Special Interest Group
Quality Management in Healthcare
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Latest group activity
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Thomas John Rose posted an update 1 day, 19 hours ago
No news of of the publication of report on Quality Management Systems. See: https://q.health.org.uk/insight/quality-management-systems/
I’ve moved on from Quality Management Systems in the NHS so the report is no longer relevant to my work. I’m now concentrating on Integrated Management Systems now. Much more relevant for the NHS.
Do you know…Read more
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Thomas John Rose posted an update 5 days, 21 hours ago
What about SPC? did you know that there are some pre-requisites for its effective use? If your answer is ‘yes’ please list them in a reply.
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Hi Tom,
Many Trusts have adopted SPC at the Board level (~80%), and the Making Data Count team trained 40,000+ people if I remember the numbers correctly. There are thousands who have converted to using it. While it isn’t widely spread at all levels, it’s definitely the right direction when we discussed with MDC earlier today.
Have a look at thi…Read more
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Thanks Isabel. I’ve had a look. Have you a view on the pre-requisites?
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I’ve asked a friend of mine, ChatGTP, three questions:
1. Is SPC suitable for use in healthcare?
2. What are the requirements for SPC to be effective? and
3. Are these pre-requisites adhered to for healthcare processes?I got some interesting answers; I do take ChatGPT’s views with a pinch of salt never-the-less they are broadly in agreement…Read more
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Hi Tom,
SPC is definitely suitable, but the challenge lies in raising awareness. As the saying goes, we don’t know what we don’t know, which is exactly why the MDC program exists.
The question is, how can we spread the word using language that resonates with those we need to convert? Thinking about the diffusion of innovation, building a mov…Read more
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Certainly good stuff Isabel but they miss the point. The point is that a pre-requisite to good Data Collection is Process Management. A pre-requisite to Process Management is Process Documentation and ‘performance in the Process. A pre-requisite to Process Documentation is understanding Process and System. The NHS do none of that.
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John Rasquinha joined 1 week ago
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Craig White joined 1 week ago
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Angela Rowe posted an update 1 week, 3 days ago
I know you mentioned the ISO Standard (BS ISO 7101:2023) Healthcare organisation management – Management systems for quality in healthcare organisations – Requirements in the last few days on here Thomas. I’d be interested to develop an understanding of any healthcare organisations that are implementing the ISO standard please or are thinking…Read more
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I am working with one large Trust to help design and implement a QMS to this ISO Standard. I’m sure that some others may be but I don’t know which. I do no that several other Trusts are interested in the standard as you can see from comments in this SIG. This week I’ll be posting questions and answers from my last webinar. A number of questions…Read more
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I am very curious of the adoption of ISO 9001 standards within hospital settings currently, particularly at the ORGANISATION level rather than limited to individual departments or service lines. Having a clear picture helps us examining existing implementations in other UK hospitals, also help identify potential gaps and inform our own approach,…Read more
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I think that ISO 7101 is the standard that the NHS should use at the organisation level and for main Trust delivery of care. Other areas that have specific requirements like Labs, Pharmacy and Radiology should use a management system based on Annex SL, as is ISO 7101 (and ISO 9001). An Integrated Management System could then be used to manage…Read more
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It’s important that Trusts see the full picture rather than just look at individual Departments and Services. The full picture is looking at ‘performance’ right across the organisation.
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Thomas John Rose posted an update 2 weeks, 1 day 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
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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
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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
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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
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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.
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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.
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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.
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Thomas John Rose posted an update 2 weeks, 1 day 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.
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Thomas John Rose posted an update 2 weeks, 1 day 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
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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
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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?
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Sorry I deleted my reply in error. I’ll re-post if I can remember what I said!
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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
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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
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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.
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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.
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Edel Otoole joined 2 weeks, 1 day ago
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Thomas John Rose posted an update 2 weeks, 2 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
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Thomas John Rose posted an update 3 weeks 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
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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
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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
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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.
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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
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Thomas John Rose posted an update 3 weeks, 3 days ago
Join me for a webinar on Quality & Patient Safety Management on Wednesday lunch time. See: https://www.quality.org/events/2024/quality-management-system-design-healthcare-and-nhs?_gl=1*awuqu1*_up*MQ..*_ga*NDIyOTYwNDA5LjE3Mjg5ODM0OTQ.*_ga_PHZCFXV417*MTcyODk4MzQ5My4xLjAuMTcyODk4MzQ5My4wLjAuMA..
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Thomas John Rose posted an update 3 weeks, 3 days ago
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Sid Beech posted an update 3 weeks, 6 days ago
Join the QMS Coffee Trials Friday 25th Oct 12.30-1.30pm
A lovely opportunity to network with like-minded peers who are curious about QMS and its implementation in healthcare. Open to all – the sessions run monthly.
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About this group
There is now a growing interest in Quality Management in healthcare. This Special Interest Group will help those interested in learning about or implementing a Quality Management System (QMS).
In Quality Management there is a great deal of emphasis on:
- Documenting how work gets done (the steps that comprise the process).
- Examining the flow of work between people or workstations.
- Giving people the knowledge and methods they need to constantly improve that work.
There are a lot of different process improvement methods but almost all of them serve one of two purposes:
- To eliminate variation in quality and speed (a major source of error).
- To improve process flow and speed.
The majority of process improvement work should fall into one of those two categories.
This SIG is convened by Tom Rose.
