The Q Insider The Quality Improvement Annual Journal Issue 1 | September 2024
WELCOME TO QUALITY IMPROVEMENT What's Inside? QI Pop Week
QI Awards And many more... Dragon's Den: Quality Improvement Pitch your Project
The Q Insider September 2024
Pauline Abu : Your Quality Improvement Lead
I
n the dynamic landscape of healthcare, leaders who drive and foster a culture of continuous improvement are indispensable. At East Sussex Healthcare Trust, one of such leader is the Clinical Quality Improvement (QI) Lead, whose passion for enhancing patient care and operational efficiency is making a significant impact. This biography delves into the inspiring journey and pivotal role of our QI Lead, who is dedicated to embedding a culture of quality improvement across the Trust. Role and Initiatives The Clinical Quality Improvement Lead at East Sussex Healthcare Trust has taken on a multifaceted role, spearheading numerous initiatives that underscore their commitment to excellence. One of the hallmark achievements is the introduction of Quality Improvement Champions. These champions serve as the frontline advocates and facilitators of QI projects within their respective departments, ensuring that the principles of quality improvement permeate every level of the organization. In an effort to galvanize staff and showcase the importance of QI, the lead organized a Quality Improvement Week. This event featured poster pop-ups, allowing teams to present their projects, share insights, and celebrate successes. The week was not only a platform for recognition but also an opportunity for cross-departmental learning and collaboration.
The QI Lead is also at the helm of a project focused on embedding the Trust’s core values into daily operations. This initiative aims to align the actions and attitudes of staff with the foundational principles of the Trust, fostering a cohesive and values-driven work environment. Engagement and Support Understanding that successful quality improvement requires ongoing engagement and support, the QI Lead conducts weekly clinic visits. These visits provide a hands-on approach to monitoring progress, addressing challenges, and offering guidance. Additionally, the introduction of a “Dragons’ Den” style pitch event has empowered staff to present their QI project ideas, fostering innovation and encouraging creative solutions to persistent issues. The QI Lead is also deeply committed to providing 1:1 support to staff members undertaking QI projects. This personalized mentorship ensures that every project receives the attention and resources needed to succeed, further cultivating a culture of continuous improvement.
On Photo: (R) Pauline Abu - Quality Improvement Lead, Sharmila Shilpakar - Quality Improvement Champion (Benson and Edgerton Units)
The Q Insider September2024
Conclusion The Clinical Quality Improvement Lead at East Sussex Healthcare Trust exemplifies the innovation and commitment required to bring about significant improvements in healthcare. Collaboration with other teams is essential, as QI serves as a key enabler for the Trust, reinforcing a strong adherence to its core values. As we look to the future, the impact of their work will continue to resonate, inspiring others to join in the pursuit of excellence. At the core of the QI Lead’s approach is an unwavering passion for cultivating a change culture within the Trust. This passion is evident in every initiative and interaction, as the lead works tirelessly to inspire, motivate, and support colleagues in their quest for excellence. By fostering an environment where continuous improvement is not just encouraged but celebrated, the QI Lead is helping to shape a future where high-quality patient care is the norm. Publication This biography is proudly featured in the September 2024 edition of the Quality Trust-Wide Projects Under the leadership of the QI Lead, several Trust-wide projects have been launched to address critical areas of patient care. These include initiatives on falls prevention, pressure ulcer reduction, bed rails audits, and mealtime support. Each project is meticulously designed to tackle specific challenges, leveraging data-driven strategies and collaborative efforts to achieve Recognizing the importance of education in driving sustainable change, the QI Lead has implemented bite-size training sessions. These concise, focused trainings equip staff with the essential tools and knowledge to effectively contribute to QI projects. By making training accessible and practical, the QI Lead ensures that every team member is empowered to participate in the Trust’s quality improvement journey. Passion for Change Culture measurable improvements. Training and Development Improvement Journal, celebrating leaders who are making a difference in healthcare quality and patient outcomes.
"At the core of the QI Lead’s approach is an unwavering passion for cultivating a change culture within the Trust"
The Q Insider September 2024
The Power of QI Quality Improvement (QI) is a systematic approach to enhancing the efficiency, effectiveness, and performance of processes within an organization. It involves continuous efforts to improve the quality of services, products, and processes by identifying problems, implementing solutions, and measuring outcomes.
•Core Principles: QI is cantered on several key principles, including a focus on service user satisfaction, data-driven decision-making, teamwork, and continuous improvement.
The Benefits of Quality Improvement
Real-Life Tips for Implementing QI in an Organization
•Enhanced Efficiency: QI processes streamline operations, reduce waste, and optimize resource use, leading to cost savings and increased productivity. •Improved Service User Satisfaction: By focusing on the needs and expectations of servce users or clients, organizations can deliver higher quality products or services, which boosts satisfaction and loyalty. •Employee Engagement: QI often involves frontline staff in problem-solving, which can lead to increased morale, job satisfaction, and a culture of continuous learning and improvement. •Risk Reduction: By identifying and addressing inefficiencies or errors before they escalate, QI helps to minimize risks and enhance safety, whether in healthcare, manufacturing, or other industries. •Adaptability and Innovation: Organizations that embrace QI are better equipped to adapt to changes in the market, technology, or regulatory environment, fostering a culture of innovation.
•Start Small, Think Big: Begin with manageable projects that can demonstrate quick wins. This builds momentum and helps to engage the broader organization in QI efforts. •Involve Everyone: QI is most successful when it involves employees at all levels. Encourage staff to identify areas for improvement and empower them to participate in problem-solving. •Use Data Wisely: Collect data to understand current performance, identify problems, and measure the impact of changes. Make data-driven decisions to ensure that improvements are effective and sustainable. •Continuous Training: Provide ongoing training and education on QI principles and tools. This helps to embed QI in the organizational culture and ensures that staff are equipped to contribute effectively. •Celebrate Success: Recognize and reward teams or individuals who contribute to successful QI initiatives. This not only motivates others but also reinforces the importance of continuous improvement and satisfaction.
The Q Insider September2024
QI Transforming Powers
Model for Improvement : Plan Do Study Act
•Reviving Struggling Organizations: For organizations facing declining performance, QI offers a lifeline by systematically addressing the root causes of problems and implementing sustainable solutions. •Creating a Culture of Excellence: QI fosters a mindset where continuous improvement becomes part of the organizational DNA, leading to ongoing enhancements in quality, efficiency, and innovation. •Building Resilience: Organizations that adopt QI are more resilient in the face of challenges. Whether it’s adapting to new regulations, responding to market changes, or recovering from a crisis, QI provides a framework for navigating complexity and achieving long-term success.
Tools for QI
Inspirational Stories of QI Transforming Organizations
A hospital implemented QI processes to reduce patient wait times in the emergency department. By mapping out patient flow, involving staff in brainstorming solutions, and using real-time data to monitor progress, the hospital was able to reduce wait times by 30%, leading to higher patient satisfaction and better outcomes. A factory facing high defect rates implemented QI by introducing a structured problem-solving process. Employees at all levels were trained in root cause analysis, leading to a 40% reduction in defects and a significant improvement in product quality. A customer service centre used QI to address frequent customer complaints about response times. By analysing call patterns and reassigning resources more efficiently, they cut average response times by 50%, resulting in higher customer retention and employee satisfaction.
Final Thought: Quality Improvement is not just a set of tools or a process—it’s a philosophy that can transform the way an organization operates. By committing to continuous improvement, organizations can achieve higher levels of performance, foster innovation, and create lasting value for customers, employees, and stakeholders.
Want to know more about the Tools? Contact Pauline.abu @nhs.net
The Q Insider Setember 2024
A look back at Quality Improvement Pop-Up Week
Q uality Improvement Pop-Up Week at East Sussex Healthcare NHS Trust (ESHT) was a whirlwind of inspiration, learning, and collaboration! The event brought together staff from every corner of the Trust, sparking conversations, ideas, and enthusiasm for continuous improvement. Throughout the week, our halls were transformed into vibrant hubs of activity, with pop-up stations strategically placed across various sites. These interactive displays were more than just informational—they were immersive experiences designed to engage and inspire. Each station offered a unique glimpse into the ongoing quality improvement projects within the Trust, showcasing the innovative ways our teams are enhancing patient care. Staff engagement was at an all-time high, with colleagues from different departments coming together to explore the projects on display. The atmosphere was buzzing with curiosity and excitement as staff took the opportunity to delve into the specifics of each initiative. Questions were asked, ideas were shared, and the sense of community was palpable. It was a week where learning was not just encouraged but celebrated.
The pop-up week wasn’t just about showcasing what we’ve done—it was about empowering every staff member to get involved in quality improvement, no matter their role. The event also served as a fantastic platform for networking. Staff members who might not typically work together found common ground in their shared commitment to improvement. New connections were made, and collaborations sparked, laying the groundwork for future projects that will continue to drive our quality improvement efforts forward. As we reflect on this successful week, one thing is clear: the passion for quality improvement at ESHT is stronger than ever. The Pop-Up Week was a reminder of the incredible potential we have when we work together, learn from each other, and push the boundaries of what’s possible in-patient care. To all who participated—thank you for your energy, your ideas, and your commitment. Let’s keep this momentum going and continue to innovate, collaborate, and make a lasting impact on the quality of care we provide. Here's to the next exciting chapter in our quality improvement journey!
BIU QI Week
EDGH QI Week
CQ QI Week
The Q Insider September 2024
Celebrating Excellence at ESHT: Quality Improvement and Audit Awards
T he recent Quality Improvement Awards and Audit Award at East Sussex Healthcare NHS Trust (ESHT) were nothing short of a triumph! The event showcased the exceptional dedication of our teams to improving patient care, with a dazzling array of projects that truly embodied innovation and commitment to excellence. The Quality Improvement Audit provided a comprehensive overview of the strides we've made across the Trust. It was inspiring to see the variety of initiatives that have taken root, each one driven by a team determined to make a difference. From enhancing patient safety to streamlining processes, every project highlighted during the audit was a testament to the power of continuous improvement. The meticulous data collection and analysis were clear indicators of the hard work that went into these initiatives, demonstrating a robust commitment to evidence-based practices. But the excitement didn’t stop there! The Quality Improvement Awards brought a burst of energy and celebration as we honored those teams that went above and beyond. The atmosphere was electric, with anticipation building as each category was announced. The competition was fierce, but every team walked away a winner in our eyes for their remarkable efforts. The event was a celebration of our collective achievements and a powerful reminder of what we can accomplish when we work together. Congratulations to all the teams involved—you've set a high standard for quality improvement at ESHT. As we look forward to future audits and quality improvement awards, let’s carry this momentum forward, continuing to innovate and elevate the care we provide to our patients. Here's to another year of outstanding quality improvement!
QI Awards
The Q Insider September 2024
Dragon’s Den: Pitch your Quality Improvement Project Last the 24th of April 2024 The Quality Improvement organized a Pitch your Quality Improvement Event - wherein we have invited Quality improvement Leads from different Trusts to serve as "Dragons" and have our colleagues from ESHT to pitch in their quality improvement projects
MEET THE DRAGONS
Serena Ng Senior Improvement Facilitator University College London NHS Foundation Trust
Emma Tate Transformation Strategy and Improvement Programme Manager East Sussex Healthcare NHS Trust Emma has worked in the NHS for 30 years, starting her nursing career initially in Critical Care then moving into numerous transformation and improvement roles over the last 20 years working within various teams. Her previous roles include Head of Clinical Improvement working within corporate nursing, working within a PMO (Programme Management Office) as a Programme Manager and as Head of Clinical Strategy Development. Pre covid she worked within an Improvement team at ESHT supporting colleagues across the organisation to use service and quality improvement methodology to bring out sustainable change. Emma is a Quality, Service Improvement and Redesign (QSIR) practitioner and teaching associate and also a LEAN Six Sigma Green belt. She is passionate about utilising both her experience of delivering change in multiple areas of acute healthcare and her methodology knowledge and skills to support teams to improve the services and care they provide to the local population.n Hertfordshire and London.
As a Senior Improvement Facilitator at University College London NHS Foundation Trust, Serena supports colleagues across the organisation to build improvement capabilities. This includes delivering Quality Improvement training programmes and providing support to teams and individuals on improvement projects. Serena has six years NHS experience in operational management, transformation, and quality improvement roles across primary, secondary, and specialist care providers in Hertfordshire and London. Serena joined the Improvement Team in June 2022 from Royal Brompton Hospital, part of Guy’s and St Thomas’ NHS Foundation Trust, where she was the Assistant General Manager for Children’s Cardio-Respiratory and Intensive Care services. Serena is particularly interested in all things data and particularly enjoys supporting colleagues to think about data differently and build capabilities in using data for improvement and data visualisation. Linkedin www.linkedin.com/in/serenaphxng Email serena.ng@nhs.net
Mohommed-Hossein Faizal Quality Impovement Facilitator Chelsea and Westminster Hospital NHS Foundation Trust
Karleen Huggins Quality Impovement Facilitator Central London Community Healthcare NHS Trust
Ruth Harvey Quality Impovement Facilitator University College London NHS Foundation Trust
The Q Insider August 2024
The Presenters
I absolutely love the opportunity to share our journey in relation to my QI project through participation in the Dragon’s Den. The presence of Quality Improvement Dragons who are experts in this field made it even more worthwhile. They were giving the presenters their invaluable opinions. I was able to demonstrate that amidst all the challenges (which was also heightened by the pandemic occurrence), myself and the team have persevered to develop our Pre-assessment service to it’s fruition. We know that having an established pre-assessment service to all our patients will keep our patient safe and offer them a high quality service. Hence, we did not stop or look back even if on many occasions, we easily could have. Through this all, our team further showed a ‘can do attitude’ and that is a culture that we have cultivated and developed over the years. I am very much looking forward to finalising this project by culminating it with SPC charts that will demonstrate the improvement this service has brought to our DNA’s, cancellations and the positive impact it has to our patient experience. Myra Mendoza Matron - Conquest Endoscopy Unit Quality Improvement Project: Pre-Assessment Service of Endoscopy Patients in Conquest Endoscopy Unit Karl Pasamanero Staff Nurse - Critical Care Unit Quality Improvement Project: A Touch of Gentleness in Critical Care : Hand Massage Therapy for the Critically ill I am grateful and honoured to pitch and present one of the Critical Care Unit's Quality Improvement - "A Touch of Gentleness". This project is aimed at helping our patients in Critical Care to help them with better sleep, improved peripheral circulation, alleviating pain and helping to calm down delirium. I highly agree with the Dragon's opinions that this project is geared towards improving care and patient satisfaction in a holistic way. They have given us pointers to layout this project in a formal Quality Improvement format and set up care guidelines in providing this wonderful project for our critically ill patients. So far, the unit has been garnering a lot of positive patient feedback and staff participation is highly commended as well. The team is now working on expanding the service not just limited to the ITU patient but also maybe for the long term patients in the wards who needed the power of touch to reassure them and make them feel safe.
The Q Insider September 2024
Spotlight on Quality Improvement: Pop-Up Board Excellence
I n a vibrant display of creativity and dedication, the Quality Improvement Pop-Up Board initiative recently brought a splash of colour and innovation to the wards. Each board was a testament to the hard work and passion of our staff, who poured their hearts into crafting visually stunning and informative displays. From meticulously curated content to eye-catching designs, these boards showcased the various quality improvement projects underway across different units. The effort put into each board was evident, with teams going the extra mile to highlight their achievements and ongoing initiatives. The variety of themes, colours, and interactive elements truly made these boards stand out, transforming our space into a dynamic gallery of progress and innovation.
A special shoutout goes to the Endoscopy team, who emerged victorious in the pop-up board competition. Their board not only captured the essence of their quality improvement efforts but also engaged viewers with its compelling layout and clear messaging. The creativity, teamwork, and attention to detail that went into their display set a high standard for all. Congratulations to the Endoscopy team and all participants for their remarkable contributions! Your hard work and dedication continue to drive our commitment to excellence in patient care and quality improvement. This initiative has been a beautiful reminder of the power of collaboration and the impact of our collective efforts. Let’s continue to inspire each other and raise the bar in everything we do.
The Q Insider September 2024
Meet the Corporate Team
Angela Colosi Deputy Chief Nurse
Angela is a senior Nurse leader with an extensive history of working across both NHS and private healthcare settings at regional and organisational levels and currently works as the Deputy Chief Nurse for Quality & Policy at ESHT. Angela was awarded a Florence Nightingale Foundation Leadership Scholar in 2016 and recently won the ESHT Trust Award for Colleague of the Year in Corporate Services of which she is immensely proud. She has demonstrable experience in strategic service transformation, and quality improvement with credible clinical leadership (worked clinically as Nurse Consultant, Independent Prescriber and Advanced Clinical Practice & Non Medical Prescribing Trust Lead). Angela is proud to be a Registered Nurse and to work amongst such experienced and kind staff at ESHT. Angela is also committed to ensuring that health and social care is accessible for all and is a positive and safe experience, for patients, clients and the workforce.
Jo Hook SafeCare Lead Nurse
My name is Jo Hook and I am the SafeCare Lead Nurse. My role sits within the Workforce and Professional standards part of corporate nursing My main responsibilities consists of Clinical oversight of the SafeCare deployment system, Supporting with efficient rostering Supporting nursing establishment data collections I have worked for ESHT since 2001 as a band 5 and band 6 nurse within the medicine division, Clinical site manager and Infection Prevention and Control Nurse, before taking up this position in 2021.
The Q Insider September 2024
Amy Hobbs-Boyd Project and Business Support Manager Hi everyone!
I am the Project and Business Support Manager in the Corporate Nursing Team. I joined ESHT in January 2024, and this is a brand new role. It is my first time working for the NHS and I previously worked for East Sussex County Council Public Health. I directly support our DCNs with a variety of projects under the umbrella of Quality and Policy and Workforce. I see my role as someone who can organise and co-ordinate the various strands of work within Corporate Nursing and also facilitate conversations to support our amazing DCNs as much as possible! The role can be quite reactive and so I am flexible and adaptable to the business needs and happy to get involved in a variety of workstreams. ˜ Some examples of projects/workstreams I have been part of since joining: Right Care Right Person, Mental Health Strategy, Rehab and Reconditioning Project, End of Life Care Improvement Group. Please get in touch if you want to chat, and if I can't directly help I'll always try and direct you to the right place!
Gillian Coker Governance Officer and Lone Worker Lead
As a Governance Officer, one of the primary administrative responsibilities of my work is to oversee and manage the trust's central databases, which serves as a repository for policies and procedural documents and patient information leaflets. In addition, I oversee the Lone Worker systems for services that employ domiciliary staff to work in the community. In order to support the service, I prepare monthly reports and oversee the Personal Alarms digital system.
The Q Insider September 2024 ESHT Quality Improvement Link Nurses
The Q Insider September 2024
Meet your QI Link Nurses We have asked around the QI Link Nurses what Quality improvement meant to them - here are their response
As an aspiring nurse leader, I see Quality Improvement as a vital tool for driving positive change in our unit and ultimately throughout the healthcare system. It's about empowering nurses to take ownership of the quality of care they provide and continuously strive for excellence. - Karl Pasamanero
QI is "effective, efficient, safe and patient centered which improves quality of patient care and organisational outcome" - Sajini Davidson
QI is bridging the gap between actual performance and desired outcomes. - Nhlanhla Ncube
QI is caring with awareness and focus to do things better. - Haziza Chocron
What's Next for Quality Improvement?
DRAGONS DEN: Pitch your Project
Do you have an interest in Quality Improvement and want to hear from others that do too?
We are hosting the second in a series of NEW Quarterly QI sessions to discuss Quality Improvement across ESHT. The series of sessions will include speakers discussing their experiences of QI and their current plans for upcoming projects.
Season 2 ‘DRAGONS DEN: Pitch your Project’
Wednesday 9 th October 2024
Contact Pauline Abu if interested Link to Join: https://teams.microsoft.com/l/meetup-join/19% 3ameeting_YmJmMWQwNzctMDkyNi00MTBjLW FiOTEtMjQyMDc5NDFkZGQx%40thread.v2/0?c ontext=%7b%22Tid%22%3a%2237c354b2-85b0- 47f5-b222-07b48d774ee3%22%2c%22Oid%22 %3a%229871baf7-e273-45dc-9819-055cab092 cdc%22%7d
13:00 – 15:00
Online, MS Teams
The aim of this session is to Prioritise Quality improvement tools and techniques on real life QI projects in ESHT through forums, discussion groups and knowledge sharing’.
Join the meeting now
For more information about this event or Quality Improvement in ESHT, contact Pauline Abu – Clinical Quality Improvement Lead: Pauline.Abu@nhs.net
Ongoing Trust Projects
Falls Prevention Project
Pressure Ulcer Project
Individual Projects
If you are thinking of taking any QI projects, kindly contact me to ensure it is captured and reflected in the next edition.
1. Future Training on MyLearn 2. Continuous support with individual projects 3. Link Nurses for QI "Project Phoenix" 4. Podcasts on Quality Improvement
Pauline Abu Clinical Quality Improvement Lead | PNA Quality improvement coach QSIR Practitioner Fellow NHS England (South East) Florence Nightingale Leadership Scholar EXT: 774128 Mobile: 07483972871 Email: Pauline.Abu@nhs.net My core working hours: Monday – Wednesday, Friday- 8am – 6pm (excluding Bank Holidays
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