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Plan and test

Plan and test – reproduced from original image © NHS Photo Library

From the diagnosis phase of your project you will have identified areas to learn from that you already do well, and areas where there is scope for improvement. With some of the diagnostic techniques you will have also generated ideas for change and potential ‘solutions’. You can now plan your changes and how they will be tested. This starts with identifying a clear purpose and measure of success and the actions that will deliver that purpose. You will then plan out how each individual cycle of change will be implemented and measured to identify which changes result in an improvement or not.

  • QOF Quality Improvement (QI) Modules – What’s it all about?The idea behind introducing ‘QI Modules’ rather than targets is that practices can be flexible and, mostly, work on a project that is specific to their patient needs, aiming towards an outcome that is valued by the patients and the practice, and using sound QI methods.
  • 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
  • The NHS AppThe NHS App enables people to check their symptoms using the health A-Z on the NHS website and to find out what to do when they need help urgently using NHS 111 online. The NHS app will be available to all patients across Greater Manchester in the coming weeks.
  • 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 ...
  • 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.
  • 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.
  • Life QIThe Life QI online platform is a project and programme management tool for quality improvement, using quality improvement approaches and techniques.
  • COPD Primary Care Audit 2015-2017 report: Planning for every breathPlanning for every breath is the second of the Welsh COPD primary care audit reports and presents data relating to primary-care-delivered COPD care in Wales. The first Welsh primary care audit report was published in October 2016. A quality improvement (QI)-focused slide set, as well ...
  • Quality Improvement Toolkit For Early Diagnosis Of CancerThis toolkit is to help GPs and their practice teams to improve their early diagnosis of cancer principally by using the findings from the National Cancer Diagnosis Audit (NCDA). The NCDA is an audit of primary and secondary care data of patients diagnosed with cancer. It ...
  • Quality Improvement Project (QIP) Guidance for GP TraineesThe RCGP has produced some guidance for GP Trainees completing a Quality Improvement Project (QIP) as part of their training. Engagement with Quality Improvement activities is a mandatory part of the curriculum for GP trainees (‘Gold Guide’ Reference Guide for Postgraduate Specialty Training in the ...
  • 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.
  • Atrial fibrillation toolkitThe Health Innovation Network have produced an AF toolkit as part of the Pan-London AF Programme. The three London AHSNs have worked collaboratively with the London Clinical Network to develop a pan-London AF programme, the objectives of which are: To increase the detection of people with ...
  • Quality Improvement toolkits – GP OneThe former Public Health Wales Primary Care Quality Team are now incorporated within the Primary and Community Care Development and Innovation Hub, and have developed a series of quality improvement toolkits to assist practices in collating and reviewing information. From information received, practices still find ...
  • Effective interface – RCGP ScotlandEffective Interface is an e-learning module to assist GPs and consultant colleagues to identify and provide solutions to problems that exist at the primary/secondary care interface.
  • A ten point action plan for General Practice NursingThe ten point action plan for General Practice Nursing brings together key actions which aim to meet general practice workforce challenges by attracting new recruits, supporting existing GPNs and encouraging return to practice.
  • 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.
  • 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.
  • Quality Improvement HubThe Quality Improvement Hub website provides a range of resources to support organisations to improve the quality of healthcare in Scotland. The tools provided here can support you in your improvement work.
  • Quality improvement tools for different stages of QI projectsThe East London NHS Foundation Trust has developed and collated various tools and resources to be used at the different stages of a QI project.
  • Examples of driver diagramsThis presentation includes examples of driver diagrams which have been used in QI projects.
  • Driver diagram templateA driver diagram illustrates a ‘theory of change’, that can be used to plan improvement project activities. This technique provides a way of systematically laying out aspects of an improvement project so they can be discussed and agreed on collaboratively by the project team.
  • RCGP Quick guide: Plan-Do-Study-Act (PDSA) approachThis RCGP Quick guide introduces the Plan-Do-Study-Act (PDSA) approach, a technique that allows you to test out improvements in a controlled way so that change can occur gradually, with an awareness of unintended consequences.
  • 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 ...
  • Webinar – The experience of improving diabetes careThis webinar explored issues surrounding improving the diabetes care using Quality Improvement methods and tools. The webinar gives an introduction to QI tools and methods, looks at their use in practice setting, and points to available resources.
  • RCGP Quick guide: Care bundlesThis RCGP Quick guide introduces care bundles, an accepted method of measuring more than one indicator. They are useful when you wish to implement a series of indicators that are all important in achieving the outcome.
  • RCGP Quick guide: Theory of Constraints and FlowThis RCGP Quick guide introduces the theory of constraints and flow, a methodology for identifying the most significant limiting factor – the constraint – which stands in the way of the organisation's goal being met.
  • RCGP Quick guide: Experience-Based Co-Design (EBCD)This RCGP Quick guide introduces Experience-Based Co-Design (EBCD), an approach that allows patients and staff to analyse and design services together.
  • RCGP Quick guide: Measurement and AnalysisThis RCGP Quick guide explains how measurement and analysis can tell us what we need to improve, then, once we’ve started to make changes, it can tell us if our efforts are making a difference.
  • RCGP Quick guide: Driver DiagramsThis RCGP Quick guide introduces driver diagrams, a tool to help you to organise your improvements in a logical way, so that everyone involved can see how the planned changes will lead to the desired improvement.
  • RCGP Quick guide: Communication MatrixThis RCGP Quick guide introduces the communication matrix, a systematic way of identifying members of the team and the themes they need to know in carrying out your improvement work.
  • RCGP Quick guide: Gantt ChartsThis RCGP Quick guide introduces Gantt charts, a tool that provides a visual representation of your project schedule which helps to identify a realistic timeframe for implementing a project.
  • RCGP Quick guide: Run chartsThis RCGP Quick guide introduces Run charts, a tool that allows practices to analyse data, with minimum use of statistical methods, and helps determine if an improvement has been made.
  • RCGP Quick guide: Model for improvementThe model for improvement ensures that you and your team are very clear and specific about what you want to improve and how you will know if you have been successful.
  • Whitedboard video: Model for ImprovementIn these videos Dr Robert Lloyd from the Institute for Healthcare Improvement introduces the Model for Improvement, a tool that ensures that you and your team are very clear and specific about what you want to improve and how you will know if you have been successful.
  • Multi practice quality improvement project planThis Excel spreadsheet tool will help you to plan and monitor the progress of your quality improvement project across several practices.
  • Model for improvement for diabetesDo you want to introduce a change to improve diabetes care? If so, the model for improvement for diabetes allows you to plan and test the change.
  • 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.
  • Quality Improvement Toolkit for Diabetes CareThis toolkit published by the RCGP aims to support quality improvements in diabetes care. The material is mainly specific for diabetes care but also includes generic QI mini guides.
  • Six principles for engaging people and communities: Definitions, evaluation and measurementThis document is about creating person-centred, community-focussed approaches to health, wellbeing and care. It builds on the proposed new relationship with people and communities set out in the NHS Five Year Forward View
  • Healthcare science transforming patient care: Case studies from the National Healthcare Science Quality Improvement Champions GroupThis brochure contains a selection of case studies submitted by the membership of the QIC group to promote their contribution to transforming healthcare science services out in the community and ultimately improving patient care.
  • Improving the quality of end of life experiencesThis submission demonstrates involving the bereaved in quality improvement, the value of relatives and carers sharing experiences, and quality improvement through difficult to reach groups.
  • Haxby Group Practice: adding a pharmacist to the teamIn this article published in Guidelines in Practice, Dr Michael Holmes and Sarah Woffinden respond to questions on the addition of a pharmacist to the practice team, and discuss the positive impact it has had on both patients and staff alike.
  • Co-produced support for carers of those with dementiaA 2015 case study from NHS Luton Clinical Commissioning Group, who worked with carers of those living with dementia to understand and address the issues they faced, after it was identified many were reaching crisis point.
  • Tower Hamlets: Managed practice networks to improve rates of cardiovascular diseaseFrom 2009 NHS Tower Hamlets spent an additional £2 million per year to improve the quality of primary care. This included the implementation of a system of managed clinical networks across all primary care teams in 2009.
  • Improving the quality of cancer care in primary careThis toolkit developed by Macmillan Cancer Support aims to support the primary care professionals to develop initiatives and programmes which have a positive impact on the care of people daiagnosed with cancer, their families and carers.
  • Experience-based co-design toolkitThis toolkit published by the King's Fund gives a step-by-step guide to improving patient experience of health care using a technique called experience-based co-design.
  • Whitedboard video: PDSA cyclesIn these videos Dr Robert Lloyd from the Institute for Healthcare Improvement introduces the Plan-Do-Study-Act (PDSA) approach, a technique that allows change to be introduced in a considered way but on a small and manageable scale, measuring the ‘before’ and ‘after’ effects of each change, and provides evidence to assist in maintaining the changes that work.
  • Improving access, responding to patients: A ‘how-to’ guide for GP practicesThis guide is a celebration of some of this good practice, sharing the successes and signposting real examples of things that have proven to work, things that make a real difference for patients and the working lives of our staff.
  • Health Care Assistants in General PracticeThis document published by Gwynedd Local Health Board aims to help in both the selection process and training of Health Care Assistants within general practice.
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