1. Improvement science is the ‘now’ opportunity to enable healthcare teams to deliver high quality care. ‘Using data to drive learning and improvement’ Welcome to the afternoon QI sessions Dr Ian Bullock CEO Royal College of Physicians London 27th July 2016

2. The Darzi ‘3’ Five Year Forward View
Dimensions of Quality
Equitable
Safe
Patient
Centered
Effective
Efficient
Timely
The Darzi ‘3’ Five Year Forward View
IOM (2001) Crossing the Quality Chasm
Sustainability was added: Future Hospital Commission (2013)
Future Hospital: Caring for Medical Patients
Sustainability
Ref: IOM (2001) Crossing the Quality Chasm. Sustainability was added: Future Hospital Commission (2013) . Future Hospital: Caring for Medical Patients

4. The Quality Trilogy The patient safety narrative…an RCP commitment
Improving quality
Assuring quality
Innovating quality
Ref: Advancing Quality Alliance

5. Quality at the RCP Improving quality: EBHC guideline development
Clinical audit: data driving learning & improvement
Health informatics
Assuring quality:
Accreditation of services
Invited service reviews
Patient safety programme
Innovating quality:
Future hospital

6. Improving quality

7. UK Government spend £ Dept of Health (DoH) NHS England (NHSE)
Commissioners
National Institute for Health & Care Excellence
(NICE)
Commissioners
Healthcare Quality Improvement Partnership (HQIP)
Evidence based health care guidelines
(clinical and service)
National clinical audits, QI, patient safety & registries
Developers: Royal College of Physicians

8. Guidelines Host the National Guideline Centre (NGC)
Commissioned by National Institute for Health & Care Excellence (NICE)
15 guidelines slots
18 months to develop
Each GL £212,000 yr
A catalogue of > 125 covering major burden of disease areas

9. National clinical audits
Lung cancer
IBD audit of biological therapy
Falls & fragility
Stroke
COPD
Mortality case record review (pilot stage)
Drive quality and safety as well as enhance patient experience

10. Academic papers and editorials

11. Patient safety

12. Acute care toolkit
Soon to be available as e-learning for doctors

13. Innovating quality
‘There’s no changing the future without disturbing the present.’ Catherine Booth – Social reformer,

14. Centre for Creative Leadership Aug 2015

15. RCP Quality Improvement Hub
Develop and share RCP QI expertise.
Provide:
Modular QI training for clinicians and healthcare teams.
On line materials and remote learning.
A network for clinicians with QI expertise.