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Meet the team: QI bringing about change


  • Dr Angela Tillett
  • Dr Catherine Brosnan
  • Dr Thomas Groot-Wassink
  • Karen Lake
  • Sharon Wyatt
  • Sally Cornish

Challenges and opportunities

Currently our Trust does not have a co-ordinated Quality Improvement (QI) process; therefore QI is sporadic and managed within the individual specialties that have varying levels of formal training. We wish to standardise training opportunities for our staff in order that they grow into an experienced cohort.

We have realised that there are many good ideas from staff on the front line which never materialise often resulting from audit.  Staff need time, permission and methodology support in order to realise opportunities for improving patient care.  We are merging with a neighbouring hospital so an exciting opportunity for collaborative working and sharing of ideas exists.


We would like to have a group of staff, (clinical and non-clinical), trained in foundations of QI methodology and human factors training. This grant will enable us to build capacity and capability within the trust so that QI becomes a part of everyday language in order that ultimately patient care is improved.

To be able to achieve this staff will need to understand the appropriate methodology for the task and team working skills in order to enable a cohesive approach; ensuring that Quality Improvement  becomes part of everyone’s ‘ day’ job.

We will require an additional 6 members of staff who are trained to teach human factors in order that we can commence monthly training across the organisation. We wish train 80-100 members of staff per year in Foundations in QI methodology. From this group we also want to support individuals who want to extend their skills and become coaches themselves.

With this number of appropriately trained staff it will enable us to have supported programmes of projects of various levels: simple ( required by individual junior doctors for ARCPS), more complex (e.g. involving bigger teams) and very complex (e.g. part of a larger hospital project e.g. GIRFT). 

In summary our ultimate aim is to have a continuous cycle of on-going projects within the new organisation from ward to board in all staff groups (clinical and non-clinical). Training, coaching, spreading learning, co-ordination and monitoring will be the key roles of the QIF. This will help to develop a QI ethos and expertise across the trust.


How you can contribute

  • Training ideas
  • How to develop QI in a large organization


  1. Hi. We deliver one day CI awareness training and three day (delivered over a number of weeks) CI leaders training to our staff.

    We have also recently introduced a one day CI sponsor training course as we found not fully equipping the sponsor was detrimental to the CI projects.

    The courses are all based around DMAIC (six sigma).

    If you would like to view any our material let me know.


  2. Down the line it might be worth linking in with the QI capability framework project proposal:

    And will you run all your projects on Life QI, so that others can see them and there's less reinvening the wheel?

    It's rather off-topic, but I do wonder why there doesn't appear to yet be any kind of accredited QI status (like 'Magnet' status for nursing services). Would something like that help organisations on their QI journey? (Sorry if I missed something: I have no QI background).

  3. Looks like a really worthwhile project - I wonder whether you have plans to connect with other local Trusts that do have QI hubs / processes?

  4. Hi Donna

    Along with all the other ideas that have come to you I would suggest that you contact your local AHSN who should be able to provide this for you free of charge or at least at cost. Most AHSNs have the capacity and if not from your region I am sure the SWAHSN would love you to come and have a working holiday, let me know how you go and if I can help any further. Also please remember to include some public and patient involvement and training as part of the team, it always helps.

  5. Hi Donna, You probably already know this, but just in case I wanted to flag up the Quality, Service Improvement & Redesign (QSIR) train-the-trainer course (QSIR College) from NHSI. Not human factors but certainly all round improvement skills and a free way of building capability/a training faculty. Two levels of qualification, accredited with NHSI, practitioner and college. You get training materials for a one day introductory and a five day practitioner course. . Happy to help with any advice by conference call if of help.

    Regards, Clare

  6. Hi Donna. I work within a Learning and Improvement Collaborative for health and care in Cumbria. We have worked with partners to develop our QI approach and training programme. I am very happy to share our materials and/or meet with you.

    Donna, A very worthwhile project. The best way to improve quality is to fully understand what you are doing. One way to do this is to map your processes. This approach will also enable you to standardise across your team and reduce variation. The Q Community SIG - Process Visualization could help you with this task if you would like to join the SIG. Regards Tom

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