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Sustain

Workforce – reproduced from original image © NHS Photo Library

You will want to sustain any improvement within your practice or organisation. This can 
be supported by the same methods and measurements that you originally used to test the changes. If by now you feel confident with run charts, you might like to try using the more sophisticated SPC charts to measure your progress. It would be good if you could share any improvement stories with colleagues on this website.

  • Personalised Care InstituteThe Personalised Care Institute is a virtual training hub for all health and care staff to access a wide-range of flexible and accredited elearning courses and gain the knowledge and confidence to provide Personalised Care to their patients.
  • Medical appraisalThis online guidance produced by NHS England give an overview of the medical appraisal process and includes information and resources to help medical appraisers carry out their roles effectively and consistently.
  • Greater Manchester Training HubThe Greater Manchester Training Hub is a collaboration of four local training hubs, providing support for general practice around workforce development and retention.
  • First Contact Physiotherapist job descriptionThis job description published by the Chartered Society of Physiotherapy will be helpful for Practice Managers who are looking to recruit a First Contact Physiotherapist.
  • A guide for GPs considering employing a practice pharmacistThis guide published by the Primary Care Pharmacists Association will be useufl for GPs and Practice Managers considering employing a practice pharmacist.
  • General Practice Nurse Education NetworkThe General Practice Nurse Education Network (GPNEN) is dedicated to excellence in General Practice Nursing and Education. The GPNEN website at https://gpnen.org.uk provides one-stop shop of resources to support continuing professional development.
  • 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.  
  • 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 ...
  • 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.
  • GP partnership review: final reportThis report details the findings of the GP partnership review led by Dr Nigel Watson and makes final recommendations to Government. The review has engaged with GPs and others with an interest to look for solutions to reinvigorate the partnership model and support the transformation of general practice.
  • 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.
  • 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.
  • Primary Care networksThis animation from NHS England shows how primary care networks of local health services can work together to treat populations of around 30-50,000.
  • 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.
  • NHS JobsNHS Jobs is a dedicated online recruitment service for the NHS. Every NHS organisation within England and Wales advertises their job opportunities with NHS Jobs.
  • The Coaching AcademyThe Coaching Academy developed by the Innovation Agency, the Academic Health Science Network (AHSN) for the North West Coast, offers online e-learning courses that are free to health and care colleagues to support innovation and improvement.
  • 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 ...
  • 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.
  • 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.
  • 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 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.
  • RCGP Quick guide: Communication strategyThis RCGP Quick guide introduces communication strategy an improvement tool that plans how to spread the news of your improvement project. It includes both who to inform, and how to do so.
  • RCGP Quick guide: CollaborativesThis RCGP Quick guide introduces quality improvement collaboratives, groups of people meeting together to learn from and motivate one another.
  • RCGP Quick guide: Statistical process control chartsThis RCGP Quick guide introduces Statistical process control charts, a tool for displaying performance data to check if performance is continuing to be as expected.
  • RCGP Quick guide: EvaluationThis RCGP Quick guide explains how presenting an evaluation of any quality improvement activity undertaken can help share its results.
  • RCGP Quick guide: NetworksThis RCGP Quick guide explains that building networks of people with a common purpose and enthusiasm for positive change is a way of harnessing the power of ‘emergent change’.
  • Evaluation toolsThese evaluation tools can be used to help you to evaluate your quality improvement work, learning what has gone well, what could be improved, and plan the next steps of your work.
  • The EdgeThe Edge is a free social platform committed to finding, sharing, curating and creating the boldest and most innovative new ideas in health and care.
  • 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
  • Six principles for engaging people and communities: Putting them into practiceThe six principles were developed by the People and Communities Board, in conjunction with the new models of care ‘vanguards’ sites, to give practical support to services as they deliver the ‘new relationship with people and communities;’ set out in NHS England's Five Year Forward View.
  • Strategic quality improvement: An action learning approachThis case study details the approach and philosophy behind work undertaken by the King’s Fund to work with Oxleas NHS Foundation Trust's Quality Board to facilitate an assessment of its existing approaches to quality improvement and to develop a strategy for future work.
  • Making time in general practiceThis briefing paper provides recommendations for reducing workload pressures on general practice including more coordinated working between GPs and hospitals, wider use of other primary care staff, better use of technology to streamline administrative burdens, and wider system changes.
  • 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.
  • 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.
  • Guide to quality improvement methodsThe guide brings together twelve quality improvement (QI) methods, providing an overview of each and practical advice on how and when to implement them, with illustrative case examples.
  • Evaluation: What to considerThis guide, by The Health Foundation, is intended to assist those new to evaluation by suggesting methodological and practical considerations and providing resources to support further learning.
  • Using communications approaches to spread improvementThis guide from The Health Foundation draws on this experience, and empirical evidence, to provide practical information about how communications approaches can be used to spread improvement ideas.
  • Understanding quality improvement at scale in general practice: A qualitative evaluation of a COPD improvement programmeA growing body of knowledge exists to guide efforts to improve the organisation and delivery of health care, most of which is based on work carried out in hospitals. It is uncertain how transferable this knowledge is to primary care.
  • 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 delivery of adult diabetes care through integrationThis report published by Diabetes UK explains how diabetes care can be improved to achieve better outcomes for people with diabetes. The challenge for commissioners and healthcare providers locally is to make the system work to support that.
  • Improvement collaboratives in healthcareThis evidence scan from The Health Foundation compiles research about whether quality improvement collaboratives are effective.
  • Skilled for improvement? Learning communities and the skills needed to improve care: an evaluative service developmentThis report tells the story of the Learning Communities Initiative, in which an experienced research team used an action approach, combining action research and action learning, to study four improvement projects across two sites, while working with participants to facilitate the flow of knowledge and learning.
  • Effective networks for improvementThis learning report published by the Health Foundation will help those who want to use networks as a mechanism for change, and guide improvement leaders to ensure their networks are designed and run in line with what works best.
  • A Handy Guide to FacilitationThis guide published by the NHS Institute for Innovation and Improvement outlines tools and techniques to help make group workshops or meetings as productive as possible.
  • 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.
  • 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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