Meet the team
Consultant Renal Physician & AMD for Improvement
Basildon & Thurrock University Hospital NHS Foundation Trust
- England - London (North, East and Essex)
Programme Director, Clinical Redesign & Reconfiguration
Mid & South Essex University Hospitals Group
- England - London (North, East and Essex)
What is the challenge your project is going to address and how does it connect to your chosen theme?
Mid Essex, Southend and Basildon Hospitals have united to form the Mid and South Essex University Hospitals Group (MSE) as part of the Mid & South Essex STP. They are working together to reconfigure pathways to provide better patient care and utilise resources more efficiently. Each Trust has its own culture, language and approach to QI. We want to unite the staff at all 3 Trusts, through a unified improvement language and culture. This will be vital if we are to succeed with our aspirations to make care pathways better.
In 2017, a small faculty of Quality Service Improvement Redesign (QSIR) Associates was established. It has trained 150 staff as Practioners. Feedback has been excellent, but with over 14,000 staff across the MSE, we need to grow this at pace. We want to expand our QSIR programme, but also support individuals to apply the skills they have learned so as to build a culture that empowers staff to undertake improvement as part of their everyday work.
What does your project aim to achieve?
Create an engaging & entertaining electronic learning package for staff outlining the basic concept of QI & promoting a common language & approach across the MSE. (6 months)
Institute regular QI clinics supported by coaches at each of the 3 MSE sites. (3 months)
Develop an online forum that enables staff who have undertaken a QI project to share their experience & seek advice (3 months).
Establish action learning sets for QI & redesign to link existing QI training programmes & projects, supporting patient pathway redesign. From these we will develop a network of multi-professional QI coaches & mentors (9 months).
Organise an annual event to celebrate the success of QI, bringing together QI graduates, coaches & mentors to share their learning & successes. (12 months)
Measurement of the success
– Number of staff attending training
– Number of QI projects registered
– Evaluation of QI projects undertaken
– Self-efficacy score of staff who attend QI training
How will the project be delivered?
We will undertake initial scoping work & stakeholder engagement to understand the current levels of understanding around QI across the MSE group. This will be analysed by theme and staff group & used to inform the design of the video/e-learning module.
We will contact the current 150 QSIR practitioners, asking them to inform us about what on-going support & networking opportunities they would find helpful. We will use this information to inform the design of future QI clinics, facilitation of Action Learning sets & other resources as indicated.
We will develop a competency framework to formalise the route to become an MSE improvement coach.
We will develop a formal process for the evaluation of the outputs of QI projects.
We will establish an MSE Improvement Celebration Day to bring together staff from across the MSE to share posters & presentations on their improvement journey.
What and how is your project going to share learning throughout?
This project is intended to be both a way to establish a culture supporting improvement & a way for staff across the MSE to share learning about their improvement journey at the three Trusts. We firstly want to utilise the video/elearning to set out the MSE improvement strategy to all of our staff, to signpost staff, and to begin to introduce our improvement language throughout the three organisations. We see this programme as an opportunity to challenge boundaries across organisations & to bring us together with a unified language and approach to improvement.
We would also take the opportunity to share our story across the Q community: the good, the bad and the ugly. Our reorganisation and the STP is duplicated across the country & we would like to learn with others going through this transition. This will be facilitated via Q, but we will also submit posters to national forums & utilise social media to publicise our progress.
How you can contribute
- We are keen to learn from others who have been through organisational transitions and how they have utilised QI and Q to support unification. We feel that the Q exchange provides an opportunity for collaboration with other teams, trying to achieve similar aims, around building improvement capability across a wider organisation.
- We are looking for critical friends to help us further develop our plans, learning from others experience who have tried to build the improvement culture in an organisation. We are also keen to receive suggestions around coaching and mentoring staff through QI and how these networks might be established.
- Q also provides us with an opportunity for us to build a network of colleagues across the region and country.
- Whilst it isn't part of the project, we aspire as part of our Q initiative to improve the Joy at Work of our staff, and therefore are keen to learn from some of these specific projects in the Q exchange.
|29 Nov 2019||QI clinical planning - rota venues & pack - 29/11/19|
|29 Nov 2019||Scope opportunities for sharing platform - 29/11/19|
|31 Dec 2019||Stakeholder engagement and scoping elearn/video|
|6 Jan 2020||Procurement process to select IT/media designer|
|30 Jan 2020||Launch QI Clinic - 30/01/2020|
|16 Feb 2020||Develop preferred option i.e. intranet/workplace|
|2 Mar 2020||Invite and launch sharing platform - 2/3/2020|
|30 Apr 2020||Launch of MSE video/elearn - 30/04/2020|
|24 Jul 2020||Coordinate Action Learning sessions and Launch - July 2020|
|30 Sep 2020||Celebration of MSE improvement September 2020|