1. David Evans Quality Improvement Programme Manager

2. Academic Health Science Networks
15 AHSNs across England, established by NHS England in 2013 to spread innovation at pace and scale.

3. Academic Health Science Networks
The only bodies that connect NHS and academic organisations, the third sector and industry, we are catalysts that create the right conditions to facilitate change across whole health and social care economies, with a clear focus on improving outcomes for citizens.

4. The West of England Academic Health Science Network
We are delivering positive healthcare outcomes by
driving the development and adoption of innovation
supporting the adoption and spread of evidence-informed practice
enhancing economic growth through collaboration and partnership.

5. Where are we?

6. 7 clinical commissioning groups 5 community health service providers
Who are we?
7 clinical commissioning groups
6 acute trusts
A network of member organisations
5 community health service providers
3 universities
2 mental health trusts
1 ambulance trust
NHS acute trusts
Gloucestershire Hospitals NHS Foundation Trust
Great Western Hospitals NHS Foundation Trust
North Bristol NHS Trust
Royal United Hospital Bath NHS Trust
University Hospitals Bristol NHS Foundation Trust
Weston Area Health NHS Trust
Community Health Service Providers
Bristol Community Health
Gloucestershire Care Services NHS Trust
North Somerset Community Partnership
SEQOL
Sirona Care & Health
Mental Health Trusts
Avon & Wiltshire Partnership Mental Health NHS Trust
2Gether Partnership NHS Foundation Trust
Ambulance Trust
South West Ambulance Services NHS Foundation Trust
CCGs
Bath & North East Somerset CCG
Bristol CCG
Gloucestershire CCG
North Somerset CCG
South Gloucestershire CCG
Swindon CCG
Wiltshire CCG
Universities
University of Bath
University of Bristol
University of the West of England

7. What we do

8. Who we work with

9. Quality Improvement…….. in Action!

10. What is quality improvement science?

11. “By quality improvement we mean designing and redesigning work processes and systems that deliver health care with better outcomes and lower cost, wherever this can be achieved”

12. Aims for Improvement
No Needless Deaths
No Needless Pain or Suffering
No Unwanted Waits
No Helplessness
No Waste
……For Anyone

13. Quality Improvement in Practice
Prevention of Cerebral Palsy in PreTerm (PReCePT): magnesium sulphate for pre-term births

15. Quality Improvement in Practice
‘Don’t wait to Anti coagulate’

17. The West of England Academy
QI Toolkit including a Education Pathway
Improvement Coaches Network
Learning and development events
and now …………
Flow Coaching Programme Q

18. South West AHSN Slides from Will/Jo

19. Why QI ?
David Evans Quality Improvement Programme Manager West of England Academy

20. At present, the evidence is clear that healthcare is not always safe and can lead to poor patient experience and outcomes. At the same time, the economic downturn means an end to year-on-year financial increases. Healthcare services are being challenged to respond to this not through indiscriminate cuts, but by improving efficiency, driving up quality and reducing levels of harm.’
The Health Foundation 2014

21. “The most important single change in the NHS… would be for it to become, more than ever before, a system devoted to continual learning and improvement of patient care, top to bottom and end to end…”
Don Berwick
President Emeritus and Senior Fellow,
Institute for Healthcare Improvement
(‘A Promise to Learn; A Commitment to Act’ 2013)
Take a moment to consider what errors we have made recently. Have you ever mixed up the body wash and shampoo in the shower, or poured hot water into your cereal bowl when making breakfast? Human beings make “silly” mistakes regardless of their experience, intelligence, motivation or vigilance.

22. QI in the NHS

23. Type I: Reducing defects from the viewpoint of the customer
Three Types of Improvement
Type I: Reducing defects from the viewpoint of the customer
Type II: Reducing cost/waste while maintaining or improving quality
Type III: Providing a new product or service, or an old one at an unprecedented level

24. Old Methodology

25. Improvement Methods

26. Improvement Journey