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Behaviour change

Resources to support remote consultation

A good understanding of how to influence human behaviour and effect behaviour change is important for an effective quality improvement intervention.

There are many theories of behaviour change and human motivation. One way of thinking about it is that developed by Michie et al. In their framework, capability, opportunity and motivation interact to create behaviour. ‘Capability’ is defined to include having the knowledge and skills needed to engage. ‘Opportunity’ refers to external factors that can influence the adoption of the intervention. ‘Motivation’ is creating the energy that will direct behaviour.

People are motivated by an array of factors. For some, improving the quality of care for their patients is enough, particularly if failure to take action will have dire consequences for their patients. For others, professionalism or interest in the subject matter
might be key. Other possible levers include personal or organisational alignment with the goals of quality improvement; threat of coercion; or the offer of incentives (a gain in time, money or other resources). Identifying quick wins can motivate people in any of your projects.

  • Resources to support remote consultationThis mindmap published by GP Excellence and Greater Manchester Training Hub provides a simple yet comprehensive collection of useful resources to support GPs, Advanced Clinical Practitioners and Practice Nurses to undertake remote consultations.
  • Time for Care Quality Improvement for General Practice NursesTime for Care Quality Improvement for General Practice Nurses is a two day programme designed for all nurses working in general practice across North West and North East England.  
  • COPD – Greater Manchester COPD ProgrammeHealth Innovation Manchester is bringing together resources from the NHS, social care and pharmaceutical industry to ensure that every person with Chronic Obstructive Pulmonary Disease (COPD) has access to equitable, high quality care. This clinician-led learning tool aims to support local GP practices in the care of patients with COPD.2 comments
  • Chain SMSDoes your practice use Chain SMS? Chain SMS is available from AccuRX ad can be used by practices to send text messages to patients for a range of purposes including recall, care plans, patient information and delivering test results.  Using Chain SMS benefits both practice ...
  • Integrated Community Healthcare and Leadership (MSc/PgDip/PgCert)This new part-time masters degree aims to help people to develop the leadership skills needed to lead neighbourhoods and networks and deliver integrated health and social care services in line with the NHS longterm plan and the new GP contract. Anyone who works in primary care in Greater Manchester may be eligible for a bursary to support their fees.
  • Productive General Practice programmeThe Productive General Practice programme is designed to help general practice continue to deliver high quality care whilst meeting increasing levels of demand and diverse expectations.
  • Resilience – why does it matter?Resilience is a concept that many people struggle to define. However, evidence shows us that many of the elements that make up a ‘resilient’ mindset are key to good clinical practice, making good decisions and minimising error. In this article Dr Rachel Morris, Director of Leadership Courses at Red Whale, offers her take on resilience.
  • Quality Improvement to drive earlier cancer diagnosisCancer Research UK and Dr Bill Taylor (RCGP Clinical Lead for building QI capability) invite you to attend a half day workshop focused on using quality improvement techniques to drive the early diagnosis of cancer in primary care.
  • The General Practice podcastsThe General Practice podcasts published by Ockham Healthcare cover a wide range of issues faced by general practitioners and colleuegs in local primary care teams.
  • Primary care developmentThis briefing outlines training and masterclasses organised by the Royal College of General Practitioners for non clinical practice staff working in primary care. Whether you’re looking to train non-clinical practice staff, further develop your practice managers or seeking to improve or support practices, the RCGP is here as your independent, critical-friend to support and facilitate.
  • Time for Care learning in action programmeThe Time for Care programme is at the heart of the General Practice Forward View's support for practices to redesign their care and manage demand more sustainably. Using a variety of means this initiative provided by the NHS England Sustainable Improvement team will give every practice in England the chance to learn about proven innovations that release time for care.
  • Productive General Practice Quick StartProductive General Practice (PGP) Quick Start is an on-site, hands-on, short term support package for practices that forms part of a local Time for Care programme. Alongside the 10 High Impact Actions the support package provided by NHS England’s Sustainable Improvement team aims to help practices release time for care and build improvement capability.
  • General Practice Improvement Leaders ProgrammeThe General Practice Improvement Leaders Programme is a free training programme designed for GPs, practice managers, nurses, project managers and facilitators working in general practice to support the GP Forward View. The programme provided by NHS England’s Sustainable Improvement team offers step-by-step tools and techniques to help build skills and confidence to lead service redesign in general practice.
  • NHS North West Leadership Academy Mentoring SchemeThe North West Leadership Academy Mentoring Scheme is open to GPs, Practice Managers and wider practice teams across Greater Manchester.
  • Diploma in Advanced Primary Care ManagementThis is a comprehensive diploma for people who are managing primary care and are becoming responsible for creating and running primary care provision at scale including primary care networks, new care models, GP super practices and GP or other primary care federations.
  • e-Learning for Healthcaree-Learning for Healthcare offers an extensive catalogue of e-learning programmes that enhance traditional learning, support existing teaching methods and provide a valuable reference point which can be accessed anytime, anywhere.
  • Life QIThe Life QI online platform is a project and programme management tool for quality improvement, using quality improvement approaches and techniques.
  • Spreading the adoption of innovation into practiceIn this video published by The King's Fund Liz Mear, Chief Executive of the Innovation Agency, shares her experiences of working with within Academic Health Sceence Networks (AHSNs) to spread the adoption of innovation into practice across the NHS.
  • Embedding a culture of quality improvementThis report published by the King’s Fund explores the factors that have helped organisations to launch a quality improvement strategy, and the key enablers for sustaining a focus on continuous quality improvement.
  • Making the case for quality improvement: lessons for NHS boards and leadersThis briefing paper co-authored by The King's Fund and The Health Foundation outlines 10 lessons for NHS leaders that provide a starting point for leaders seeking to embed quality improvement in their work.
  • Reporting and Learning from patient safety incidents in general practiceThe purpose of this guide is to: • maximise opportunities to learn from patient safety incidents in your practice, and to share learning via organisational or national reporting systems • outline a process for learning from patient safety incidents in your practice. Where appropriate, this guide will signpost existing well-written resources and does not seek to replicate their content.
  • Motivating others to take part in Quality ImprovementThis webinar followed 'Sharing practical experiences of Quality Improvement' and provided more information on the new self accreditation and online website, QI Ready, alongside sharing tips on motivating members of your practice in quality improvement.
  • QI Ready eLearning modulesThe RCGP has produced eLearning modules to compliment the QI Ready network and self-accreditation process. There are a suite of three modules that will assist you in better understanding quality improvement methodologies.
  • Webinar – How Quality Improvement can positively impact on patients with diabetesThis was the second of two QI in Diabetes Care webinars and was held on the 12th of January 2017, and followed ‘The experience of improving diabetes care’. This second webinar further explored issues surrounding improving care for patients with diabetes. The Webinar focused on patient ...
  • QI Ready self-accreditationQI Ready is a self approval tool to assist you in better understanding quality improvement methodologies. It offers clear examples of QI in practice and will help you to improve your knowledge and skills in this field.
  • An Illustrated Look at Quality Improvement in Health CareIn this video, Dr. Mike Evans, Associate Professor of Family Medicine and Public Health at the University of Toronto, starts with a simple question: Why should you care about quality improvement? He presents a brief history of QI, then touches on system design, the Model for Improvement, and the familiar challenge, "What can you do by next Tuesday?" - all in less than nine minutes!
  • Understanding pressures in general practiceThis report published by the King's Fund looks at patient factors, system factors and supply-side issues to see what lies behind the increasing demands and pressure faced by general practice.
  • The habits of an improverIn this paper, Professor Bill Lucas offers a way of viewing the field of improvement from the perspective of the men and women who deliver and co-produce care on the ground – the improvers on whom the NHS depends.
  • Do OD mobile appThis mobile app commissioned by NHS Employers has been created to enable effective culture change within the NHS and will be of interest to anyone interested in improving organisational culture.
  • Transforming General Practice: what are the levers for change?This briefing and accompanying literature review extrapolates learning from current and past use of incentives to encourage change in General Practice.
  • Improving quality in general practice: evidence scanThis is an exhaustive compilation of research evidence around quality improvement in general practice, conveniently packaged into a readable summary.
  • Doing OD in the NHSThis toolkit developed by NHS Employers contains a collection of resources, tools and thinking to support effective culture change within the NHS and will be of interest to anyone interested in improving organisational culture.
  • How to change practice: understand, identify and overcome barriers to changeThis guide published by the National Institute for Health and Care Excellence provides practical suggestions based on evidence and experience to help managers and clinicians influence changes in practice.
  • Improving the quality of care in general practice: key findings for GPs from an independent inquiryThis report published by the King's Fund provides the findings of an independent inquiry into the quality of general practice in England. It summarises the inquiry’s recommendations for delivering high quality primary care.
  • The Facilitator’s Toolkit: Tools, techniques and tips for effective facilitationThis toolkit published by the NHS Institute for Innovation and Improvement provides tools, tips and ideas for facilitating small and large groups.
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