Skip to content

Q Online Visit: Leeds Teaching Hospitals and Virginia Mason Institute

On this Online Visit, we learnt about the concept of ‘daily management’ and how Leeds Teaching Hospitals are embedding QI into all aspects of their organisation.

25 Jan 2024
10:00 – 12:30

This was an opportunity to hear directly from the team at Leeds Teaching Hospitals about how QI is embedded into their day-to-day work and all aspects of how the hospital is run.

By taking this approach, they have been able to embed QI into all aspects of the running of their organisation from reducing wait times in A&E to strengthening how the finance team work. Here, QI is not just a project-based approach, but is woven into the fabric of all aspects of the organisation. This has been part of a 5-year journey to transform their culture and ways of working to be focussed on improvement.

The hospital has been supported by healthcare improvement experts Virginia Mason Institute (VMI). The VMI approach uses a lean methodology to eliminate or reduce ‘waste’; tasks that do not add value to the process from the perspective of the patient. The focus is always patient first.

The mantra of leaders at VMI and the hospital is “problem framers not problem solvers”: empowering frontline staff to solve problems, and focusing on the wider culture change that allows this to happen.

The hospital call this approach ‘daily management.’ The use of ‘daily management’ is an important concept to enable staff to know, run, and improve their services.

Why Leeds Teaching Hospitals?

Leeds Teaching Hospitals is one of five trusts across England who were selected to have consultancy support from Virginia Mason Institute (VMI) to embed a Systematic Quality Improvement approach. You can find out more on the Health Foundation website.

The hospital has embedded this approach in what they call ‘daily management’. This means that all staff – from clinicians through to the finance team – are working in a quality improvement-led way.

This Visit will be an opportunity to hear from staff at Leeds Teaching Hospitals and VMI about their experience of embedding this approach, what it has achieved and how it continues to develop. By finding out how the approach operates in practice across all hospital teams, you will be able to identify the lessons for your own workplace or context.

What did  attendees experience?

  • Learnt what ‘daily management’ QI methodology looks like at Leeds Teaching Hospitals, and how this has been adapted and adopted from VMI’s original methodology
  • Heard from different members of staff in both core business and clinical teams about the methodology in practice
  • Heard the key success and failures so far, including the implications of this approach during the pandemic
  • Participated in interactive activities to help you reflect on how this approach might apply in your own context, with support from staff at Leeds Hospital
  • Connected with other Q Members from across the UK

Watch the recording

CPD certified