Nhs iq prospectus

NHS
Improving Quality
prospectus
2014/15 Information about tools, networks, programmes,
training and publications to help improve the quality
of services across health and social care

WELCOME
A digital welcome by Steve Fairman,
Interim Managing Director,
NHS Improving Quality
prospectus
2014
3

ACKNOWLEDGEMENTS
prospectus
Thank you to everyone who contributed information to the
prospectus, and also to our team of external reviewers for
their valuable suggestions:
• Hazel Foster, Organisational Development Manager,
Central Manchester University Hospitals NHS
Foundation Trust
• Liz Howarth, Director, How Consulting
• Mary Marsden, Transfusion Practitioner Nurse
Specialist, Central Manchester University Hospitals
NHS Foundation Trust
• Rebecca Mallinder, Risk Manager, Yorkshire
Ambulance Service
Thanks also go to Richard Barker, NHS England sponsor
for the Prospectus.
2014/15
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HOW TO USE THIS
PROSPECTUS
prospectus
This is the first version of the NHS IQ prospectus;
it is an evolving document which will be
updated periodically.
The information is organised to align with the NHS
Change Model. The Model has been created to
support the NHS to adopt a consistent approach to
leading change and transformation. The contents
page identifies the resources against the
corresponding dimension of the Change Model they
relate to. The index also signposts links to specific
areas or topics which may be of interest to you.
If you would like to help us improve and develop the
prospectus, please get in touch with the team at
prospectus@nhsiq.nhs.uk. We are keen to find out
what else users would like us to include in the
document. You can download a template here to
contribute information to the prospectus.
This prospectus includes documents produced by
some of the national improvement organisations that
preceded NHS Improving Quality. They have been
made available as we consider that the content
remains relevant and useful. However, they have not
been updated and are included in their original
format, so please be aware that web links, contact
details and references may no longer be active or
correct.
2014/15
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KEY TO ICONS
ACCESSIBILITY
Open access/apply
online/nomination
APPROACH TO LEARNING
Self-learning /online/
group/residential
COSTS
Free/funding available/cost
DURATION OF LEARNING
Fixed time commitment/
use anytime
FORMAT
Toolkit/report/training
course/programme/
website.
£
T

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SHARED PURPOSE LEADERSHIP FOR CHANGE
Delivering Care
•Integrated Care and Support Pioneers
Programme
•Experience of Care Online Hub
•Mental Health & Dementia Programme
End of life Care
•End of Life Care Programme
•End of Life Care Facilitators & Social Care
Champions Network
Seven Day Services
•NHS Seven Day Service Improvement Programme
•NHS Seven Day Service Improvement
Programme: Diagnostic services
Programme: Self-Assessment Tool (7DSAT)
Programme: Safe delivery of major breast surgery
Programme: Urgent and emergency care
•Enhanced Recovery Care Pathways
•Recovery, Rehabilitation and Reablement
Safer Care
•Patient Safety Collaboratives
•Stop the Pressure Campaign
•Winterbourne Medicines Programme
Living Longer Lives
•Living Longer Lives: NHS Health Check
Programme (general population and offender
health)
•Living Longer Lives: Improving the cardiovascular
health of people with serious mental illness
•NHS Change Day
•The Edge: Empowering people to create
transformational change
•The School for Health and Care Radicals
•Leading Transformational Change
•Quality, Service Improvement and
Redesign Programme (QSIR)
•Transformation Essentials (TE)
CONTENTS
SPREAD OF INNOVATION
•NHS IQ Learning Handbook
•Transforming Care
•The Prime Minister’s Challenge Fund
•Innovation Compass
•Innovation Exchange
•Strengthening Leadership &
Accountability for Innovation
•White Paper: A new era of thinking and
practice in change and transformation
IMPROVEMENT METHODOLOGY
•Improvement Digest: Integrating physical
and mental health commissioning for
cardiovascular disease
•Improvement Science Alert
•NHS IQ Intelligence Handbook
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TRANSPARENT MEASUREMENT
•Better Care, Better Value
•Better Outcomes, Better Value: Integrating physical
and mental health into clinical practice and
commissioning
•GRASP Audit Tools to review the management
of atrial fibrillation, heart failure, and COPD
•Measurement Masterclass
ENGAGEMENT TO MOBILISE
•Clinical ‘Buddying’ Scheme
•Network Leaders Programme
•Network Leaders Toolkit
Useful courses,
59 publications and websites
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Academic courses
NHS Leadership Academy courses
Information databases
Publications
Useful links
Improvement support resources
available outside NHS IQ
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Integrated Care and Support Pioneers Programme
£ FREE
ONLINE T PROGRAMME USE ANY TIME
prospectus
2014/15
14 local areas have been selected to become integrated
care ‘pioneers’. These sites will act as exemplars,
demonstrating the use of ambitious and innovative
approaches to efficiently deliver integrated care and
support. A range of organisations are offering tailored
support to the pioneers, who in turn will be at the
forefront of sharing and promoting what they have learned
for wider adoption across the country.
The programme also offers virtual learning and support to
all areas working to improve integrated care. This includes
online seminars, ‘hackathons’ (intensive online
collaboration events) and Twitter forums on a variety of
topics. An information sharing website, the Integrated Care
and Support Exchange (ICASE) is a central point for
accessing and sharing information, resources, links and
learning about integration.
RELEVANT TO
People working in the
health, care and support
sectors.
WHAT DOES IT OFFER?
The aim of the programme
is to help local areas
integrate services, so that
individuals and families
experience consistent, high
quality, personalised and
non-fragmented care and
support to meet their needs.
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FORMAT
ACCESS
The materials are free and can be accessed at any time.
Please contact the programme to register to receive updates
and the monthly newsletter - enquiries@icase.org.uk
Join the learning community at www.icase.org.uk and take
part in the Twitter conversation using #integrationpioneers
ADDITIONAL INFORMATION/RESOURCES
• Twitter: @Careto_share
• Pinterest page: CLICK HERE
CONTACT
enquiries@icase.org.uk

Experience of Care Online Hub
£ FREE ONLINE T PROGRAMME USE ANY TIME
RELEVANT TO
All staff, at all levels, within
the health and social care
sector wishing to improve
the experience of care for
their services. This includes
both providers and
commissioners of
services.
WHAT DOES IT OFFER?
The hub is an online national resource comprising
Experience of Care good practice tools, approaches,
guidance and case studies. Health and social care staff are
able to access a range of resources and can share and
promote examples of good practice in one place to drive
patient-centred service improvement.
In addition to general Experience of Care resources, which
can be applied to any service, resources are also available
for current programmes of work based on key priorities
including:
• Commitment to Carers: In collaboration with NHS
England to ensure patients and their carers are better
involved and empowered to manage and make decisions
about their own care and treatment
• Cancer Patient Experience Survey: In collaboration with
Macmillan and NHS England to support continual
improvement in positive experiences of care by
furthering insight into factors positively associated with
sustained and responsive service improvement
• Participation Academy: An online resource which will
connect local participation and patient leader
development, create networking opportunities and
build on what’s working well.
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FORMAT
The hub is a web-based portal where users are able to access
and download a range of electronic materials including
tools, guidance, case studies and videos. Any resource
considered helpful by both providers and commissioners
across health and social care can be included.
The hub will evolve constantly and in addition to
showcasing new and emerging resources, over time will
include an interactive discussion forum for online
communities to share good practice and learn from peers;
interactive maps to see where good practice is happening
locally; user rated and reviewed tools and resources to help
when implementing new practice.
ACCESS
Experience of Care information can be accessed HERE. It’s a
completely free resource which is accessible to all at any
time. #experience of care
CONTACT
mel.pick@nhsiq.nhs.uk or
experienceofcare@nhsiq.nhs.uk
The website is constantly updated with new and emerging
resources. Please do let us know if there is any resource users
would find helpful to be included on the website.

Mental Health and Dementia Programme
£ FREE
ONLINE T PROGRAMME USE ANY TIME
Information and resources are available across a number of
websites and links:
• Dementia web pages
• New tool to improve physical health of people with
serious mental illness
• Working across boundaries to support seven day services
in mental health care
• Pinterest
• Mental Health Partnerships
• Dementia Awareness Week: Twitter #nhsiq and #nhsiqeolc
• Valuing mental and physical health equally
• Case studies
• Slideshare
RELEVANT TO
Organisations across all
sectors including community
services, hospital trusts,
health and social care staff.
WHAT DOES IT OFFER?
This programme aims to:
• provide access to a wide
range of resources to
support improvements to
health for people living
with mental illness and
dementia
• support the promotion of
valuing mental health
equally with physical
health
• contribute to supporting
care for people
experiencing a crisis in
mental health.
FORMAT
ACCESS
The resources are free and can be accessed at any time.
• NHS England
CONTACT
sheryl.cox@nhsiq.nhs.uk
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End of Life Care Programme
RELEVANT TO
Organisations across all
sectors including community
services, hospital trusts,
health and social care staff.
WHAT DOES IT OFFER?
The programme aims to help organisations/communities
deliver excellent end of life care by providing access to a
wide range of resources that support good practice. We
offer opportunities for organisations/communities to share
learning and improve the way they deliver care. This will
help teams to deliver consistently the care they wish to
receive and ensure patients and those close to them have
the best experience possible.
To support this, the programme focuses priorities for care
and improvements in the following key areas:
• Person centred care - understanding the individual's
needs and supporting advance care planning
• Community engagement - in partnership to support the
aims and outcomes of the Dying Matters coalition
• Coordination of care through Electronic Palliative Care
Coordination Systems (EPaCCS) and/or other mechanisms
• Acute hospital care
• Care in the last days of life
• Facilitators and champions network.
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FORMAT
The programme takes a collaborative approach across the
health, social care and third party organisations. It works
through local and national networks and provides support
through a range of mechanisms:
• Monthly newsletter/e-alert sent to all members
• Website
• Pinterest
• Twitter: #nhsiqeolcare
• Provision and delivery of national events, e.g. Route to
Success: Transforming End of Life Care in Acute Hospitals
(24th March 2014). Slides are available here (password:
eolc)
• Regional events supported by local organisations
• Case studies
• Slideshare.
ACCESS
The resources are free and can be accessed at any time.
CONTACT
• The National Council for Palliative Care (NCPC)
• NHS England
• Public Health England and the National End of Life Care
Intelligence Network
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End of Life Care Facilitators & Social Care Champions Network
£ FREE
ONLINE T SELF LEARNING USE ANY TIME
The network has a website which includes:
• an interactive discussion forum tool where there are
opportunities to share innovation
• news and events updated monthly
• a members map, which is accessible to the members to
locate fellow health and social care in their area
• NHS IQ monthly bulletins.
The network also provides and delivers events. Slides from
the ‘Sharing and Learning Together to Deliver High Quality
End of Life Care for All (held 24 June 2014) are on Pinterest.
RELEVANT TO
All health and social care
workers across all care
settings who have an
interest in end of life care,
including clinicians,
commissioners, managers,
health and social care
workers, health and social
care providers.
WHAT DOES IT OFFER?
The aim is to develop a
directory of facilitators and
champions who are
committed to supporting
individuals, teams and
organisations to ensure
excellent practice in end of
life care in all settings and
to ensure that people
receive person centred,
compassionate care and are
able to make informed
choices about their end of
life care needs. The network
will promote integrated
approaches to end of life
care across the health and
social care sectors, crossing
boundaries and enabling a
shared purpose.
FORMAT
ACCESS
The network is hosted by the Centre of End of Life Studies,
The University of Hull and supported by NHS IQ:
http://www2.hull.ac.uk/fass/eolc.aspx
The network is free to join, terms and conditions include
agreeing to share contact details for networking
opportunities. http://www2.hull.ac.uk/fass/eolc/
become%20a%20member.aspx
• NHS IQ website
• The University of Hull website
• Supporting People to Live and Die Well publication
• Sharing successful strategies for implementing
‘Supporting people to live and die well’
• End of Life Care Quality Assessment Tool (ELCQuA)
CONTACT
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NHS Seven Day Service Improvement Programme
£ FREE ONLINE T SELF LEARNING USE ANY TIME
The programme encompasses:
• A dedicated service improvement resource
• A seven day self-assessment baseline resource, available
across the NHS, which takes a pathway approach and
includes the national clinical standards for seven day services
• Dedicated seven day services website
• Virtual workshop programme for sharing the learning and
testing out ideas, drawing on the learning from the early
adopter communities and wider sites
• Range of learning resources to support sharing and spread
of improvement, including case studies, films, publications,
presentations from events, etc.
• Thought leadership pieces relating to seven day services,
including blogs (internal and signposting to external
relevant blogs)
• Active local and national communication campaigns, use
of social media
• Partnership working with communities, and key
stakeholders, co-production of information
• Signposting to other key delivery partners and their
resources and materials from them
• Building the evidence base, working in partnership with
HISLac research into seven day services
• Alignment with local priorities and delivery plans
• Alignment with other NHS IQ Programmes: Safety
Collaboratives, Integrated Care Pioneer Support Programme
and improvement programmes and work within the acute
care team – including Recovery, Rehabilitation and Reablement,
Enhanced Recovery and Diagnostics.
RELEVANT TO
Health and social care
communities, patients,
public, professional
organisations,
commissioners, providers,
third sector, local
government.
WHAT DOES IT OFFER?
The delivery of seven day
services across England is a
priority for NHS England.
NHS IQ is supporting this
priority through a three
to five year service
improvement programme
aimed at ensuring equity
in care for patients
regardless of the day of
the week, through testing
new ideas and supporting
the spread of new models,
working with early
adopter communities and
sharing the learning across
the NHS to support
change at scale and pace.
“The unstoppable
movement” is Prof Sir
Bruce Keogh’s number
one priority.
FORMAT
ACCESS
• A wide range of freely available resources and signposting
is available via the dedicated seven day services website
• The programme also has an active social media presence
around seven day services: #7dayservices
• Users can access the free seven day services self assessment
baseline toolkit at: www.7daysat.nhs.uk
• A dedicated Yammer page will be set up for early adopter
sites to support the communities of practice which are
being developed.
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2014/15
CONTACT
ann.driver@nhsiq.nhs.uk
• NHS England
• High Intensity Specialist Led Acute Care (HiSLAC) project -
aims to examine the impact of consultants and associate
specialists on reducing the mortality associated with
weekend admission to hospital, as part of the evaluation
of seven-day services:
• NHS Employers
• Care Quality Commission
• Academy of Medical Royal Colleges
• NATCANSAT
Relevant publications:
• NHS Improving Quality (2013) NHS Services Seven Days a
Week, Every Day Counts
• NHS Improvement (2012) Equality for All: Delivering safe
care - seven days a week
• NHS Improving Quality (2014) Improving Adult
Rehabilitation Services in England, sharing best practice in
acute and community care
• NHS Improving Quality (2013) Enhanced Recovery, A better
journey for patients seven days a week and a better deal
for the NHS
• NHS England (2013) NHS Services Seven Days a Week,
Forum summary report
Clinical Standards
• Royal College of Physicians (2012) Delivering a 12-hour,
7-day consultant presence on the acute medical unit
• Academy of Medical Royal Colleges (2012) Seven Day
Consultant Present Care
Consultant Present Care, Implementation considerations
• NHS England (2013) The evidence base from the urgent and
emergency care review
• Royal College of Physicians Future Hospital Commission
• NHS England (2013) NHS Services, Seven Days a Week
Forum: Evidence base and clinical standards for the care
and onward transfer of acute inpatients
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NHS Seven Day Service Improvement
Programme: Diagnostic services
The SDSIP provides advice and expertise to commissioners,
managers and clinicians to implement and sustain diagnostic
services seven days a week, using a quality improvement
approach. The programme can provide practical support, as
well as signposting to areas of best practice and practical
examples of how to implement seven day services in
diagnostics.
The diagnostic website provides resources including
publications, evidence based guidelines and practical case
studies and literature on how to meet the challenge of
delivering diagnostic services seven days a week to meet the
demand. Resources include:
Self-assessment tool to assess gaps in seven day service
provision: www.nhsiq.nhs.uk/improvement-programmes/
acute-care/seven-day-services/seven-day-service-self-assessment-
tool.aspx
Practical case studies of how to implement seven day services:
• Radiology
• Interventional radiology
• Endoscopy
• Other diagnostics
RELEVANT TO
Commissioners, managers,
clinicians, acute and primary
care providers.
WHAT DOES IT OFFER?
As part of the Seven Day
Service Improvement
Programme (SDIP), NHS IQ
is working with NHS
England to provide advice,
expertise and support to
commissioners and all
health care settings to
ensure timely access to
diagnostic and reporting
services seven days a
week. Diagnostics are
fundamental to the
delivery of seven day
services.
Since the publication
of ‘Challenges and
improvements in
diagnostic services across
seven days’ (NHS IQ, 2014)
the SDIP programme are
supporting commissioners
and health care
organisations to adopt
seven day services in a
range of diagnostics.
FORMAT
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The programme provides a range of resources, publications,
practical case studies and expertise particularly in relation to
how to baseline diagnostic services using the seven day service
self-assessment tool. It also covers how to implement 24/7
interventional radiology by provider or network approach,
provision of seven day onsite MRI, CT and ultrasound, and
seven day provision of endoscopy, pathology and cardiac
physiology services to meet clinical demand. Resources such as
the ‘Productive Endoscopy Unit’ adopt a modular approach to
making better use of existing materials to enable delivery of
more efficient and effective service to patients seven days a
week.

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ACCESS
NHS IQ provides access to publications, literature, practical
case studies and ‘practical hands on experience’ on how to
deliver diagnostics services seven days a week to meet
demand. This material is free and available here.
CONTACT
sue.cottle@nhsiq.nhs.uk
• NHS England
• Professor Erika Denton, National Clinical Director,
Diagnostics, NHS England
• Professor Sue Hill, Chief Scientific Officer, NHS England
• NHS Improving Quality (2014) Challenges and
improvements in diagnostic services across seven days
• Productive endoscopy unit
• NHS Improving Quality (2014) Providing access to
interventional radiology services, seven days a week
• NHS Improving Quality (2014) Providing out of hours
provision of services for patients with upper
gastrointestinal bleeds
• NHS Improvement (2012) Towards best practice in
interventional radiology
• Department of Health (2011) Implementing
seven day working in radiology
departments
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Programme: Self-Assessment Tool (7DSAT)
An online tool hosted at www.7daysat.nhs.uk. This contains
links to relevant documentation, for example the national
seven day services clinical standards, and links to various seven
day services websites. Outputs reports and dashboard
information are in development.
RELEVANT TO
communities, commissioners,
providers, clinical specialties,
primary and secondary care.
WHAT DOES IT OFFER?
The delivery of seven day
services across England is a
priority for NHS England.
NHS IQ is supporting this
priority through a three
to five year service
improvement programme
aimed at ensuring equity
in care for patients,
regardless of the day of
the week, through testing
new ideas and supporting
the spread of new models,
working with early
adopter communities and
sharing the learning across
the NHS to support
FORMAT
ACCESS
Access to the toolkit is free, and requires a simple
registration process. User guides and a helpdesk contact are
provided on the webpage. Each user organisation/site has
one data approver and one (or more) data submitters. Use
of the 7DSAT is not mandatory.
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As part of this programme, NHS IQ staff have worked with
NATCANSAT (National Clinical Analysis and Specialised
Applications Team) to design and produce an online toolkit,
allowing users to baseline their current service provision and
to use the tool to measure local progress towards delivering
seven day services and meeting the 10 national seven day
services clinical standards, updated on a quarterly basis. This
will support the delivery of the planning guidance by 2017.
The toolkit aims to deliver an easy way of monitoring progress
and changes to service availability over time and will include a
number of ‘output’ documents to allow users to benchmark
their progress against others.
The toolkit has been developed in conjunction with the early
adopter communities and builds on the information from the
Royal Colleges which identified what information would be
useful to support the delivery of seven day services and to
provide direction where service improvement inputs are
required.

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CONTACT
rob.smith@nhsiq.nhs.uk or
ccf-tr.natcansat@nhs.net
Partner organisations for the 7DSAT/data specialists:
• NATCANSAT
• HSCIC – source data and publications on Hospital
Episode Statistics
Other partner organisations around seven day services:
• NHS England
of seven-day services
• NHS Employers
for the NHS
Clinical Standards
Consultant Present Care, Implementation considerations
• NHS England (2013) The evidence base from the urgent and
emergency care review
• Royal College of Physicians Future Hospital Commission
• NHS England (2013) NHS Services, Seven Days a Week
Forum: Evidence base and clinical standards for the care
and onward transfer of acute inpatients
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NHS Seven Day Service Improvement Programme:
Safe delivery of major breast surgery
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The Seven Day Service Improvement Programme can
provide expert advice and resources to assist commissioners,
health care providers and clinicians to implement and
sustain service delivery of day case or overnight stay for
patients undergoing major breast surgery via a quality
improvement approach. The redesign and streamlining of
the breast surgical pathway takes a simple systematic
approach, involving a multitude of reiterative service
improvement cycles (plan do study act), and building the
evidence for continuous improvement.
RELEVANT TO
Commissioners, healthcare
providers, clinicians, patients
and public.
WHAT DOES IT OFFER?
Delivering major breast
surgery safely as a day care
or one night stay (excluding
reconstruction) is part of the
enhanced recovery care
pathways for seven day
services. This programme
provides information for
commissioners, healthcare
providers and clinicians on
how to provide major breast
surgery as day case or one
night stay procedures, meet
patients’ expectations and
at the same time reducing
the demand on in-patient
beds in a safe and effective
manner.
Many patients who need
breast surgery are
understandably anxious
about their diagnosis, and
this has often been
compounded historically by
the need to spend several
nights in hospital, away
from their families. This
work has been able to
change the way in which
such patients are managed,
and reduce the
medicalisation of their care,
so that many feel that they
are able to retain their
autonomy and get through
the process more easily.
FORMAT
ACCESS
Access is free and available here
• Association of Breast Surgery (ABS)
• British Association of Day Surgery (BADS)
• Breakthrough Breast Cancer
• British Association of Surgical Oncologist (BASO)
Relevant publications
• www.nhsevidence.nhs.uk
• NHS Improvement (2011) Delivering major breast surgery
safely as a day care or one night stay
• NHS Improvement (2010) Spreading the Winning Principles
case studies
• NHS Improvement (2009) Spreading the Winning Principles
and Good Practice
• NHS Improvement (2009) Consolidation Report from
Testing to Spread
• NHS Improvement (2008) The Winning Principles:
Transforming Inpatient Care
CONTACT
sue.cottle@nhsiq.nhs.uk

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Programme: Urgent and Emergency Care
The Seven Day Service Improvement Programme is capturing
and generating ‘on the ground’ intelligence about effective
emergency and urgent care pathways across the whole health
and social care system and offer specific service improvement
resources, including:
Practice case studies on how to deliver the Urgent and
Emergency Care Clinical Standards, seven days a week, to
improve patient experience, safety and quality of care as well
as avoid admissions and readmissions of patients to hospital.
• Clinical Standards
• Urgent and emergency care
A range of resources and signposting is available via the
dedicated seven day services website.
RELEVANT TO
Commissioners, primary care
and acute care providers,
third sector and social care
providers, clinicians, patients
and public.
WHAT DOES IT OFFER?
NHS IQ is a member of the
NHS England Urgent and
Emergency Care Delivery
Group working with
patients, partners and
stakeholders to help
deliver the vision set out
for urgent and emergency
care in ‘Transforming
urgent and emergency
care services in England:
Urgent and Emergency
Care Review End of Phase
1 Report’.
FORMAT
ACCESS
Users can access the seven day services self- assessment
baseline toolkit to baseline seven day services against the
urgent and emergency care standards.
There is an active social media presence around seven day
services - #7dayservices – and a dedicated Yammer page
will be set up for early adopter sites to support the
communities of practice which are being developed.
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NHS IQ is working with the Urgent and Emergency Care
Delivery Group to map out the support given to local health
economies as part of the integrated care pioneer and seven
day services early adopter communities. The aim is to identify
potential sites to test the ideas and models arising from the
Review. Through this process, areas of the country will be
identified to become test beds for the whole system vision
described in the End of Phase 1 Report.

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CONTACT
marie.tarplee@nhsiq.nhs.uk
of seven-day services
• NHS Employers
• NATCANSAT
Relevant publications
• NHS England (2014) Transforming urgent and emergency
care services in England - Update on the Urgent and
Emergency Care Review
• NHS England (2013) Transforming urgent and emergency
care services in England – Urgent and emergency care
review end of phase report 1
for the NHS
Clinical Standards
Consultant Present Care, Implementation
considerations
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• NHS England (2013) The
evidence base from the
urgent and emergency care
review
• Royal College of Physicians
Future Hospital Commission
• NHS England (2013) NHS
Services, Seven Days a Week
Forum: Evidence base and
clinical standards for the care
and onward transfer of
acute inpatients

Enhanced Recovery Care Pathways
The Seven Day Service Improvement Programme provides
advice and expertise to commissioners, managers and
clinicians to implement and sustain enhanced recovery care
pathways across the whole health and social care economy,
using a quality improvement approach.
The publication ‘Enhanced recovery care pathway: a better
journey for patients seven days a week and better deal for the
NHS’ set out the progress to date and levels of ambition for
2014/5.
The ER website provides resources including publications,
evidence based guidelines and practical case studies and
literature on implementation and development in ER.
RELEVANT TO
NHS commissioners,
managers and clinicians
working in acute and primary
care providers, patients and
public.
WHAT DOES IT OFFER?
NHS IQ aims to support
the spread and adoption
of enhanced recovery (ER)
principles across England,
to ensure that all patients
get the same standard of
clinical care seven days a
week. ER is a whole care
pathway approach that
has spread beyond
elective surgery to
maternity care and non-elective
care including
acute medicine.
FORMAT
ACCESS
Resources for this work are free and available here.
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ER improves patient experience, outcomes, patient safety and
the efficiency of care delivery and reduces unnecessary lengths
of stay. Enhanced Recovery provides a better journey for
patients and a better deal for the NHS. Components of ER
pathways include:
• Primary care ‘fitness for referral’
• Patient involvement: shared decision making
• Prehabilitation, assessment and care planning
• Pain relief, fluid management, anaesthetics
• Preparation for an effective discharge.

prospectus
2014/15
CONTACT
marie.tarplee@nhsiq.nhs.uk
• Royal College of Anaesthetists
• Royal College of Surgeons
• Royal College of Obstetricians and Gynaecologists
• Associations of Surgeons of Great Britain and Ireland
• British Orthopaedic Association
• Royal Society of Medicine
• British Gynaecology Cancer Society
• Association of Coloproctology of Great Britain and Ireland
• BASO – The Association for Cancer Surgery
• British Association of Urological Surgeons
• Royal College of Radiologists
• Royal College of General Practitioners
• Faculty of Intensive Care Medicine
• The Allied Health Professions Federation
• Royal College of Nursing
• ERAS – Enhanced Recovery After Surgery Society
• British Association of Day Surgery
• National Clinical Analytical Application Team
• H Kehlet (1997) Multimodal approach to control
postoperative pathophysiology and rehabilitation, Vol 78
(5) pp 606-617, British Journal of Anaesthetic
• D. Roulin etc al (2013) Cost-effectiveness of the
implementation of an enhanced recovery protocol for
colorectal surgery, Vol 100 (8) pp 1108-1114, British Journal
of Surgery
• C. Jones et al (2013) Randomized clinical trial on enhanced
recovery versus standard care following open liver
resection, Vol 100 (8) pp 1015-1024, British Journal of
Surgery
• Guide to implementing Enhanced Recovery,
Department of Health (2010)
31

Recovery, Rehabilitation and Reablement
32
Case studies and publications, available as pdf documents.
RELEVANT TO
Commissioners, providers,
public and patients.
WHAT DOES IT OFFER?
So far, work in this field has
been largely task and finish
work based on a commission
from NHS England to review
the evidence base around
rehabilitation services. Some
of the outputs are available
on the programme’s website
pages to:
• Share learning
• Signpost other resources
available to those who are
interested.
FORMAT
ACCESS
Learning materials are free and available online here.
• NHS Networks Improving Adult Rehabilitation Services
online community of practice
• British Association of Chartered Physiotherapists in
Amputee Rehabilitation
• Association of Physiotherapists in Cardiac Rehabilitation
• Scottish Intercollegiate Guidelines Network
• National Institute for Health and Care Excellence
• Chartered Society of Physiotherapists
• British Society of Rehabilitation Medicine
• British Thoracic Society
• British Association for Cardiac Rehabilitation
• British Geriatric Society
• Improving Adult Rehabilitation Services
• Royal College of Psychiatrists
CONTACT
suzanne.whyman@nhsiq.nhs.uk

prospectus
2014/15
33
Patient Safety Collaboratives
£ FREE GROUP WORKING USE ANY TIME
• empower all staff to be involved
• ensure senior leaders understand safety issues for their
organisation and their local healthcare economies and
support staff to make effective changes.
Each of the 15 collaboratives will be supported by NHS IQ
to deliver safer care through finding and sharing their own
local innovative solutions. They will pull together key
teams from across the AHSN regions to help leverage
sustained improvement, and spread this work locally and
nationally across the system. The collaborative programme
will work alongside the national 'Sign up to Safety'
initiative to deliver an integrated approach to making care
safer for our patients, carers and staff.
NHS IQ will provide a co-ordinating role through an
operating model that will ensure that learning is shared
between stakeholders who are working on similar
initiatives and areas where there are safety concerns. This
will ensure that innovations and successes are spread and
adopted rapidly by others and cascaded through
collaborative learning events.
RELEVANT TO
Everyone interested and
involved in patient safety
across the NHS.
WHAT DOES IT OFFER?
The new national Patient
Safety Collaborative
programme, co-ordinated
by NHS IQ, was launched in
July 2014 to help support a
large scale change initiative
across England, with the aim
of improving the quality
and safety of the NHS for
patients by creating an open
and transparent culture.
Working with NHS England,
15 Academic Health Science
Networks (AHSNs) led
patient safety collaboratives
intend to improve the way
care is provided at a local
level, enabling front line
teams to involve patients
and their families in making
healthcare safe. The
programme is underpinned
by the Patient Safety
Framework for Operational
Excellence.
The collaboratives will:
• involve patients and
families in the work more
effectively than ever
before
• evaluate the process from
the start and adapt
approaches as lessons are
learnt
FORMAT
ACCESS
To find out about your local collaborative, please get in
touch with the NHS IQ programme contacts.
• Patient Safety Collaboratives
• Scottish Patient Safety Programme
• The Health Foundation
CONTACT
phil.duncan@nhsiq.nhs.uk
fiona.thow@nhsiq.nhs.uk
sarah.tilford@nhsiq.nhs.uk
heather.pritchard@nhsiq.nhs.uk

Stop the Pressure Campaign
34
A range of practical tools are available on the Stop the
Pressure website.
These include learning and teaching materials, animations
and video clips, case studies, research resources and
publications.
RELEVANT TO
Everyone interested and
involved in preventing
pressure ulcers and
improving the quality of
nursing care.
WHAT DOES IT OFFER?
Avoidable pressure ulcers
are a key indicator of the
quality of nursing care.
Preventing them happening
will improve all care for
vulnerable patients. The
'Stop the Pressure'
campaign was launched by
NHS Midlands and East as
part of their ambition to
make life better for
patients. The campaign has
been rolled out nationally,
with NHS England, NHS IQ
and other partners to
support a 50% reduction in
pressure ulcer prevalence
during 2013/14.
FORMAT
ACCESS
Access to the resources is free and via
http://nhs.stopthepressure.co.uk/
• Stop the Pressure Campaign
CONTACT
sarah.tilford@nhsiq.nhs.uk
sarah.armstrong-klein@nhsiq.nhs.uk

prospectus
2014/15
35
Winterbourne Medicines Programme
£ FREE ONLINE T GROUP WORKING USE ANY TIME
• Secure settings
• Private care homes
• Prisons
• Custody
• Schools.
The Winterbourne Medicines Programme is working with
six partner Trusts to review current processes, test new
sustainable ways of working and share notable practice to
improve the lives of people who have a learning disability
and behaviour that challenges.
The partner Trusts are:
• Northumberland Tyne and Wear NHS Foundation Trust
• Cheshire and Wirral Partnership NHS Foundation Trust
• South West London and St Georges Mental Health Trust
• Sussex Partnership NHS Foundation Trust
• Hertfordshire Foundation Partnership Trust
• Devon Partnership NHS Trust
The team are developing a community of practice with
other organisations who have an interest in this
programme. The aim of the community is to share learning,
notable practice and quality improvement training.
RELEVANT TO
professionals who care for
children, young people and
adults with a learning
disability whose behaviour is
challenging/can challenge.
WHAT DOES IT OFFER?
Following the Department
of Health review
‘Transforming care: A
national response to
Winterbourne View
Hospital', NHS IQ is
supporting the design and
delivery of an improvement
programme which aims to
ensure continuous
improvement of the quality
of care for children, young
people and adults with a
learning disability, whose
behaviour is challenging/can
challenge. The programme
aims to achieve this by
ensuring medicines are used
in a safe, appropriate and
proportionate way and their
use is optimised to achieve
improved outcomes.
The programme scope
includes four medication
groups: antipsychotics,
antidepressants, mood
stabilisers and
benzodiazepines and will
be in the following areas:
• Hospital
• At home
• Supported housing
• Treatment centres
FORMAT
ACCESS
Information is available online here and by contacting the
programme team.
The YoungMinds charity has launched the HeadMeds
website to give young people in England general
information about medication.
CONTACT
carol.marley@nhsiq.nhs.uk
zoe.lord@nhsiq.nhs.uk

Living Longer Lives – NHS Health Check Programme
(general population and offender health)
£ FREE ONLINE T PUBLICATIONS
36
Written media.
RELEVANT TO
Organisations involved with
the commissioning or
delivery of the NHS Health
Check programme.
WHAT DOES IT OFFER?
The NHS Health Check case
studies, virtual workshops
and reports (developed by
the NHS IQ Living Longer
Lives programme) support
the spread of innovative
practice in reaching high
risk, seldom seen and
seldom heard groups.
FORMAT
ACCESS
Users can access the material through the national
NHS Health Check website, and will need to register with
this site. Registration is free and the site is hosted by
Public Health England (PHE).
• Living Longer Lives
• www.healthcheck.nhs.uk
CONTACT
nicholas.collins@NHSIQ.nhs.uk
NHS
HEALTH
CHECK
Helping you prevent
diabetes
heart disease
kidney disease
stroke & diabetes

prospectus
2014/15
37
Living Longer Lives: Improving the
cardiovascular health of people with serious mental illness
• Patient satisfaction with care
• Staff confidence in dealing with physical health problems
• Development of more integrated models of delivery for
mental and physical health.
The NHS IQ LLL are running a pilot programme between
July 2014 and March 2016, supporting delivery of the
assessment tool through evaluation, evidence, webinar
learning opportunities and case study materials.
Information is available online here and by contacting the
programme team.
RELEVANT TO
Mental health, primary care
and CVD services, and
supporting organisations.
WHAT DOES IT OFFER?
People with serious mental
illness (SMI) are among
those at the highest risk of
poor health and premature
mortality, dying on average
20 years earlier than the
general population due to
preventable physical
problems.
In response to this
inequality, and in support of
the new national CQUIN for
physical health in mental
health, NHS IQ’s Living
Longer Lives (LLL) team are
leading the national roll-out
of an updated version of the
Lester tool – ‘Lester 2014’.
A series of webinars and
case studies are being
developed to support
providers and their partners
in increasing:
• The number of people
with SMIs having physical
health checks
• The number of
appropriate referrals for
diabetes, heart disease,
renal and stroke in
patients with SMIs
FORMAT
ACCESS
• The resources can be accessed here. The resources
are free and available to NHS organisations.
• Case studies can be found here.
• First webinar can be found here.
• NHS England
• Royal College of General Practitioners
• Public Health England
• Cardiovascular disease (CVD) and mental health Strategic
Clinical Networks
• CVD and mental health charities - BHF, Diabetes UK,
Rethink, Mind
CONTACT
emma.stark@nhsiq.nhs.uk

NHS Change Day
£ FREE
ONLINE USE ANY TIME
prospectus
There are some inspiring stories on the NHS Change Day
website about the improvements that have been made as a
result of Change Day. Many are still having a positive
impact on individual practice, improving care for patients.
Change Day is not just about a single day of action. It’s
about making the changes that matter in every day practice
– reminding ourselves of why we do what we do.
Materials and stories are available online but there are
other numerous ways to engage with Change Day. This
includes the opportunity to liaise with a large group of
volunteers called the hubbies that have a regional
presence.
RELEVANT TO
Anyone who would like to
improve the world of health
and care, and patient
experience.
WHAT DOES IT OFFER?
NHS Change Day serves to
harness the passion, drive,
commitment and innovation
that we see every single day
from staff. It uses the power
of shared purpose to give us
the boost to challenge the
status quo and try
something simple but
different to improve patient
care.
As one frontline staff
member put it: “What was
different about Change Day
and the reason I was
inspired to get involved is
that it used the passion and
drive of staff to make a
difference.”
2014/15
39
FORMAT
ACCESS
Materials are available free at the NHS Change Day website.
• NHS Change Day 2015 will take place on 11 March.
CONTACT
meena.mahil@nhsiq.nhs.uk

40
The Edge: Empowering people to create
transformational change
£ FREE
ONLINE USE ANY TIME
The information will be available online and open to all.
Information will be a series of materials and resources that
have been curated, and made sense of for the people
working in health and social care. Only links to sources that
are publically available will be used for The Edge.
Materials are available free at the NHS Change Day
website.
RELEVANT TO
develop as a change agent.
WHAT DOES IT OFFER?
The Edge is a virtual
environment for sharing
and collaboration, which is
being designed by the NHS
IQ Horizons Group to
empower people to create
transformational change. It
will bring together ideas
and the very latest sources
of knowledge so people can
inspire and inform each
other to be disruptive
innovators. Our information
comes from many
disciplines, schools of
thought, industries and
sectors from across the
world. The virtual
environment will help to
make sense of this
information for people
working in health and social
care.
FORMAT
ACCESS - COMING SOON
The Edge will be available online, free and open to all. Users
can decide how they would like to use this resource. There
will be optional registration.
• The Edge will be updated at least fortnightly.
CONTACT

The School for Health and Care Radicals
£ FREE
ONLINE USE ANY TIME
prospectus
2014/15
The School started on 31 January 2014 and consisted of five
weekly webinars and five weekly Twitter chat events. For
each module of the school, a study guide and a set of slides
were produced.
The five sessions covered:
• Being a health and care radical: change starts with me
• Forming communities: building alliances for change
• Rolling with resistance
• Making change happen
• Moving beyond the edge.
All of the materials (and more) are available for download.
Radicals who learned from the school and made a pledge
for NHS Change Day were able to apply to become a
‘certified change agent.’ The outcomes from the first term
are here.
RELEVANT TO
develop as a change agent.
WHAT DOES IT OFFER?
The School is a virtual
learning programme for
people who wanted to join
others to change the world
of health and care. Last year
the school was held in the
lead up to NHS Change Day.
The School aimed to provide
people with powerful ideas,
tools and connections to
survive and thrive as a
change agent. It helped
people to:
• Put together their own
toolkit of powerful
approaches for leading
and supporting change.
• Connect with and learn
from other health and
care radicals.
• Build the confidence,
knowledge and skills to
operate as an effective
change agent: to "rock the
boat but stay in it".
• Make a difference to
patient and staff
experience and outcomes
of care.
41
FORMAT
ACCESS
Study guides and slides are free and available here. They can
also be accessed via the School webpage on the Change Day
website.
The School will be available/offered again in the lead up to
NHS Change Day 2015 (11 March).
• You do not have to work for the NHS to join the School
and can take part from anywhere in the world.
CONTACT

42
Leading Transformational Change
£ FREE
REGISTRATION FIXED TIME COMMITMENT
RELEVANT TO
NHS IQ staff, CSU Directors
& staff, Directors/Deputy
Directors & staff of Area
Teams, Directors of the four
NHS Regions, Integrated
Care Pioneer sites.
WHAT DOES IT OFFER?
Leading Transformational Change is a ground-breaking
programme for teams delivering major changes in
complex healthcare systems. Developed by the Advancing
Change Team (ACT) in NHS IQ, it brings together the latest
concepts, tools and techniques required to lead successful
Based upon a range of core publications and expert
knowledge (including Leading Large Scale Change) the
programme provides the skill sets and tools found to be
most helpful in dealing with the typically complex
problems experienced in health and care systems.
Led by a highly experienced faculty, it builds upon both
the science of improvement and social movement thinking
– focusing on practical steps we can all take to enhance
our chances of delivering successful change.

prospectus
2014/15
43
FORMAT
The programme lasts seven months and is typically
delivered face to face to cohorts of between 10 and 20
teams, often working on similar challenges although the
principles covered are generic to all major change. There
are two core workshops plus additional development
sessions for advanced practitioners and new trainers.
ACCESS
The programme is free, and the majority of participants
attend two intensive two day workshops that provide them
with the core materials and offer ample opportunities to
apply these to their change programme, plus a one-day
Knowledge Exchange session to consolidate learning. There
are also 9.5 days of additional development sessions for
advanced practitioners and new trainers.
The 2014/15 programme is underway and all places are
taken up. The programme runs annually and details of the
2015/16 programme are not yet available.
• Advancing Change Team
CONTACT
ACT@nhsiq.nhs.uk

44
Quality, Service Improvement and Redesign Programme (QSIR)
£ FREE
REGISTRATION FIXED TIME COMMITMENT
• Provide participants with confidence to lead others
to plan and deliver quality and service improvement
projects.
• Ensure service improvement is linked to patient care
and/or organisational aims.
• Increase stakeholder engagement and willingness to
change.
Developed by the Advancing Change Team (ACT) in NHS IQ,
it brings together the latest concepts, tools and techniques
required to lead successful change.
Five days of workshops spread out over approximately six
months, with recommended Virtual Action Learning Sets
throughout to consolidate learning and increase personal
development ending in a Knowledge Exchange Event. This
programme is also enhanced by workbooks and further
resources and supporting publications.
RELEVANT TO
Clinical and non-clinical staff
involved in service
improvement projects across
NHS services. This
practitioner level
programme provides
delegates with the skills to
apply a range of tools and
approaches to initiate, lead
and deliver a service
improvement project.
WHAT DOES IT OFFER?
The objectives of this
programme are to:
• Enable participants to
initiate, progress and work
towards completing a
quality improvement
project, through the
development of their
service improvement and
redesign skills and
knowledge.
• Provide up-to-date
knowledge on proven
quality and improvement
tools and techniques.
• Give participants
confidence to develop
creative and innovative
ways of meeting patient
needs and improving
quality of care.
FORMAT
ACCESS
The 2014/15 programme is underway and all places are
taken up. The programme runs annually and details of the
2015/16 programme are not yet available.
CONTACT
ACT@nhsiq.nhs.uk

prospectus
2014/15
45
Transformation Essentials (TE)
£ FREE
REGISTRATION T E-LEARNING
USE ANY TIME
The interactive pdf/e-book will link to a series of films
drawing upon the materials from our Leading
Transformational Change (LTC) programme.
RELEVANT TO
Anyone in acute trusts,
primary care,
commissioning, or
community and mental
health services who is
leading transformational
change.
WHAT DOES IT OFFER?
The TE programme is a pilot
for a self-learning resource.
It enables users to improve
their transformational
change skills at their own
pace, can be worked
through by both teams and
individuals and can also be
used as part of a particular
transformation programme.
Developed by the
Advancing Change Team
(ACT) in NHS IQ, it brings
together the latest concepts,
tools and techniques
required to lead successful
FORMAT
ACCESS
The free learning resource is being piloted with around 200
users from January 2015 with the hope that if the pilot is
successful, it will be further developed for 2015/16. Whilst
the resource is free, we would expect that users would help
in the future development of the resource by completing
our survey to feedback on their experience and how the
resource met their needs.
• ‘Leading Large Scale Change’ (NHS Institute for
Improvement and Innovation)
CONTACT
ACT@nhsiq.nhs.uk

NHS IQ Learning Handbook
£ FREE
ONLINE T PUBLICATION SELF LEARNING
USE ANY TIME
The free e-book will be available on the NHS IQ website
from October 2014.
RELEVANT TO
Everyone working within
the NHS, particularly
project/team managers
hoping to develop a
learning system within their
area. Also, it will support
organisations who want to
systematically reflect on
their work, to distil and
apply learning that will
inform their future delivery.
WHAT DOES IT OFFER?
The NHS IQ Learning
Handbook aims to support
you to develop an effective
learning system within your
organisation or team. It can
be used in its entirety as an
end-to-end process as work
progresses, or dipped in and
out of as users address a
particular aspect of
learning.
47
FORMAT
ACCESS
An interactive e-book available at:
www.nhsiq.nhs.uk/learninghandbook
• NHS Improving Quality website
CONTACT
knowledgemanagement@nhsiq.nhs.uk
prospectus
2014/15

48
Transforming Care
£ FREE
ONLINE
T PUBLICATION SELF LEARNING
The programme closed to new interest at the end of July
2014, having been an active offer to CCGs since April 2013.
Delivery continues through until March 2015 and good
learning is emerging from development of case studies and
the support of independent specialists who are facilitating
evaluation of the programme’s impact. A first output from
this will be publication of a series of case studies over
coming months.
RELEVANT TO
CCG and local health and
social care system leaders.
WHAT DOES IT OFFER?
The CCG Transforming Care
programme team is working
with over half of England’s
Clinical Commissioning
Groups and their local
system partners to build
capability to lead large-scale
transformational change to
improve services and
outcomes for patients and
local communities.
Practical and action-focused
locally delivered sessions
seek to provide and support
confident use of new
frameworks for undertaking
improvement, building an
improvement culture,
deepening partnerships,
ensuring clarity of shared
purpose and addressing
measurement in a system
context. The programme is
helping to prompt fresh
thinking and build
collaborative working,
supporting organisational
development and
progressing plans and
ambitions for change.
FORMAT
ACCESS
The case studies will be available via the NHS IQ website and
NHS England’s online learning environment for CCGs.
• NHS IQ Transforming Care
CONTACT
charlie.keeney@nhsiq.nhs.uk

The Prime Minister’s Challenge Fund
£ FREE
ONLINE E LEARNING
USE ANY TIME
prospectus
2014/15
An NHS IQ pool of primary care development advisers is
working with sites to help their development plans and
provide on-going consultancy and coaching. NHS IQ is
working with sites to shape tailored support, including
rapid intervention inputs and facilitated action learning
and peer support for practice leaders to progress local
ambitions.
Quality improvement facilitator training is being organised
to create legacy capability, as well as large scale rapid
improvement events e.g. use of process mapping and driver
diagrams. Additional large scale support includes web-based
master classes and new resources such as video and e-learning
packages.
NHS IQ is supporting NHS England and its commissioned
specialist evaluation provider to capture and disseminate
learning generated from innovation by the 20 local sites.
RELEVANT TO
GP practices, commissioners.
WHAT DOES IT OFFER?
NHS IQ is working with 20
‘sites’ (local practice
collaborations ranging in
size from 40,000 to over
two million population
coverage, collectively
covering a quarter of the
country’s general practice)
chosen by NHS England
from over 250 bids to run
pilots for a year around
adopting new ways of
working and improving
access to general practice.
The challenge fund was
born out of NHS England’s
‘Improving General Practice
– Call to Action’, which
outlined the need for GP
practices to operate more
responsively to patients,
improve experience and
outcomes and ensure future
service models are
sustainable.
FORMAT
ACCESS
Information and learning materials from the 20 sites will be
published on the NHS IQ website and via Twitter and the
hashtag #PMCF.
• Prime Minister’s Challenge Fund
CONTACT
charlie.keeney@nhsiq.nhs.uk
49
The pilots are intended to help inform how this can be
done with rapid learning and evaluation in 2014/15 and
sites have been awarded up to £5m to drive improvements
including:
• Extended service availability including 8am-8pm working
• New convenient methods for making appointments and
new modes for consultation including use of video
• Innovative use of telecare and online technology.

50
Innovation Compass
£ FREE T GROUP WORKING USE ANY TIME
Academic Health Science Networks (AHSNs) have a key role
in facilitating the use of the Innovation Compass. Six AHSNs,
plus over 20 organisations and representatives from NHS
England, took part in piloting the Innovation Compass.
Following further work to refine the pilot version, the
Innovation Compass will be rolled out through the national
AHSN network.
The Innovation Compass will eventually be available on a
web-based platform.
RELEVANT TO
The senior leadership in CCG
and provider organisations.
WHAT DOES IT OFFER?
NHS England’s Innovation
Health and Wealth
Programme identifies the
need to embrace innovation
to enable the system
changes required of the
NHS. The Innovation
Compass was created to
support organisations in
developing a culture that
encourages and implements
innovation at pace and
scale.
The Innovation Compass is a
diagnostic tool designed to
assess organisational
readiness for innovation.
Undertaken at all
management levels, it is
aimed at developing both
leadership for innovation
and supporting leaders in
their role of creating and
leading innovative cultures.
FORMAT
ACCESS
The prototype version is free to use and can be accessed via
the national AHSN network and on Innovation Exchange at
http://www.england.nhs.uk/ourwork/innovation/innovation-compass
• Strengthening Leadership and Accountability for
Innovation: A Practical Guide for Governing
Bodies and Provider Boards
CONTACT
nancymcneilance@nhs.net

Innovation Exchange
prospectus
2014/15
Innovation Exchange is available as a web-based platform.
RELEVANT TO
Anyone who wants to
develop, implement and
spread innovations in health
and care.
WHAT DOES IT OFFER?
Health and Wealth
NHS. The Innovation
Exchange was created to
bring together a wealth of
existing resources into one
central home and lets you
collaborate with others to
bring about new
approaches.
Innovation Exchange is a
window to the future of
healthcare. It has been
specifically designed for
frontline clinicians and
industry, service managers
and the public. The
Innovation groups and
networks can use the portal
to develop and support
their own work, linking into
national and international
resources and sharing their
ideas more widely.
FORMAT
ACCESS
• The portal is free to use at https://nhs-ihw-colab.induct.no
• Innovation Health and Wealth
CONTACT
robert.chesters@nhs.net
51
Share your ideas
Whether you have identified an unmet need and want to
challenge others to address it, or have developed a new
approach that you want to showcase, the portal gives you
the platform to promote your ideas and connect with
others in industry and the health service.
Collaborate
The portal provides a forum and online tools for everyone
with an interest in innovation to meet, share knowledge,
form virtual networks around ideas and topics and to
collaborate on new approaches.
Adopt high impact innovations
With high impact innovations linked into NHS Contracts
from 2014, commissioners and providers can use the portal
to identify and adopt proven innovations to meet local
needs and priorities, supported by templates and toolkits.

Strengthening Leadership and Accountability for Innovation:
A Practical Guide for Governing Bodies and Provider Boards
It provides a visual narrative designed to act as a
framework for board discussions, together with a
detailed literature review.
The Strengthening Leadership toolkit can be downloaded
as a pdf from the NHS England website.
RELEVANT TO
Board level directors in
provider organisations.
WHAT DOES IT OFFER?
Health and Wealth
NHS. The Strengthening
Leadership and
Accountability for
Innovation Guide was
created to support
organisations, and is
intended to be used as a
resource around which
Board development
programmes can be built. It
identifies three key
components that drive
innovation adoption and
diffusion; and presents a
range of evidence, case
studies and questions that
Boards can consider, and
build their own approaches,
that reflect their mission,
values and vision.
FORMAT
ACCESS
• http://www.england.nhs.uk/wp content/uploads/2013/10/
strength-leadership.pdf
• Innovation Compass
CONTACT
nancymcneilance@nhs.net
52

prospectus
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NHS IQ White Paper: The new era of thinking
and practice in change and transformation
The White Paper concludes with a call to action: join the
new breed of leaders across the world who are rewriting
the rules of change and leading change from the future to
get different results.
As leaders of health and care we operate in a world where
change needs to happen at a faster rate and become more
disruptive - our thinking and actions need to challenge the
status quo, which will not serve us for the future.
Many of the ways we go about improving health and care
(in the NHS and elsewhere) were designed in a different
mindset for a different set of circumstances. Given the
radical and complex nature of our transformational
challenge, these 'tried and tested' methods increasingly
won't deliver what we need to deliver for patients.
RELEVANT TO
All members of health and
wider social care, patients
and public.
WHAT DOES IT OFFER?
This new White Paper from
examines leading trends in
change and transformation
from multiple industries
across the world.
In this White Paper, we
identify the profound
implications and opportunities
for leaders of health and
care. They include a
fundamental rethink about
what organisational and
system change means,
including:
• Who does it (many change
agents, not just a few)
• Where it happens
(increasingly 'at the edge'
of organisations and
systems)
• The skills and mindsets
that change agent’s need.
It also means embracing
disruption and 'disruptors' in
our organisations and wider
systems to create an
environment where
innovation is encouraged; no
longer seeking to 'overcome
resistance to change' but
welcoming difference,
diversity and dissent as core
operating principles of our
organisations.
FORMAT
ACCESS
53
£ FREE ONLINE E LEARNING USE ANY TIME
• http://www.nhsiq.nhs.uk/resource-search/
publications/white-paper.aspx
• http://media.nhsiq.nhs.uk/whitepaper/
CONTACT

Improvement Digest: Integrating physical and
mental health commissioning for cardiovascular disease
£ FREE
ONLINE
T PUBLICATION SELF LEARNING USE ANY TIME
• A 2-page PDF
• Small quantities of hard copies are available
RELEVANT TO
Commissioners (CCGs), GPs,
providers of acute and
mental health services.
WHAT DOES IT OFFER?
A short summary on the
topic, including:
• Key leadership actions
• Case of need
• Evidence base
• Best practice
• Effective interventions/
treatment options
FORMAT
ACCESS
It is free and available here.
• Dr Geraldine Strathdee is NHS England's National
Clinical Director for Mental Health
CONTACT
alison.crawford@nhsiq.nhs.uk
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56
Improvement Science Alert
£ FREE ONLINE T PUBLICATION SELF LEARNING USE ANY TIME
A monthly bulletin.
RELEVANT TO
Those in the NHS involved
in quality and service
improvement.
WHAT DOES IT OFFER?
The Improvement Science
Alert aims to bring to your
attention key reports,
research papers, articles,
tools and opinion pieces in a
succinct bibliography style,
focusing on quality
improvement, change
management, leadership
and transformational
change.
FORMAT
ACCESS
The free bulletin will be contained on the NHS IQ website
and advertised/accessible via its monthly external newsletter.
Archives will be kept on the NHS IQ website.
• To subscribe to the free NHS IQ newsletter please email
enquiries@nhsiq.nhs.uk or contact the customer
relations team on 0300 300 0020.
CONTACT

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NHS IQ Intelligence Handbook
£ FREE ONLINE T PUBLICATION SELF LEARNING USE ANY TIME
An interactive e-book available at:
www.nhsiq.nhs.uk/intelligencehandbook
RELEVANT TO
Everyone working within
the NHS, and particularly
those who require access to
evidence to inform their
work.
WHAT DOES IT OFFER?
By providing access to guidance and tools, the NHS IQ
Handbook aims to support users to gather intelligence
systematically to build an evidence base. It can be used in its
entirety as an end-to-end process, or dipped in and out of
as users address a particular aspect of the intelligence
process.
FORMAT
ACCESS
The free e-book will be contained on the NHS IQ website
from October 2014.
• www.nhsiq.nhs.uk
CONTACT

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Better Care, Better Value
£ FREE ONLINE T WEBSITE USE ANY TIME
A website which includes an interactive tool for selecting
and presenting data of interest, and a data download
function for users to take their data away for more analysis.
RELEVANT TO
providers.
FORMAT
NHS Elect is a national members’ network organisation,
providing NHS organisations with high quality support to
supplement in-house management teams and support these
teams to develop new skills.
CONTACT
Norma Southwood - normaatBCBV@nhselect.org.uk
WHAT DOES IT OFFER?
The Better Care Better
Value website provides
data to GP practices, CCGs
and acute Trusts on areas
which represent
opportunities to save
money by providing care
differently. NHS
organisations can compare
their own activity against
those of the highest
performing peers, and
estimates of potential
savings released are
presented alongside this
data. This helps
organisations target their
improvement activities to
those areas which will
create the most financial
benefit.
59

60
Better Outcomes, Better Value: Integrating
physical and mental health into clinical practice and commissioning
£ FREE ONLINE USE ANY TIME
The event generated slides, photos and a summary
document.
RELEVANT TO
providers of acute and
mental health services.
FORMAT
ACCESS
The event materials are free and available here.
CONTACT
WHAT DOES IT OFFER?
This event was held in June
2014 to:
• Promote best practice and
celebrate successes in
commissioning of
integrated care
• Create an opportunity for
providers and
commissioners to explore
jointly the underlying
issues that are preventing
the effective, integrated
commissioning of physical
/psychological care, and
• Support commissioners to
develop a greater
understanding of the
mental health needs of
people with physical
needs

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62
GRASP Audit Tools to review the management of
atrial fibrillation, heart failure, and COPD
£ FREE ONLINE T TOOLKIT USE ANY TIME
The GRASP suite uses the PRIMIS CHART (Care and Health
Analysis in Real Time) software to create a practice-level
summary, as well as allowing practices to drill down to
examine detailed patient care in MS Excel. CHART Online,
the benchmarking database, enables GP practices and CCGs
to compare and benchmark practice data both locally and
nationally.
RELEVANT TO
GPs. Data collected by the
audit tools may be uploaded
to a secure online database
for benchmarking/
comparison so is also of
interest to CCGs and other
NHS staff supporting GPs
with quality improvement.
FORMAT
ACCESS
The GRASP tools are free to download for PRIMIS Hub
members in England and can be accessed by signing up for
free PRIMIS Hub membership at
www.primis.nottingham.ac.uk/hub
There is no specific time commitment required to use this
resource though it is recommended that practices run the
audit every six months to gauge improvement.
WHAT DOES IT OFFER?
The GRASP Suite comprises
three audit tools designed
to help GP practices review
the management of Atrial
Fibrillation, Heart Failure,
and COPD. The GRASP
Suite:
• includes case finders to
help find unrecorded
patients
• provides a
comprehensive, highly
visual ‘dashboard’ of key
data for each condition in
real time
• generates patient lists to
identify and help
prioritise those who
would benefit from
review
• includes the facility to
upload pseudonymised
data to an online
database for
benchmarking
• is aligned to NICE
guidance.
GRASP can help practices to:
• improve the quality of care for people with AF, HF
and COPD
• save lives and improve quality of life by facilitating earlier
intervention and better management
• avoid costly hospital admissions and readmissions
• improve practice efficiency by enabling practices to
prioritise individual patients for review and target
resources effectively
• maximise QOF attainment
• keep pace with current best practice guidelines and
standard.

• PRIMIS
• NHS IQ
• Based on data from 1,857 general practices in England
using the GRASP-AF audit tool, The use of anticoagulants
in the management of atrial fibrillation among general
practices in England highlights the underuse of
anticoagulants in people with AF at high risk of a stroke. It
provides further compelling evidence that a significant
proportion of patients diagnosed with Atrial Fibrillation
(AF) and at high risk of a stroke, still do not receive
appropriate management and remain at risk. It also
highlights the tendency for the less effective antiplatelet
agents rather than oral anticoagulants to be used in older
patients with AF.
Visit the GRASP suite resources page for more useful
publications and reports.
CONTACT
richard.healicon@nhsiq.nhs.uk
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Measurement Masterclass
£ FREE ONLINE SELF LEARNING USE ANY TIME
Resources developed following a launch event and impact
summit are available in the form of slides, film, webinars,
reading lists and blog posts.
RELEVANT TO
National Clinical Directors
and nursing equivalents
(senior clinical leaders).
FORMAT
ACCESS
The materials are free and available here.
CONTACT
WHAT DOES IT OFFER?
64
This series for senior clinical
leaders is intended to help
increase the understanding
of the principles of
measurement for
improvement. Designed to
stimulate and challenge, it
is supporting clinical leads
in holding influential
discussions with policy
makers and data collectors.

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Clinical ‘Buddying’ Scheme
£ FREE BY APPLICATION GROUP MEETINGS FIXED TIME COMMITMENT
The FMLM in partnership with NHS IQ will be running and
managing the scheme, supported by key partnerships with
the Chartered Quality Institute (CQI) and BMJ Learning. It
will be underpinned by the medical competency leadership
framework and there will be three buddy pairs in eight
regions across the UK, giving a total of 48 pairs for the PoC.
Regional quality leads and deputies will be appointed to
each region.
RELEVANT TO
Senior clinical leaders who
both aspire to strengthen
their leadership capability
and are also working in
organisations and
environments, facing
significant challenges in
driving forward continuous
improvement in health and
care.
FORMAT
ACCESS
The scheme will be advertised through FMLM and NHS IQ’s
websites and communication channels. A limited number of
places are available for the first year PoC. Interested
individuals for the Quality leads, deputies and ‘buddy’ places
will be able to complete an application form and submit for
shortlisting. The anticipated launch date is
October/November 2014.
• CQI
• BMJ Learning (Twitter @BMJLearning)
CONTACT
FMLM – www.fmlm.ac.uk
NHS IQ – networks@nhsiq.nhs.uk
WHAT DOES IT OFFER?
66
A strategic partnership
between the Faculty of
Medical Leadership and
Management (FMLM) and
(NHS IQ) has established a
Clinical ‘Buddying’ Scheme
to provide a one year
systematic buddy and peer
to peer support scheme.
The first year will run as a
Proof of Concept (PoC)
project.
Project aims:
• Demonstrate the value of
structured and sustained
peer to peer support.
• Build capability,
confidence and energy
for change.
• Provide an exemplar
model of learning.
• Explore new approaches
to Continuous
Professional Development
(CPD).

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Network Leaders Programme
£ FREE APPLY ONLINE GROUP LEARNING FIXED TIME COMMITMENT
Network leaders will complete their network ‘health check’
diagnostics online, via the Networks Toolkit, prior to
starting the programme.
The programme is made up of:
• Five x one hour virtual workshops
• Five x one hour day workshops
• Two x one hour ‘book-in’ sessions for the systematic
coaching and surgery time
• Three ‘book-in’ days are offered with three members of
faculty in attendance – these will be delivered either
face-to-face, Skype, conference call, or by ‘joinme’
(screen sharing conference call)
There will be two cohorts of 25 participants for the one day
workshops, run in Leeds and London.
RELEVANT TO
Network leaders who have
completed the online
diagnostics ‘health check’
provided by the Centre for
Innovation in Health
Management, University of
Leeds (CIHM).
FORMAT
ACCESS - COMING SOON
The programme is free and potential participants need to
apply for places, and commit to attending all sessions. The
programme, which is a pilot, will commence in end of 2014.
• The Centre for Innovation in Health Management,
University of Leeds
• NHS Leadership Academy
Publications:
• Effective Networks for Improvement
• Leading Networks in Healthcare
CONTACT
networks@nhsiq.nhs.uk
WHAT DOES IT OFFER?
The programme will deliver
a range of support to
health and care network
leaders:
• Five modules will provide
learning on:
• Networks form and
structure
• Strategies for network
development and
management
• Governance of networks
• Resourcing of networks
• Measuring impact of
network activity
• Systematic coaching -
programme participants
are coached in terms of
their own leadership of
their network.
• Surgeries - these are
sessions where we advise
the participant on the
design of a specific
change intervention they
are planning to make.

Network Leaders Toolkit
£ FREE ONLINE GROUP LEARNING T TOOLKIT
The toolkit will be delivered online, and resources comprise:
• A toolkit for network leaders to use in their networks to
diagnose their strengths and weaknesses and to shape
action
• An online community of practice to share leadership
challenges with other network leaders.
RELEVANT TO
Network leaders from across
the health and care sector.
FORMAT
ACCESS
Users will access the toolkit online, through the Centre for
Innovation in Health Management website and it will be
free of charge. The toolkit is a pilot, and will be available
from autumn 2014.
• The Centre for Innovation in Health Management,
University of Leeds
• NHS Leadership Academy
CONTACT
networks@nhsiq.nhs.uk
WHAT DOES IT OFFER?
68
This toolkit of online
learning resources aims to
help network leaders
manage their networks
effectively, providing the
building blocks and “know
how” in the system for
networks to strengthen
and sustain their own
development, performance
and impact and minimising
the dependency on NHS IQ
to run and lead networks.
The learning objectives are
to:
• Enable network leaders
to undertake
comprehensive diagnosis
of the effectiveness and
impact of their networks.
• Learn from each other
and utilise experience
from other networks.

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USEFUL COURSES,
PUBLICATIONS &
WEBSITES

ACADEMIC COURSES
Leading Service Evaluation and Improvement - Advanced Professional Development
University of Bolton
http://courses.bolton.ac.uk/Details/Index/1336#sthash.ILGbLoB7.dpuf
http://courses.bolton.ac.uk/Details/Index/1336 January 2015 start
PG Cert in Leading Service Improvement
University of Bradford
http://www.bradford.ac.uk/health/courses/postgraduate-ssprd-professional/leadership-and-management/
pg-cert--leading-service-improvement/ September 2014 or January 2015 start
Certificate in Leading Quality Improvement and Change in Public Care
Oxford Brookes University Institute of Public Care
http://ipc.brookes.ac.uk/courses/quality-improvement.htm Short courses
Quality improvement: identifying opportunities
Open University Short courses (participants can start at any time)
http://www.open.ac.uk/courses/short-courses/bg018
Lean thinking: improving service effectiveness
http://www.open.ac.uk/courses/short-courses/bg019
Innovating across boundaries
http://www.open.ac.uk/courses/short-courses/gb090
70
Other academic courses are available and NHS IQ is not
responsible for the quality of the courses listed above.

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NHS LEADERSHIP ACADEMY COURSES
The challenges facing the NHS mean our current leaders must widen and build on their existing
strengths. Our emerging leaders need to have this range of leadership behaviours and skills at their
fingertips.
The NHS Leadership Academy professional leadership programmes have been named after inspiring
leaders who made a significant difference to health and patient care – and whether you are a nurse,
doctor, or other NHS-funded clinician or in a non-clinical, managerial or administrative role, these
programmes will enable you to do the same. The majority of the programmes are multi-disciplinary,
meaning you can share your experiences and learn from colleagues from across the entire of health
and social care.
The following summarises the NHS Leadership Academy five professional leadership programmes for
people who want to improve the quality of care people receive from the NHS. Each programme
includes learning, to varying degrees, in service improvement, leading large scale change and
transformation and measurement for improvement
The professional leadership programmes are the first set of national programmes to combine
successful leadership strategies from international healthcare, private sector organisations and
academic expert content.
There are five programmes, designed to develop outstanding leaders for every tier across the
healthcare system:
• The Edward Jenner Programme – Leadership Foundations is an open access online learning package
designed to support anyone looking to gain essential leadership skills. Designed for newly qualified
clinicians, but open to all, this programme leads to an NHS Leadership Academy award in Leadership
Foundations.
• The Mary Seacole Programme – Leading Care I leads to an NHS Leadership Academy award in
Healthcare Leadership and an accredited Postgraduate Certificate.
• The Elizabeth Garrett Anderson Programme – Leading Care II will help you lead ever larger and more
complex teams. The programme leads to an NHS Leadership Academy award in Senior Healthcare
Leadership and an MSc in Healthcare Leadership.
• The Nye Bevan Programme – Leading Care III will help you support a culture of ever improving
patient care across your organisation and the wider care communities. The programme leads to an
NHS Leadership Academy award in Executive Healthcare Leadership.
• The NHS Top Leaders Programme will support your continuing development as an inspirational
Executive/Board level leader with a powerful vision to transform patient care.

INFORMATION DATABASES
NHS Improvement System: This system provides project management, measurement and sharing
tools, and is relevant to anyone in the NHS undertaking improvement work. Anyone with an NHS email
address (or supported by a NHS person) can apply for a logon, and use of the materials is free.
NHS Tools & Techniques Hub: This hub provides guidance, examples and templates in key areas of
improvement work. Anyone with an NHS email address (or supported by an NHS person) can apply for
a logon, and use of the materials is free.
72
PUBLICATIONS
Bringing Lean to life: making processes flow in healthcare is
available here.
First steps towards quality improvement: a simple guide to
improving services is available here.
USEFUL LINKS
• Good Governance Institute
• Haelo
• Institute for Healthcare Improvement (IHI)
• NHS Change Day
• NHS Elect
• NHS England
• Massive Open Online Course (MOOC) with University
of Jönköping, Jönköping Academy, Qulturum
Coming soon.....
A number of new items will be included in the next
version of the prospectus.

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IMPROVEMENT SUPPORT RESOURCES
AVAILABLE OUTSIDE NHS IQ
NHS Interim Management and Support (IMAS): Intensive Support Teams
Intensive Support Teams (ISTs) specialise in urgent and emergency care, elective care and cancer,
focusing on improving performance, quality assurance and programme enhancement.
Assignments typically include working with local health communities jointly to diagnose areas for
performance improvement; supporting implementation planning and delivery; and transferring
knowledge to produce sustainable and resilient solutions.
The Emergency Care Intensive Support Team offers support around achieving the four hour A&E
standard, while the Elective Care Intensive Support Team offers support around both the 18 week
standard and the cancer waiting time standard.
Advancing Quality Alliance (AQuA) Academy
The AQuA Academy provides opportunities to learn about improvement for all groups of staff. The
Academy brings together like minded individuals in “communities of practice” to develop their
knowledge and skills. The Academy’s approach is to develop the skills and capacity of staff at all levels
in improvement methods and change management.
The Health Foundation (THF)
THF is an independent charity working to improve the quality of healthcare in the UK. The THF aims to
support people working in healthcare practice and policy to make lasting improvements to health
services by: carrying out research; undertaking in-depth policy analysis; running improvement
programmes to put ideas into practice in the NHS; and supporting and developing leaders to share
evidence to encourage wider change. Each year THF give grants in the region of £18m to fund health
care research, fellowships and improvement projects across the UK – all with the aim of improving
health care quality.
NHS Scotland Quality Improvement Hub
NHS Scotland Quality Improvement Hub is a national collaboration among special health boards and
Scottish Government Health Directorates which aims to support NHS boards with implementation of
the national healthcare quality strategy through effective partnership working between the
collaborating organisations. The Improvement Hub aims to bring quality improvement closer to staff
working in clinical settings, and its website provides access to improvement stories and quality
improvement resources.

74
NHS Wales Improving Quality Together (IQT)
IQT is the national learning programme for all NHS staff and contractors in Wales. It provides a
common and consistent approach to improving the quality of services in NHS organisations across
Wales. The website provides access to improvement stories and to a range of quality improvement
tools and techniques.
Qulturum, Centre for Innovation in Healthcare
Qulturum is a centre for development of improvement knowledge and innovation in healthcare. It
is the improvement unit at Jönköping County Council, responsible for the healthcare services in
Jönköping county, located in the south of Sweden. Qulturum is engaged in a range of
improvement activities at regional, national and international level, with a focus on developing
improvement knowledge concerning patients, patient involvement, co-operation and flow, inter-professional
teams, leadership, management and the design of healthcare. The website provides
access to a range of improvement resources.

NHS
Improving Quality
To find out more about NHS Improving Quality:
www.nhsiq.nhs.uk
enquiries@nhsiq.nhs.uk
@NHSIQ Improving health outcomes across England by
providing improvement and change expertise
Published by: NHS Improving Quality - Publication date: September 2014
© NHS Improving Quality (2014). All rights reserved. Please note that this product or
material must not be used for the purposes of financial or commercial gain, including,
without limitation, sale of the products or materials to any person.

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