Two years of Quality Improvement at CNWL

Published on: Friday 13th December 2019

This month marks two years since the quality improvement (QI) programme launched at CNWL working towards a culture of continuous improvement for patients and people who use our services. 

QI puts frontline staff, patients and carers at the centre of service change by identifying areas for improvement across the Trust’s services. The QI Programme gives teams  the tools and training to bring about that change and develops shared learning from improvement across the organisation.

Since the beginning of The Trust’s QI journey the Institute for Healthcare Improvement (IHI) have been working as our partners, offering guidance and support.

Currently there are 321 active QI projects across the Trust, patients are active participants in 26% of those live projects. The Trust would like to improve that to 80% by October 2020.

Since the launch of the QI programme, 59 improvement projects have been completed with sustained improvement.

Dr Simon Edwards, Trustwide QI Clinical Lead at CNWL, said “We’re two years into our QI journey and supporting staff to focus on the QI projects that they are passionate about and that will improve patient and staff safety and really make a difference to people’s lives. “ 

Alison Butler, Trustwide QI Programme Lead,  at CNWL, said “We’d like to make sure more patients and carers are part of these changes too and that will be our focus over the next 12 months. We will be recruiting to a new post to help us achieve this. ” 

Since the start of the QI Programme at CNWL 1,450 staff have been trained in improvement methodology and the Model for Improvement.

Lucy Palmer, CNWL’s Head of Patient and Carer Involvement, said “Patients and carers will have a greater role in not only raising awareness of the changes they feel need to happen, but also having the ability to implement those changes. We’ve started our own QI project with a plan to increase involvement significantly next year.”

Some examples of improvements made are: Staff at Harrow Memory Service used QI methods to reduce their waiting list to five weeks.

Occupational Therapy in Hillingdon Child development Centre used QI to improve access to their services by introducing telephone consultations. This allowed patients to be assessed more quickly and 95% of referrals are now seen within seven weeks.

At the Campbell Centre QI was used to ensure over 90% of inpatients had medication counselling as part of the discharge process. This was in response to inpatients previously stating they were struggling to understand the information given on medication.

A project in CNWL’s Offender Care Service has recently won an award from the Health Foundations, Q Community. The project involves Offender Care healthcare staff working alongside staff and prisoners in Woodhill prison to improve skills and knowledge of using QI techniques to eliminate Hepatitis C and reduce self-harm.

You can find more examples on our QI microsite here

The website is also available for patients, staff and carers who would like access to useful resources that detail how to start their own project.  Plus, there are helpful frequently asked questions, latest news articles, as well as the chance to sign up to training events and workshops.

QI-annual-year-2-review from CNWL NHS Foundation Trust on Vimeo.

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