Sulan Gingell
AD of Quality Improvement
Lewisham & Greenwich NHS Trust
England - London (South)
-
Thomas John Rose posted an update in the group Quality Management in Healthcare 2 weeks, 4 days ago
Let’s have a look at ‘complexity’. The NHS don’t have monopoly on complexity; what about space travel, nuclear submarines, power stations, missile systems, AI, IT, MRI scanners, etc. These are all examples of complexity – in specification, design, realisation, operation, and very importantly Quality Management. But guess what? They all have…Read more
-
Maria Dorthea Skov posted an update in the group Coaching Improvement 2 weeks, 5 days ago
Here to ‘spread the joy’ of the amazingly useful resources that have been coming out of the Joy in Work Curiosity Collective sessions.
Check them out here: https://q.health.org.uk/community/groups/improving-joy-in-work/document/?folder=36193
Next session happens next week Wednesday 13th Nov, 12:00-12:45.
We will cover (among other related thin…Read more
-
Thomas John Rose posted an update in the group Quality Management in Healthcare 2 weeks, 5 days ago
Other standards used within HNS Trusts also use the Annex SL MIS Framework, standards for things like AI, IT Governance, Environment, etc. Trusts should conduct a survey across all areas to understand the extent they can take advantage of a well designed IMS.
-
Thomas John Rose posted an update in the group Quality Management in Healthcare 2 weeks, 5 days ago
PAS 1616, ISO 15189, ISO 9001, and BS ISO 7101 can ALL be implemented with a Integrated Management System (IMS) using the Annex SL Framework. With the right design the following standards can also be included: The General Pharmaceutical Council’s Standards for pharmacy professionals May 2017 and The Royal College of Radiologists’ Standards. Oth…Read more
-
I learnt this week that ISO15189 Quality and Competence in Medical Laboratories is not a classed as a management standard by ISO so doesn’t comply with Annex SL nor are there any plans for it to do so. However, it is based on ISO9001 and ISO17025 which apparently are management systems. All feels a bit odd.
Nigel
-
Interesting to hear Nigel. Am I right to think 15189 is based on ISO/IEC 17025 and ISO 9001, what is missing from 15189 that led ISO to decide that it shouldn’t be classed as a MS?
-
Sorry I deleted my reply in error. I’ll re-post if I can remember what I said!
-
-
Hi Tom, sorry for my ignorance and I may have misunderstood this completely. While 7101 applies to the entire hospital, how does it address the differing requirements across disciplines in the hospital, particularly those with very specific regulatory needs e.g. radiation regulations relevant to radiotherapy and imaging department, human tissues…Read more
-
Oops I just deleted my post by mistake. I’ll re-do it in the morning. Did you, by any chance, have a copy by email? The different requirements are addressed by their own standards like 15189 and 17025 for example. 7101 or 9001 just cover the MS. Key is the process documentation and process management – I keep going on about the importance of this.…Read more
-
-
ISO17025:2017 is a normative reference for ISO 15189:2022.
Interesting that Nigel said is it not considered to be a management system standard by ISO as we are accredited to it and UKAS have never said that it isn’t, plus it has a whole section on management system requirements which is pretty similar to ISO 17025.
-
Lesley, I did explain in a previous post but deleted it in error. You may have an email copy of the post. I’ll try to re-post the lost content.
-
-
-
Edel Otoole joined the group Coaching Improvement 2 weeks, 5 days ago
-
Edel Otoole joined the group Quality Management in Healthcare 2 weeks, 5 days ago
-
Thomas John Rose posted an update in the group Quality Management in Healthcare 2 weeks, 6 days ago
I’ve said many times that Quality Improvement (QI) is not the same as Continuous Improvement (CI). I’ll say it again, QI is not the same as CI. Have a look at this: https://aqua.nhs.uk/wp-content/uploads/2024/04/Embedding-a-Culture-and-System-for-Continuous-Improvement.pdf. ‘Embedding a culture and system for continuous improvement’. The word…Read more
-
Thomas John Rose posted an update in the group Quality Management in Healthcare 3 weeks, 4 days ago
The webinar wasn’t up to much anyway so you didn’t miss anything. Anyway here is a bit on the PACA (PDSA) cycle. It’s part of Continuous Improvement (CI) not QI. Not no mention of improvement science or a lengthy report. See: …Read more
-
I found quite a few nuggets of wisdom in your webinar Tom so thank you. I was trying to re watch parts as i particularly enjoyed your definitions of Quality vs Continuous Improvement, this is something i am getting wrong at present However i cannot access the recording to listen again where it is stored – appears to want em to log in to the CQI…Read more
-
Thanks for you comments Matt. I don’t think that the recording is available yet but will check. I’ll let you know. You can find the pages here: https://catmalvern.co.uk/Lectures/Lecture11/Index.html
-
-
People get confused over Quality vs Specification and Quality Improvement vs Continual Improvement. I did try to illustrate the differences during the webinar. I can post on this if needed.
-
please do post on these topics, really interests me. Have read the resources from your webinar Tom but as always leads to new trails of thought so more of your knowledge and experience on these topics would be very welcome
-
-
- Load More
I believe referring to people as ‘complex’ e.g., in mental health care feels a bit like it says more about the practitioner’s willingness to listen and apply evidenced-based principles to helping the person than it does about the person in distress. All humans are complex. If we develop systems which continually try to improve health care throu…Read more
I’m sure you could be right Alan but that’s not what Quality and Patient Safety Management is about. Also, the ‘complexity’ I’m referring to is the complexity of the ‘system’ and not the patient. Never-the-less co- production can play a part in healthcare improvement but the critical need if for people that understand system design and quality and…Read more
With respect Tom, design professionals will need to work with clinicians, patients and carers to balance the health care economy. I expect quality and patient safety will require a person-centred approach to be effective. Co-production is imperative, as is asset-based community development, to support unpaid carers having to manage risk at home.…Read more
I don’t disagree but my point is that most Service design activity is about ‘system’ design. Things like IT interface, record keeping, scheduling, data collection, Process Management, Juran’s trilogy, etc. All areas requiring Professional skills. Co-production with Service users comes later in the process, never-the-less it is still very important.
Morning Tom. I appreciate your expertise. A coordinated approach to redesigning service delivery will need to consider local context, the views of service users and founding principles of the NHS.
I do agree Alan. Local context etc should be part of the Service specification That is provided by the organisation commissioning the Service and is used in the design or re-design of the Service delivery system.