The South Eastern Trust serves a population of 400,000 with an annual budget of £500 million across multiple hospitals and community care facilities. The Safety, Quality and Experience program aims to build capacity for continuous quality improvement through a 9-month training involving online modules, monthly sessions, and a staff-led service improvement project. Past projects include checklists to reduce acute kidney injury and falls, improving evidence-based social work decisions, and engaging service users to improve vulnerable adult outcomes. Evaluation found gains in quality improvement learning, though future programs could benefit from more protected time, social care examples, and progression to mentoring roles.

1. Safety, Quality and PatientSafety, Quality and Patient
Experience ProgrammeExperience Programme
David HillDavid Hill
Associate Medical DirectorAssociate Medical Director
South Eastern HSC TrustSouth Eastern HSC Trust

2. The South Eastern TrustThe South Eastern Trust
• Integrated Health and Social Care Trust
• Budget of c. £500m
• 12,000 staff
• Serves a population of c. 400k
• One acute, two local hospitals and two community
hospitals
• Aging population

3. Equity and excellence:Equity and excellence:
Liberating theLiberating the
NHSNHS
•put patients at the heart of everything the NHS does
•focus on continuously improving those things that really
matter to patients - the outcome of their healthcare
•empower and liberate clinicians to innovate, with the
freedom to focus on improving healthcare services

4. Safety, Quality andSafety, Quality and
Experience (SQE)Experience (SQE)

5. SQE Training Programme: aimsSQE Training Programme: aims
• Build capacity and capability to support clinical teams
in driving safety & quality in their own areas
• To develop an understanding of methods of
continuous improvement
• To experience the learning of being involved in an
improvement project

6. Participants – health and socialParticipants – health and social
carecare
• 2011/12 – 55 participants, 11 mentors
and 15 projects
• 2012/13 – 77 participants, 22 mentors
and 29 projects

7. The SQE Programme: content
9 month duration
3 compulsory elements:
•Monthly Learning session
•IHI Open School online modules
•Participate in a team service improvement project
“Final event” presentation evening with prize

8. Project examplesProject examples
• Acute Kidney Injury checklist
• Urinary Catheter Bundle in Primary Care
• Falls reduction in Care of the Elderly
• Medicines Reconciliation in Surgery
• Improved evidence of decision making in Social Work
Interventions
• Reduction of unallocated cases in Ards Gateway team
• Excessive surgical fasting times
• Improving VTE risk assessment through post take ward-round
checklist
• Pain management in cognitively impaired patients
• Service user engagement with vulnerable adults to improve
outcomes

9. Monthly learning sessionsMonthly learning sessions
• The IHI international perspective
• The local strategic perspective
• Patients for Patient Safety –
Kevins Story
• Human factors in healthcare
• Lean and 5S model
• Spread and sustainability
• Improvement in primary-
secondary care interface
• Presentations to peers and
mentors X3

10. Learning gained & relevance?Learning gained & relevance?

11. Pre & Post Evaluation of Learning fromPre & Post Evaluation of Learning from
the SQE Programme 2012the SQE Programme 2012

12. Pre & Post Evaluation of Learning from the SQEPre & Post Evaluation of Learning from the SQE
Programme 2013Programme 2013

13. Learning for future programmes?Learning for future programmes?
• Protected time for attendance
• More social care examples
• Progression from participant to mentor
• Fewer IHI modules
• Greater junior staff invovlement
• Project choice freedom

14. Team effortTeam effort