QI Presentation September 2017 Nottinghamshire Healthcare NHS Foundation Trust

1. Luke Baumber
Head of Quality Improvement

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Trust Quality Strategy
CQC 5 quality domains
• Safe
• Effective
• Caring
• Responsive
• Well led

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 Efficiency
 Effectiveness
 Experience
 Safety
 Patient led
 Access
 Waits
 Discharge
 Cost
 Transformation

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1. What is your definition of ‘better’?
2. Better for whom?
3. What is your Value/Waste ratio?
4. How do you determine which areas of your
service require improvement?
Table discussion……

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 Bursting in…
 Tools and techniques alone
 Measurement
 Testing and scaling
 Doing it for you
 Leadership behaviours
 Changing the wheel at 100mph!

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 Lean
 Six Sigma
 Human Factors & Ergonomics
 Theory of Constraints
 Foundations of Improvement Science in
Healthcare (FISH)

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 Outcome measures
 Process measures
 Balancing measures

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 QI Framework
 QI Hub
 QI Training Programme
 Culture of continuous improvement

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 QI strategy
 Data
 Metrics
 Measurement
 Performance framework
 Ratings
 Dashboard
 Balanced Scorecard

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 QI team
 Information Hub
 Connect
 QI twitter
 Communication strategy
 Engagement
 Involvement

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 Standardised methodology
 Diagnosis and redesign
 Visual management
 Value stream mapping
 7 Wastes
 Stability, pull, flow
 Automation
 Error proofing (pokayoke)
 Kaizen/ RIW

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 Trust People and Culture Strategy
 ‘Developing People – Improving Care. A
national framework for action on improvement
and leadership development in NHS-funded
services (NHSI, Dec 2016)

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 Strategic partnership
 Programme and project management
 Business scheduling
 ‘Change agents’
 The ‘hard sell’
 Engage, build, support and embed

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 Review our need
 Strategic partner options appraisal
 QI for the local population (STP)
 Learning from other Trusts/partnerships
 QI networks

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 Board mandate
 Leadership behaviours
 Benefits realisation
 Managed by stages
 Quality
 Risk
 Tolerances
 Testing
 Scale

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 Recruitment
 Training
 Empowering
 Skill mix

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 Belief
 Enthusiasm
 Modelling
 Rolling with resistance
 Rolling with resilience
 Promotion and publicity

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Engage with patients, carers, staff, stakeholders
Build improvement capability
Support teams to deliver Quality Improvement
Embed the QI methodology

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 5.Top 5 QI leadership behaviours?
 6. What are the QI priorities in your team(s)?
 7. What are your QI next steps?
Table discussion….

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 Gemba
 Meet improvement colleagues
 Understand current improvement work
 Strategic partner options appraisal
 Quality Improvement Strategy
 Whole service improvement programme
 Thematic quality priorities

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