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.

  • RCGP Quick guide: Plan-Do-Study-Act (PDSA) approach

    This 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.

  • RCGP Quick guide: Care bundles

    This 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 Flow

    This 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 Analysis

    This 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 Diagrams

    This 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 Matrix

    This 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 Charts

    This 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 charts

    This 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 improvement

    The 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.