Quality Improvement

Havering Quality Improvement Collaborative

This programme is commissioned by BHR CCGs, from UCLPartners, and the aim of the programme is to invest in quality improvement to reduce variation in performance and meet current pressures while also upskilling staff in quality improvement. The collaborative will enable staff to run their own projects, creating a sustainable consistently developing workforce. UCLPartners is supporting the Central Havering locality to build this capability through a structured learning and sharing system for quality improvement called a collaborative.

Metrics that have been chosen by the networks to be the initial focus of the QI collaborative in support of improved treatment of diabetes, are as follows:

Aims	Metrics	Local Q. I. Leads
North Network: by 31 March 2018, to improve QOF scores for these 3 metrics by 5% of baseline data from end March 2017.	HP <140/80 Cholesterol <5mmol/l Hba1C <58mmol/l	Dr Amar Kaw Jenny Turvey
Central Network: by 31 March 2018, to improve QOF scores for these 3 metrics by 5% of baseline data from end March 2017.	Hba1C <58mmol/l, BP <140/80, Cholesterol <5mmol/l	Dr Suparna Chakrabarti Dr Bunmi Olajide
South Network: by 31 March 2018, to improve QOF scores for these 3 metrics by 3% of baseline from end March 2017, and to record BMI for 85% of diabetic patients in the practice.	HP <140/80 Hba1C <58mmol/l BMI recorded for 85% of diabetic patients	Dr Jothi Subramanian Jackie Brown

Local QI leads

The local QI leads are the ‘face’ of the collaborative on the ground and will be a visible and accessible resource for Central Havering practices involved in the collaborative, visiting the participating practices to provide support, attending meetings, and linking to the CCG and UCLP as required. The local leads will be trained in QI methodologies and tools and will work with the experienced QI experts (i.e. the UCLP GP QI lead) on the delivery of the collaborative and ensure that the participating practices share data and learning.

UCLPartners GP QI lead: Dr Chris Carvalho

The UCLP GP QI lead is responsible for the delivery of the collaborative across the locality, and supports the development and management of the local QI leads. The UCLP lead is a visible and accessible resource for participating practices delivering the learning sessions and other support with support from local QI leads.

QI Learning Sessions

Each network will have 6 learning sessions of 90 minutes, where the UCLP GP QI lead and the local QI leads will support practices to build up their skills and confidence to apply QI methods to practice projects. Each practice in a network can send a GP and a Practice Manager (or Practice Nurse) to the session. Backfill costs are covered by the CCG.

Calendar of Q. I. sessions and events

Learning and Sharing Sessions	Aim of session:	Venue:
LS1: Thur. 11 May 2017 13.00-14.30	Introduction and background to Quality Improvement (QI) science; Assess own practice performance against standards; Create an aim statement for improvement	MyPlace
Action Period	Practices implement teachings in their own practice. This will be supported by UCLP QI lead and local QI leads, as needed.
LS2: Thur. 22 June 13.00-14.30	Understand the drivers that will help to achieve our aim Undertake process mapping – individual practices to map own processes Use change concepts and critical thinking tools to generate ideas for changes to test	MyPlace
Action Period	Practices implement teachings in their own practice. This will be supported by UCLP QI lead and local QI leads, as needed.
LS3: Tue. 1 August 13.00-14.30	Evaluate change ideas and decide which ideas to test Be introduced to Plan-Do-Study-Act (PDSA) Test changes on a small scale using the PDSA cycle and plan data collection	MyPlace
Action Period	Practices implement teachings in their own practice. This will be supported by UCLP QI lead and local QI leads, as needed.
LS4: Thur. 14 September 13.00-14.30	Present data and experiences – what went well, what were barriers Plan for test phase 2: Adopt, adapt or discard – PDSA	MyPlace
Action Period	Practices implement teachings in their own practice. This will be supported by UCLP QI lead and local QI leads, as needed.
LS5: Thur. 26 October 13.00-14.30	Present data and experiences – what went well, what were barriers Plan for test phase 3: Adopt, adapt or discard – PDSA	MyPlace
Action Period	As above
LS6: Thur. 14 December 13.00-14.30	Recap and final thoughts on how projects have progressed.	MyPlace

Central Network

Learning and Sharing Sessions	Aim of session:	Venue:
LS1: Thur. 25 May 2017 13.30-15.00	Introduction and background to Quality Improvement (QI) science Assess own practice performance against standards Create an aim statement for improvement	Imperial Offices
Action Period	Practices implement teachings in their own practice. This will be supported by UCLP QI lead and local QI leads, as needed.
LS2: Tue. 27 June 13.00-15.00	Understand the drivers that will help to achieve our aim Undertake process mapping – individual practices to map own processes Use change concepts and critical thinking tools to generate ideas for changes to test	Imperial Offices
Action Period	Practices implement teachings in their own practice. This will be supported by UCLP QI lead and local QI leads, as needed.
LS3: Thur. 10 August 13.00-15.00	Evaluate change ideas and decide which ideas to test Be introduced to Plan-Do-Study-Act (PDSA) Test changes on a small scale using the PDSA cycle and plan data collection	Rush Green Medical Centre
Action Period	Practices implement teachings in their own practice. This will be supported by UCLP QI lead and local QI leads, as needed.
LS4: Thur. 21 September 13.00-15.00	Present data and experiences – what went well, what were barriers Plan for test phase 2: Adopt, adapt or discard – PDSA	Rush Green Medical Centre
Action Period	Practices implement teachings in their own practice. This will be supported by UCLP QI lead and local QI leads, as needed.
LS5: Tue. 7 November 13.00-15.00	Present data and experiences – what went well, what were barriers Plan for test phase 3: Adopt, adapt or discard – PDSA	Rush Green Medical Centre
Action Period	As above
LS6: Tue. 12 December 13.00-15.00	Recap and final thoughts on how projects have progressed.	Rush Green Medical Centre

Learning and Sharing Sessions	Aim of session:	Venue:
LS1: Thur. 18 May 2017 13.30-15.30	Introduction and background to Quality Improvement (QI) science; Assess own practice performance against standards; Create an aim statement for improvement	Imperial Offices
Action Period	Practices implement teachings in their own practice. This will be supported by UCLP QI lead and local QI leads, as needed.
LS2: Thur. 29 June 13.30-15.30	Understand the drivers that will help to achieve our aim Undertake process mapping – individual practices to map own processes Use change concepts and critical thinking tools to generate ideas for changes to test	Imperial Offices
Action Period	Practices implement teachings in their own practice. This will be supported by UCLP QI lead and local QI leads, as needed.
LS3: Tue. 8 August 13.30-15.30	Evaluate change ideas and decide which ideas to test Be introduced to Plan-Do-Study-Act (PDSA) Test changes on a small scale using the PDSA cycle and plan data collection	Imperial Offices
Action Period	Practices implement teachings in their own practice. This will be supported by UCLP QI lead and local QI leads, as needed.
LS4: Thur. 19 September 13.30-15.30	Present data and experiences – what went well, what were barriers Plan for test phase 2: Adopt, adapt or discard – PDSA	Imperial Offices
Action Period	Practices implement teachings in their own practice. This will be supported by UCLP QI lead and local QI leads, as needed.
LS5: Thur. 31 October 13.30-15.30	Present data and experiences – what went well, what were barriers Plan for test phase 3: Adopt, adapt or discard – PDSA	Imperial Offices
Action Period	As above
LS6: Thur. 19 December 13.30-15.30	Recap and final thoughts on how projects have progressed.	Imperial Offices

South Network

*Please note that learning sets are comprised of QI teaching as well as learning and sharing from each other. They can be modified based on the requirement of local practices. Practices are expected to work on their local QI projects in-between learning sets and seek support where needed.

The Quality Improvement Collaborative Programme will culminate with a half-day summit which will be a showcasing and celebration event, where participating practices from across all of Havering will come together to share their QI experiences and learning – date and venue tbc.