Quality & Safety Improvement - learning from the Hand Hygiene Improvement Programme

Karen Doherty & Hari Grewal, Improvement Leads at Imperial College Healthare NHS Trust

The Hand Hygiene Improvement Programme is a collaborative, stakeholder-led quality improvement initiative across five hospitals that brings together staff on the wards, patients, QI leads and infection control experts to raise hand hygiene awareness and practice, to significantly improve hand hygiene compliance scores, and to share and spread learning across all wards to support safe and effective care for our patients. At this workshop we give an overview of the Hand Hygiene Improvement programme, the journey we took, our learning and successes, how we have expanded this work to incorporate PPE and sustained its impact.


Simulation to support systems safety

Emma Broughton (Operational Lead for Simulation) & Pratheeban Nambyiah (Lead for Simulation Development), GOSH Learning Academy @ Great Ormand Street Hospital for Children

This workshop will explore the use of simulation to support systems safety. We will share some practical tips on how to set up and deliver an effective a systems safety simulation, based on our experience of facilitating these exercises during the pandemic.  
By taking part in this workshop, candidates will be able to: 

  • Identify the applications of simulation to support quality improvement exercises 

  • Gain an overview of how to design and deliver a systems safety focused simulation 

  • Troubleshoot some of the common issues that can arise when delivering process focused simulation 


Introduction to Liberating structures

Sophia Mody, Continuous Quality Improvement Manager at Hertfordshire Partnership University NHS Foundation Trust and keen user of Liberating Structures

When you feel included and engaged, do you do a better job? Do you think teams in which people work well together produce much better results? Have you noticed the best ideas often come from unexpected sources?  If YES, Liberating Structures (LS) help make it happen. During the workshop you'll get first-hand experience of 1-2 liberating structures and reflect on how to use them. LS are simple social technologies and tiny methods that disrupt conventional patterns in how we work together. LS introduce tiny shifts in the way we meet, plan, decide and relate to one another. They put the innovative power once reserved for experts only in hands of everyone.


Quality Improvement in Complex Systems

Fiona Scriven, Midwife and the Quality Lead for the Women and Children's Health division; Dr. Ben Ballisat, Consultant Anaesthetist with an interest in Healthcare Leadership, North Bristol NHS Trust


Financial Health

Timi Merriman-Johnson

What is an emergency fund and why is it important to have one? Where's the best place to save money? In this workshop Timi Merriman-Johnson will be teaching participants the basics of money management and financial health. We'll be looking at how to build an emergency fund, practical ways to reduce expenses and pay down debt, key considerations for when creating a budget and how to approach saving for your long term goals.


Using Evidence for Quality Improvement

Andrea Gibbons, lead of Evidence4QI, a 2019 Q Exchange Winning Project and Improvement Evidence Lead at Somerset NHS FT

This workshop will share practical tips to help you use evidence for quality improvement (QI) so that you don’t reinvent the wheel. It will draw on the experience from Somerset NHS FT where all QI projects are underpinned by evidence as part of a ‘blended’ QI methodology.


Partnership approach to embedding a culture of QI at an STP/ICS level (while developing local assets to run regional transformation programmes)

Preeti Sud, Head of Strategy Unit for MSE FT. She is leading on the QI leadership programme for mid and south Essex health and care partnership.

Mid and South Essex Health and Care Partnership caters to a population of 1.2million. It is made up of 17 organisations and 179 GP practices. Using local assets (organisations from within MSE), the partnership is using QI and leadership skill development as an approach to developing local system leaders. The session will talk about:

  • the overall QI approach for local and STP QI delivery,

  • plans about resource sharing and alignment across organisations in the partnership and

  • using local staff/assets to deliver MSE wide/system projects using an experiential learning method


‘Winning the prize’ – developing a successful project plan and securing support for you proposal

Professor Nigel Harris, Director of Innovation and Growth at the West of England Academic Health Science Network

West of England Academic Health Science Network’s Director of Innovation and Growth will be delivering a 40 minute workshop on tips to success with projects; pitfalls to avoid, how to garner support and enthusiasm, and how to make sure your projects are important to more than just you! Come along and learn how to ‘Win the prize’.


Introduction to Medical Education

Professor Anderson, Academic Lead for Foundations in Medical Education, Centre for Health Science Education at University of Bristol; Michael Okocha, Severn Surgical Registrar and associate tutor.

We will discuss some of the theory around medical education, how to start developing your own practice of post-graduate education and give you a few tools to practice. This workshop should be seen as a precursor to the University of Bristol Teaching and Learning for Health Professionals (TLHP) course.


Fall in love with the problem, not the solution

Vardeep Deogan, Kate Phillip, Lorraine Motuel, Shomais Amedick, a team of colleagues from North Bristol NHS Foundation Trust and West of England Academic Health Science Network

Join us to understand why we should all be falling in love with our problems and not the solutions, we’ll show you three activities for how to do this. You’ll gain hands-on interactive experience with the Liberating Structure TRIZ and the Quality Improvement tools Process Mapping and 9 Whys. You will be shown how to run these activities online with your teams to ensure you start your improvement work with the best approach, ensuring the best outcomes. Your facilitators will be leaders in Quality Improvement from both North Bristol Trust and the West of England AHSN.


15s30m Reducing Frustration, Increasing Joy in Work

Rachel Pilling, co-founder of 15s30m, and a consultant paediatric ophthalmologist Bradford Teaching Hospitals NHS Foundation Trust

What if instead of driving to work dreading how you will survive the day, you look forward to how much good you could do for patients & colleagues?  15 seconds, 30 minutes (15s30m for short) is a social movement encouraging staff to identify small tasks they can do now, which will save someone else 30 minutes (or more!) to reduce frustration and increase joy in work. We call these tasks missions and know that everyone, from Porter to Chief Executive, has an idea that they could get started with tomorrow. Front line staff have the hardest job but have the most ability to change the way work feels. Don’t believe us?  come along to this virtual 15s30m Workshop and release the change idea you have inside.


A fun interactive workshop on Model of Improvement and PDSA

Dr Aklak Choudhury is a Consultant Respiratory Physician at UHDB and Assistant Clinical Professor in Medical Education at University of Nottingham. Mr Thomas Rollinson is the Improvement Director at EMAS.

Full audience participation a must! We will demonstrate to you what it really means to do Plan-Do-Study-Act (PDSA) through an interactive virtual game. The objectives of the workshop are: i) List the components of a good aim statement ii) Describe a clinical example of an aim statement iii) Demonstrate the steps of PDSA  iv) Apply PDSA to virtual Mr Potato head game v) Collect measurement in PDSA vi) Identify real-life clinical examples of PDSA vii) Test self-evaluation of new knowledge.


An Introduction to Sustainability in Quality Improvement

Carlos Siganporia is a foundation doctor and a fellow in Sustainability within the Severn deanery. Rosie Spooner is a Paediatric Registrar and Quality Improvement Education Fellow at The Centre for Sustainable Healthcare

The impact of Climate Change on human health presents the “biggest public health threat of the century” yet many doctors feel unequipped to tackle this within healthcare. Whilst contribution to quality improvement is mandatory for progression through the UK Foundation Programme, sustainability is not yet a central theme. The SusQI framework gives a method to deliver sustainable healthcare and create meaningful change and this workshop will give an introduction on how to deliver sustainable healthcare and take ownership of a process to deliver change.


Telehealth in Children’s Services

Annabelle Burns manages the children’s community speech and language therapy service in Hackney, East London and supports quality improvement initiatives across children’s services in the borough.

The closure of schools due to COVID-19 and the reduction in outpatient appointments made access to children’s services an immediate challenge. It was clear that without adequate ongoing support children and their families would suffer long-lasting impacts. The setting up of a tele health service was an obvious solution but it required creativity, a solution-focussed attitude, and a lot of hard work. A quality improvement informed approach has enabled us to adapt and change our service, with patient feedback and staff reflections informing developments. The resulting tele health offer is efficient, effective, and well received by children and their families.


‘How are you doing?’ A well-being strategy in the time of Covid-19

Tracey Van Wyk is head of continuous improvement at East and North Hertfordshire NHS Trust.

When news of the Covid-19 pandemic hit the news in February, we recognised that the impact on staff well-being was likely to be significant. A few staff from quality improvement, organisational development and psychology formed a social movement called ‘How are you doing?’. The aim was to enable and encourage staff make their own well-being, and that of their team-mates a high priority. Through a series of interventions we attempted to promote people asking 5 simple questions of each other to encourage empathic and compassionate conversations, providing information of resources for maintaining well-being and being a source of support for teams through providing debriefs, wobble rooms, a well-being hub, a rest, relax and revive area and coaching as individuals and team required them. We used quantitative and qualitative measures to try and understand the impact of these interventions and made recommendations following the suspension of the team on how the system could be adapted to support ongoing focus on well-being across the integrated care system


How Human Factors can enhance your QI process

Mr. James Coulston is a Vascular Surgeon and Clinical Director of Human Factors and Patient Safety at Somerset Foundation Trust and Clinical Advisor to the SW AHSN

This short workshop will look into how some basic principles of human factors design can help with your QI project. We will explore how some HF methodologies can save you some valuable time and energy by focusing on user-centred design and increasing your likelihood of successful interventions.


Workshops Presenters

North Bristol QI Team


Lorraine Motuel

Quality & Safety Improvement Lead


Vardeep Deogan

Quality Improvement Practitioner

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Jude Clipsom

QI Practitioner