams in these improvement-by-design techniques. I have applied this science extensively in my own clinical practice so I know it works. I agree 100% that achieving system-wide improvement requires linking the pieces of a rather fragmented jigsaw so that they work synergistically for the benefit of all – and that is the primary focus of systems engineering. So if there is anything I can offer from the HCSE perspective I am happy to help e.g. I am also editor of the Journal of Improvement Science which is an eJournal that is 100% dedicated to sharing improvement case studies ( so that is a free learning resource and a way to share new learning quickly.

      • Hi Simon,

        Lovely to have you here. I’ve heard lots about your work but am not sure we’ve ever met?? Great journal too, a good friend of mine introduced me to it some years ago.
        I’m sure the group will really benefit from your experience, so thank you for being so generous.
        Best wishes

    • Hello everyone,
      I’m currently the Deputy Chief Nurse at Leicester City CCG, and have a strong provider QI background. Formerly an NHSI QSIR Associate, but continue to be passionate about growing QI capacity and capability across our system

      I have recently asked for an LLR (Leicester, Leicestershire and Rutland) Q SIG to be set up on this site so that I can unite our local Q Community.

      For the Q Exchange proposal, my ambition is to work with colleagues locally to roll out ReSPECT ( across our STP footprint, which a specific focus on care homes, ambulance trusts and primary care networks, to ensure that patients in the community get the appropriate care they need, when they need it without an unnecessary hospital admission.

      Thank you for setting up this group, Anna. I look forward to reading more and learning about other initiatives.

      Best Wishes,

      • Welcome Fay,

        It’s great to hear about your work. It sounds so relevant for this group. Is there any help we can give you as you progress your idea?

        Warm wishes

    • Thank you, Anna.

      The first priority, and reason that I am going to bid for funding via Exchange, is that will be important to ensure that all training reps on our implementation group have a good supply of training materials to start implementation. These include ReSPECT folders and patients leaflets – ensuring that there is consistency across our system. we are hoping to officially launch ReSPECT in Jan 2020, but we have a lot of training and materials to secure before then. I would welcome views of whether people feel that this is a worthy/strong proposal to secure funding from the Health Foundation, and secondly, I would be interested to hear from anyone who has already had experience of implementing ReSPECT across a health and care system.

      Thank you