Tailored training and peer support for patient and service users involved in QI projects
- Shortlisted idea
In the Royal College of Physicians Quality Improvement Programme (RCPQI) we champion patient experience and patient-centred care throughout our work programme. We aim to facilitate leadership by patients, carers and the public, and their involvement in service redesign and delivery.
Between 2014 and 2017 we cultivated our learning in this area as we ran our Future Hospital Programme (FHP), where patient involvement was mandated for all of the hospital teams involved. External evaluation of the FHP demonstrated that a patient-centred approach to improving services can help deliver better care by more motivated, engaged staff. You can read more about the approach, results and external evaluation in the link at the end of this summary.
The model we used for patient involvement saw local hospital patient representatives supported by a member of our RCP Patient and Carer Network (PCN). There was involvement in all stages of the programme from project design and data collection, through to governance and recruitment of further teams. The PCN representative was able to provide peer support to the local patient representative and provide a direct link between the RCP and local patients. This way of working, while not without its challenges, was well received by both the local and PCN representatives, the clinical teams and the programme staff at the RCP. We were able to record improved patient experience and outcomes at each of the hospitals we worked with.
Our PCN have identified QI as their key priority for future work but have highlighted a development need for a more detailed understanding of quality improvement both in its theory and application. Equipped with these skills, our PCN members would not only be empowered to more confidently support national initiatives, but they will also be better placed to provide peer support to local patient representatives in hospitals across the UK through their support of RCPQI.
Our PCN QI experts would be engaged in delivering sessions to multidisciplinary healthcare teams as part of our RCPQI Breakthrough collaboratives and would support the local patient representatives in the participating teams. They would help us to continue to shape the curriculum for medical trainees and could contribute to discussion with the Academies of Medical Royal Colleges on the same topic. Through participation in our RCPQI clinics, they would be able to offer guidance to those undertaking QI work (local and national) and ensure it is patient focused. They would contribute to and have the opportunity to influence the direction of national policy, guidelines and assurance processes by having an informed voice on advisory groups. The would ensure that patients remain at the centre of all the work that we do and that quality improvement methods are used to ensure that change results in improvement.
It is our vision that we will develop a QI patient faculty at the national level, for the benefit of local health and care teams.
To achieve this we think we need to work with our PCN to co-produce, test and refine a bespoke training package that addresses the theory and application of QI from a PPI perspective and also the peer support element specific to this group. We would do this through dedicated workshops with our PCN members, and by using the skills and expertise of our QI faculty in developing multimedia educational materials, taking learning from the existing packages and toolkits that address generic patient QI training.
Once we have an offering that we believe is fit for purpose, we would like to share it with others and would particularly promote it to those who could benefit from a similar approach such as national patient charities with an interest in quality improvement. Crohn’s and Colitis UK, for example, are interested in becoming one of our early adopters.
The work would be led by the RCPQI team, in collaboration with our patient involvement unit, and would be rolled out through our national networks. We would welcome and encourage participation in this work from any interested Q community members and are open to working in partnership with those developing work in related fields.
Further information about RCPQI: https://www.rcplondon.ac.uk/projects/rcp-quality-improvement-rcpqi
Further information about the Future Hospital Programme: https://www.rcplondon.ac.uk/projects/outputs/future-hospital-programme-delivering-future-hospital
You can read about the reflections of our PCN members on their involvement in QI, and their intentions to continue to do so here: https://www.rcplondon.ac.uk/projects/outputs/patient-and-carer-network-impact-report-2017
Further information about Crohn’s and Colitis UK: https://www.crohnsandcolitis.org.uk/
How you can contribute
- Do you have a training package we could use as a starting point for our own work?
- Do you have any ideas about how we can strengthen our plans?
- Is this something you can help us with, we're always open to partnership design and delivery?
FHP final review summary_0 (2) (PDF, 483KB)
This is a great project because…
It's good to see professional bodies setting the pace in terms of QI and patient and public involvement. The combination of existing work and national influence, this project can make a difference at scale.
By the time of the event we encourage the project team to think more about…
How you will ensure this work is led by and with members of the patient network, and how you might link with the Q infrastructure. Consider further the approach to peer learning and collaboration within the network.