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11th September 2019


Imperial College Healthcare NHS Trust

Improving both flow of patients and their experience of healthcare systems are important issues for many Q community members – as well as improvers more widely. Flow Coaching is unique to the UK and is gaining momentum as more and more organisations adopt and adapt the methodology. The long-term aim of the FCA is to build improvement capacity and capability through training thousands of coaches across the UK. Since 2015, the FCA programme has trained over 171 coaches from 14 hospitals across the UK. The FCA approach has enabled frontline health and care teams to improve patient care, experience and to create efficiencies through redesigning 85 care pathways.

This visit will provide Q members with an opportunity to explore the techniques and approaches used by the Flow Coaching Academy (FCA), alongside understanding the impact of this approach within Imperial College Healthcare NHS Trust.

Why Imperial College London?

With support from Sheffield, Imperial have developed their own Flow Coaching Academy, establishing significant ‘big rooms’ that are delivering improvements across healthcare within their Trust.

What you’ll learn

Flow Coaching combines the IHI Model for Improvement with team coaching at a mesosystem or care pathway level to deliver quality improvements. Building on improvement science knowledge currently used by many Q members, it adds further relational elements through the coaching skills.

Throughout this visit, Q members will see a different way of approaching improvement, focussing on the approach of building a ‘big room’, a physical container where improvement teams meet regularly to tackle difficult care pathway (and cross-functional) issues.

Aims and objectives

The aim of this visit is to introduce you the Flow Coaching Academy, big rooms (and how they work in practice), the experience of being a coach and how to measure the wider impact of the approach. By the end of the session you will:

  • Learn about an innovative approach to improving care along pathways and embedding quality improvement into business as usual.
  • Gain experience of big rooms (including the opportunity to go to one) observing some of the key tools and techniques from the programme.
  • Meet coaches who are actively coaching big rooms and learn from their experiences.
  • Learn about an approach to evaluating improvement programmes in way that you’ll be able to take back to your organisation.

Who would benefit from attending?

This visit would suit all Q members but would be particularly applicable to those working in front line roles or who are looking for innovative approaches to evaluating improvement programmes.

Event capacity

There are 30 places, available on a first-come, first-served basis. This event is free for you but there may be travel costs associated with it. If you think you may not be able to take up your place please do let us know so that we can offer it to another Q member as soon as possible.


More detailed travel information will be sent when your place is confirmed.

While the cost of the visit itself is covered, expenses will not be.

We encourage you to ask your organisation for professional/study leave to attend, if this is available to you, as CPD points are available.


This event is for Q members only. If you are a Q member please log in to see booking information.