1. The Journey Practice and Professional Development Gill ArmstrongJacqui Hutchinson Lead for QualityLead for Advanced Practice 15 th June 2009 Quality Framework (QF)

2. Incorporated local and national drivers, timing right A quality improvement tool supporting the implementation of clinical governance at team level What is the QF and Why Now?

3. Pilot Clinical engagement Performance reporting and validation Leadership Best practice Roll out Implementation Process

4. Progress and Challenges

5. Clear focus for teams Improved systems and processes Team ownership/responsibility Emerging clinical leaders Fitness for purpose Benefits

6. Before we started During After the first year Mandy Hill Health Visiting Assistant, Health Visiting Team Garforth Clinic Me, My Team and the Quality Framework

7. Understanding relevance of QF to services and patient care – now core business Ownership and clinical leadership Communication Sharing and celebrating achievements Key Learning

8. Future