Meet the team
National Evidence 4 QI Lead
Somerset NHS FT | University of Bristol
- England - South West
- Q members who have expressed interest (if bid is successful)
What is the challenge your project is going to address and how does it connect to your chosen theme?
Clinicians wouldn’t consider making a clinical decision without consulting the evidence. Yet we, as healthcare improvers don’t routinely use evidence in our projects.
The challenge we are tackling is:
– We do not/cannot routinely find and use evidence for our improvement projects.
– When we look for it, we get overwhelmed with too much information of various types and quality, and struggle to find what we need in a format that we can use.
– As a result, we repeat mistakes, work less efficiently, make uninformed decisions and reinvent the wheel.
This is a live challenge for QI projects. This is evidenced in the recent AHSN Report on NHS Research & Innovation Priorities (Section 4, May 2019).
What does your project aim to achieve?
We want you to be able to access to the knowledge and experience that will help you in your QI projects. Our project aim is “Support the QI community to better use evidence in improvement projects by December 2020”.
We will do this by:
– Identifying system wide improvement themes/priorities for QI evidence
– Understanding/putting plans in place to tackle barriers to knowledge sharing
– Creating directory of subject specific experts/champions (using existing infrastructure eg Q directory where possible)
– Partnering with NHS libraries to educate QI teams in benefits of using/sharing evidence
– Collecting, evaluating and signposting to the ‘top’ sources of evidence for QI
– Providing materials, tools and training to support knowledge sharing
We hope that anyone working in or with QI will directly benefit from this project.
How will the project be delivered?
Our ‘evidence based improvement’ approach has been piloted in Somerset, where the use of evidence is fully embedded (see video). It has won national awards and recognition. The September improvement evidence update we produce is here: http://www.libraryservicemusgrove.nhs.uk/media/702637/September-2019-Improvement-Evidence-Update-Q-v05-.pdf
To deliver the project we will work with Health Education England, AHSNs, NHS Libraries, Universities and Q members. We will do this through face to face and virtual meetings. We will also ask you for input/feedback using a new SIG and surveys. We will use existing infrastructure/tools where possible.
What and how is your project going to share learning throughout?
Sharing the learning is a success criteria for this project. We will therefore role model how learning can be used and shared. We will show how we use, appraise, apply and then build on existing knowledge. We will then robustly document the learning from this project – giving as much emphasis to what went right as what went wrong.
We will use different approaches to sharing the knowledge: blogs, videos, webexs and a publish a ‘formal’ journal article. We will take you on the publication journey with us so that you can learn from our experience and our mistakes!
We will do this in writing (using existing communications channels/publications/forums) face to face and virtual meetings. We will also ask for input and feedback using a new online SIG and surveys.
The approach here is very much a draft ‘plan’ which reflects the priorities as we see them. If successful our first step will be to work with Q members and our stakeholders/partners to ratify and develop this.
How you can contribute
- This proposal has been shaped by your comments and follow up telephone discussions with Q members. We want to keep you involved.
- As part of this project we will be asking for your help. Some of the questions we will be asking for your input on are:
- Identifying QI contacts nationally
- Understanding the sources of evidence and current awareness you use now and why
- Exploring what is stopping you using evidence now and what would help you use more evidence
- Identifying what the biggest projects and priorities are for your trust/organisation
- The project team will be made up of individuals from stakeholder organisations who have already indicated that they would be willing to take part (for example librarians and HEE). and any of you who would like to get involved.
- If the idea is successful in being awarded funding we will create an online space/SIG where all Q members will be invited to get involved. We will also communicate with you using the Q idea page and using social media.
|13 Nov 2019||Funding decision announced at Q Conference|
|2 Dec 2019||Open invitation to Q members to participate in project|
|2 Dec 2019||Survey of Q members/stakeholders re project priorities|
|27 Jan 2020||Begin relationship building with local/national stakeholders|
|3 Feb 2020||Mapping of QI/(Service) Improvement teams begins|
|3 Feb 2020||Mapping of resources begins|
|7 Feb 2020||Formal project kick off event/workshop (tbc)|
|28 Feb 2020||Invite applicants for 1st cohort of knowledge entrepreneurs|
|6 Mar 2020||Begin quarterly calls for NHS Librarians|
|27 Mar 2020||Agree system level priority research areas/themes|
|5 Jun 2020||First Knowledge Sharing Event (tbc)|
|4 Sep 2020||Invite applicants for 2nd cohort of knowledge entrepreneurs|
|3 Dec 2020||Launch online 'map' of evidence for improvement resources|
|4 Dec 2020||Second Knowledge Sharing Event (tbc)|
2 Jun 2020
I just wanted to share a couple of new resources for QI teams with you.
E4QI Pinterest board: https://www.pinterest.co.uk/E4QI/ – contains links to the QI articles, resources, toolkits, and training as recommended by you, all free to access without a pinterest account. This is essentially acting as a project resource library. If you’d like to collaborate on the boards, please send me your username to email@example.com and I will ‘invite’ you.
QI Evidence Updates: https://fabnhsstuff.net/fab-stuff/QIEvidenceMonthlyupdates – these are updated monthly. This page will always contain the latest version so feel free to link to it on your improvement intranet/internet or library pages.
As ever, we’d welcome any feedback
21 May 2020
Hi all. I hope you are staying healthy in these unprecedented times.
This post will update you on the current position of the #EvidenceBasedQI project, how our plans have changed as a result of the pandemic and next steps.
To recap, this project aims to help QI professionals to use evidence and best practice in their improvement projects. We will do this by:
1) Creating a genuine passion and appetite in the QI community for using and sharing knowledge.
2) Encouraging the QI community to use evidence and draw on the expertise of NHS libraries and other networks including the Academy of Fabulous Stuff.
3) Helping library teams to provide bespoke support to local QI teams.
The project started in mid-January. Prior to the pandemic, the focus of the project was on face to face presentations, workshops and training (including in Oxford, London, Gloucester, Taunton). The project team was led by Andrea and Carol-Ann. Plans were in place for presenting at national conferences later in the year and delivering face to face training. In addition, supporting materials were being created. Some of the hard copy materials we created are: https://fabnhsstuff.net/fab-stuff/quality-improvement-essential-reading-list-induction-materials and https://fabnhsstuff.net/fab-stuff/qi-knowledge-sharing-challenge. One of our presentations is here: https://twitter.com/LouWaters_QI/status/1228337507936456707?s=20
The challenges of Covid
The pandemic has required a rethink to the project approach. Our original plan was for 12 months from 15 January 2020 and included a large face to face element and national travel. I presented at national meetings / conferences and met with key stakeholders in January and February. Plans for March and beyond, including our first face to face steering group were cancelled due to Covid-19.
The project team has changed as a result of people being called onto other priorities and people leaving. Carol-Ann Regan, our librarian lead on the project has now retired. From a personal perspective, these have been emotionally and logistically challenging times too. This project is driven by shared passion, and this has sometimes been difficult to draw on when also balancing the uncertainty of working through a pandemic and managing child care responsibilities!
It has also demanded new skills as we move to a virtual world. These are skills which we did not have are needing to learn and develop, for example developing engaging on-line training content. Andrea is currently attending the MOOC school which is really helping with this (for more information about MOOC school see https://www.england.nhs.uk/sustainableimprovement/introducing-mooc-school/)
Next steps and revised project plan:
· Our updated project plan is here: https://create.piktochart.com/output/45494733-driver-diagram-6-4-20
· Subject to Q and stakeholder approval we plan to extend project by 5 months to end 15 June 2021. This will be financed by reallocating travel and event budgets as we focus on virtual delivery of the project.
· Creation of on-line training and videos for library and QI teams. This will replace the face to face training that we had planned to deliver.
· Create suite of materials / e-resources for library and QI teams to complement the training. We had begun creating hard copy materials. These will now be electronic and, where possible developed into videos etc.
· Creation of a virtual QI evidence community of enthusiasts from QI and library world. We have had a number of volunteers already and will shortly send out a new invitation to the Q and Fab Academy communities. All very welcome!
· We will continue producing our QI Evidence Updates. We now share these as a customizable word document so that other trusts can #pinchwithpride. We will be contacting as many library and QI teams as we can to encourage it to be shared locally. All QI evidence updates are shared on the Academy of Fabulous Stuff website and the April edition is here: https://fabnhsstuff.net/fab-stuff/qi-evidence-update-april-2020-including-covid-19-evidence
We would welcome anyone to get involved in the project! Please do contact firstname.lastname@example.org if this is of interest. And of course follow @Evidence4QI on twitter.
20 Mar 2020
Firstly, I hope that you are all well and looking after yourselves and your families at this extraordinary time. I wanted to give you an update on our Q project and ask for your help.
The #EvidenceBasedQI project aims to connect QI teams with evidence to support improvement. This includes supporting the use of evidence in QI projects and encouraging the sharing of learning and evidence from QI projects.
Over the past weeks I have been meeting with colleagues, firstly from the library and knowledge services community, and then from the QI community. The purpose of these meetings has been to raise the profile of using evidence for QI and to understand the opportunities and priorities. The most recent highlight was presenting at a conference alongside Helen Bevan and Roy Lilley.
I am conscious, however, that we are in extraordinary times. As a result, we are all being called to work in different ways, and with different priorities which we could not have anticipated even a month ago. Clearly, face to face meetings, presentations and training are no longer appropriate. And our audiences – libraries and QI teams – are being called to support the coronavirus efforts.
In light of this, we will be reviewing how best to deliver the aims of the project, and the timescales for doing so. I expect that we will extend the timescales for the project by at least 6 months. And I anticipate that face to face activities and materials that were planned will be delivered electronically instead. Another change is likely to be to how we role this out, we had planned to start in the South regions and then spread nationally. Again we will need to rethink that.
I would be truly grateful for your thoughts on how the project can best support you all at this time. In these unprecedented times, the project can be flexible to the immediate needs – so let us know what you think would add most value to you.
Thank you for your continued support, and for all you are doing in your own organisations.
31 Jan 2020
It’s coming to the end of week 3 of the project. So it seems opportune to update you on what’s been happening. As you’ll know, thanks to you all we were one of the 20 winning projects announced at the Q conference in November.
Immediately after winning we did some work on comms, specifically around branding and creating our twitter handle, @Evidence4QI
Our next challenge was identifying where exactly the money should go. The idea originated from Taunton in Somerset. But our aspiration, and the scope of the project is national. After discussions with the Health Foundation, PHE, our trust and previous winning projects, it was agreed that it should go to South West Academic Health Science Network (SWAHSN) who kindly agreed to ‘host’ the project. As a consequence I (Andrea) am seconded for 10 hours a week to SWAHSN for 12 months for the purposes of the project.
The money was transferred to SWAHSN on 15 January 2020, so the project began that week. So far we have had several team meetings to develop the driver diagram, 2 meetings with the SWAHSN, and several conference calls and meetings with HEE. We have produced a handout describing the project – which includes our draft diagram – to share with teams that we present to.
I’d like to take this opportunity to thank HEE colleagues who have been incredibly supportive during the bidding stage and ever since. Librarians and knowledge specialists are key to delivering this project, and their passion and enthusiasm for helping the QI community is infectious. Sue Lacey-Bryant has been a champion for the project from day 1 and it was a delight to finally meet her in London this week.
Last week I presented to the Library and Knowledge Services teams in the South West, and this week I went to Oxford to present to their counterparts in the Thames Valley and Wessex region. Sue Robertson and Louise Goswami have been instrumental in making this happen.
From a social media perspective, we’ve set up 4 twitter lists for the purposes of the project, as follows:
NHS Libraries: https://twitter.com/i/lists/1220649145700175872
NHS Librarians: https://twitter.com/i/lists/1220649034844725248
NHS QI Teams: https://twitter.com/i/lists/1220653333763051520
NHS QI Community: https://twitter.com/i/lists/1220656463678529537
Here are 5 pieces of learning from the journey so far:
1) The driver diagram has been really great as a communications tool to discuss with different stakeholder groups.
2) Our project is about not reinventing the wheel. It’s been really helpful speaking to winning projects from 2018 about their learning. And I’ve identified similar initiatives that have been successful – not relating to QI but close enough – that we can learn from.
3) It is important to think about what the legacy of the project will be from the very start.
4) It’s been a bumpy ride working through where the money should go to ensure that the project has a platform and support to deliver to a national audience and is empowered to work in an ‘entrepreneurial’ type way.
5) And finally…. Piktochart has been a great tool for branding and producing handouts and materials.
Thank you all for your support. I’d welcome comments, feedback and suggestions – either here or on twitter (@andreadgibbons or @Evidence4QI).
Have a great weekend!