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Enhance and Accelerate Care Home QI peer support across Cheshire and Merseyside

Develop a QI community within care homes across Cheshire and Merseyside to improve safety and wellbeing of residents/staff, utilising a culture of learning and enablement, shared goals,values and principles

Read comments 9
  • Idea
  • 2018

Meet the team: QICare2gether


  • Suzanne Noon (NHS ENGLAND); Helen Newton, St Helens CCG; Elaine Hardie, St Helens Local Authority; Michelle Barry, Liverpool Local Authority; Gill Forrester Oneil (NHS SOUTH CHESHIRE CCG & NHS VALE ROYAL CCG); Jon Kerr, Skills for Care; Phil Bartley, CQC; Jane Sanderson (NHS SOUTH SEFTON CCG); Pamela Williams (NHS WARRINGTON CCG);Nicola Barrow, Bridgewater NHS; Carmel Hale, Liverpool CCG; Jill Stenton, Cheshire East Local Authority; Louise Taylor, (NHS WEST CHESHIRE CCG); H ward, Elderholme; Amanda Kelly, Wirral Local Authority; J E Barrett, Liverpool John Moores University; Josephine Williams, Knowsley CCG; Michelle Greenwood, Warrington Local Authority; Anne.cartwright, Liverpool CCG; Stasik Keely MLCSU; Kathryn Cooper (NHS SOUTH CHESHIRE CCG & NHS VALE ROYAL CCG); Jane Sanderson (NHS SOUTH SEFTON CCG) Samantha Lacey LACY, Samantha (NHS WEST CHESHIRE CCG); David Warwick (NHS SOUTH SEFTON CCG); Richard Crockford, Knowsley CCG


Our ageing population, combined with increased life expectancy will place considerable strain on the health, care and social system for workers and quality of life for citizens who may find themselves in one of these systems now or in the future

Local context

Cheshire and Merseyside covers a population size of 2571,170, within this region there are 12 Clinical Care Groups, 20 healthcare providers, approximately 400 GP practices and 1 Standardised Transformation Partnership. Combined, Cheshire and Merseyside contain 10 metropolitan boroughs of Liverpool, Knowsley, Sefton, St Helens, Wirral, Cheshire West and Chester, Cheshire East, Warrington and Halton.  There are 639 care homes across the footprint.

8.3 % of our population is currently over the age of 75, higher than the national average, which currently stands at 7.8 %.  As already stated our elderly population is continuing to increase each  Local Authority support the Care Homes, financially, within their geographical area, and are accountable for the monitoring of the quality within the care home settings in that area.  Concern is that services cannot sustain the growth in the elderly population if they continue as they are at present. We need to ensure services are more efficient and fit for purpose. Collaboration and peer-to-peer support is essential to our success.

Our Idea

We would like to establish a peer-to-peer collaborative care home learning system for all staff across care and health environments.

This collaborative care home learning system would include those who share the same values and principles that will help achieve the collective ambition.  By sharing our own knowledge and experiences, as well as recognising what shared resources may be available, we feel that we can really make a difference across the Cheshire and Merseyside footprint.  We envision that this collaborative learning system would have both formal and informal structures allowing improvements to be made for staff, residents and families.


Care Home Staff – recognise that there is greater opportunity for sharing, learning and lessons to be learned across the system, which will benefit all.

Reduced duplication of efforts – working to reduce duplication, standardise practices, share protocols and processes that improve services.

Residents- improvement in the quality of the service  within the Care Homes across our collaborative group will directly improve the quality of care for our elderly population.

Clinical services – reduction in unnecessary demands on  clinical services, through more effective use of limited resources available.

Intended outcomes from this peer-to-peer learning system include:

  • use of pooled resources to bring efficiencies in training costs
  • promotion of innovation to reduce harm
  • use of collaborative to pilot new ways of working
  • Quality Improvement methodology embedded across the sector
  • Links with partners in education developed and built

Current steps towards establishing a peer-to-peer support network

There was a need identified for this Care home Collaborative learning system across the Cheshire and Merseyside footprint.  As a result, a Cheshire and Merseyside meeting was scheduled and invitations sent out to all potential stakeholders CCG’s, Local authorities and Care Homes Managers. The attendance demonstrated the collective desire to work together. The collaborative identified key areas that required attention (see driver diagram).

It was recognised that there are some really good examples of quality improvement and change initiatives across the region.  What is missing is the opportunity to share, connect, combine and expand these individual successes.  We see this opportunity as a way to co-design and blend a QI driven approach with evidence, measures and metrics that are owned by care home teams and that support the confidence and monitoring requirements for better experiences for residents, their families and the teams who care for them.

We believe that working together and helping staff understand the cultural challenges, behaviours and issues within care home settings will support and drive quality and safety improvements.  Teams deserve and desire the opportunity to recognise and own quality and safety for themselves and their residents. 

How you can contribute

  • Advice and guidance from work already done around QI in care home settings
  • Support and critical review from the perspectives across our Q colleagues, reflecting all aspects of those involved in care and health access to services and those involved in the delivery of services
  • Advice and suggestions on best models for delivery of learning / training


  1. NHS England are funding pharmacy services into care homes in Cheshire and Merseyside as part of the Medicines Optimisation in Care Homes programme. Happy to connect you to the team leading this for the STP.  I am keen for the new pharmacy team to take a QI approach to developing and sustaining services and it makes sense for them to link to a wider QI network.

  2. Guest

    Wendy Lewis 4 years, 2 months ago

    This idea offers so many opportunities that would see benefits across systems of care and all domains of quality. Hopefully you’ll get the advice and ideas you’ve requested around the scope, scale and delivery of the work.

    I’d really like to offer the support of Flow work at AQuA to the development of both your idea and our programme.

  3. Guest

    Support this programme of work in an area where there appears to be so much variation in care delivery. This would help improve knowledge and share ideas and ensure that there is early recognition  and treatment of  deteriorating patients.

  4. Guest

    Amanda Huddleston 4 years, 2 months ago

    This is a really exciting proposal that offers support in a very undervalued but vital part of our health and social system. There has been very little offered system wide to support QI in care homes. I would be really interested to support and learn from this bid.

  5. Guest

    Julia Reynolds 4 years, 2 months ago

    This is a well thought out initiative organised by experienced staff. It will be of great benefit to dedicated care Home staff to support their development and improve residents care

  6. Guest

    Christine Griffith-Evans 4 years, 2 months ago

    We would really like support and advice with this, we are working hard to create an enabling approach to our work and to see the value of QI in a care home setting.

    This is an area where great people work and are often not able to access QI and leadership development.

    We have taken time to invest in building relationships to create a willingness to engage

  7. There is growing demand for support for this group of workforce and recognition of the pivotal role they play in health and social care.  I would fully support this proposal.

  8. Guest

    Elizabeth Bradbury 4 years, 2 months ago

    I support this proposal. The works addresses an often underserved area of the workforce in terms of access to improvement theory, the opportunity for supported experiential learning and peer reflection. It is exciting that this proposal encompasses an entire STP footprint whereas other care home initiatives that I'm aware of (albeit successful) have been locality based. An effective nursing and care home sector is critical to the intentions of the Five Year Forward View and the North West STPs and the learning from this initiative could be spread across the North West.

  9. We are really excited to be able to ask for advice and support form everyone this way.  Please feel free to drop us a line and let us know any insight and ideas that will help us.

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