QI in City & Hackney
Welcome to City & Hackney QI
In City & Hackney we have been working with the QI methodology for over five years now and we are passionate about using the tools it offers to improve services to our patients.
We see it as an important part of our overall approach. We have a well embedded monthly QI forum where projects are discussed and reviewed and we use QI data over time approaches in our DMT meetings. QI projects are closely linked in to management processes so that QI is starting to feel more like business as usual. A summary of our projects is below, and we have come to focus on some large key projects: patients being in hospital only when they need to be, a population health project that embraces the Trust’s Triple Aim ambition focusing on people with SMI making the transition back to primary care as well as a reboot of the violence and aggression reduction work through time to think. We have completed over 20 projects so far with varying scales but all providing important learning about quality.
We want to get the balance right between large scale directorate wide projects that have a broad reach and the smaller projects that are about local change and all staff feeling empowered to look for changes, implement and test.
Feel free to get in touch with us in City & Hackney to learn more and we want to learn from you.
Dr Sheraz Ahmad, Clinical Director & Lead for QI in City & Hackney
on behalf of the Directorate Management Team
QI in City and Hackney – Practical Guidance for Staff
This guide is intended to help answer any queries you may have about how we are using QI here in City & Hackney. In keeping with QI, we are always open to developing our structure and set up, therefore this guide will be updated on an annual basis to reflect our learning and any changes to how we use QI.
Click on the front cover to access the guide…
Produced by City & Hackney QI Forum & Jen Taylor-Watt, Improvement Advisor to City & Hackney, IAPT & lead on Violence Reduction
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What is QI? (City & Hackney)
QI in City & Hackney Factsheet 1: What is QI?
(by Jen Taylor-Watt, Improvement Advisor)
Quality Improvement (QI) is a set of tools and techniques that help us understand the systems we
work in and strengthen the way we work, in order to deliver improvement in outcomes.
Click on the image to learn more…
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Roles & Responsibilities (City & Hackney)
QI in City & Hackney Factsheet 2: Roles, responsibilities and expectations
(created by Jen Taylor-Watt, Improvement Advisor)
There are a number of different roles involved in QI, which play a key part in taking Quality
Improvement work forwards.
Click on the image to access the factsheet…
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Service User & Carer Involvement (City & Hackney)
QI in City & Hackney Factsheet 3: Service user, carer and customer involvement
by Jen Taylor-Watt, Improvement Advisor
It’s really important to involve the customers of the issue you are working on in your QI project as
much as possible. In most cases this will be service users and carers within your service. This is
important so that the work of projects is shaped by the views, experiences and perspectives of the
people who are the customers of our services, as well as that of staff.
Learn more about how to involve service users & carers here…
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The Project Team (City & Hackney)
QI in City & Hackney Factsheet 4 – The project team
(by Jen Taylor-Watt, Improvement Advisor)
The project team is the core of QI projects. It should involve about 4—6 people, who meet regularly
to take forwards the project.
Find out more by clicking the front cover image…
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The QI Forum (City & Hackney)
City & Hackney Forum Factsheet 5: City & Hackney Monthly QI Forum –Terms of Reference
The City and Hackney QI Forum is the core mechanism for leading and progressing QI in City and
Hackney. It is central to supporting all the work of project leads, teams, QI coaches, QI sponsors,
Improvement Advisor and directorate lead for QI, as described above. For this reason the Terms of
Reference are included here in full for the information of all those involved in QI, to understand
how the QI Forum manages these responsibilities.
Find out more by clicking the image to the left…
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Starting a QI Project (City & Hackney)
City & Hackney Factsheet 6 – Becoming a Project Lead & starting a new QI Project
By Jen Taylor-Watt, Improvement Advisor
If you are interested to start a new QI project, the steps to move forwards in City & Hackney are available in this guide.
Access it by clicking the image to the left…
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Key points on Quality Improvement Methodology (City & Hackney)
QI in City & Hackney Factsheet 7 – Key Points on Quality Improvement Methodology
(by Jen Taylor-Watt, Improvement Advisor)
QI involves 4 key dimensions, as shown in the diagram, which connect with each other:
- Understanding that the services we work in are interconnected and complicated systems,
- Using quick testing and learning in order to develop our understanding of what might
help to improve the system (Plan, Do, Study,Act, or PDSA, cycles) - Having a robust system of measurement, using data over time, in order to know whether you are seeing improvement and
- Understanding and working with the human side of change.
Find out more by clicking on the front cover image…
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Progression of QI projects (City & Hackney)
QI in City & Hackney Factsheet 8: Progression of QI projects
(by Jen Taylor-Watt, Improvement Advisor)
Your Improvement Advisor will give your project a score, based on how far you’ve got with your
project, using the system and definitions shown below. This can be split into 3 key stages of
projects.
Find out more by clicking the image to the left…
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Nominal Group Technique (City & Hackney)
QI in City & Hackney Factsheet 9: Nominal Group Technique
(by Jen Taylor-Watt, Improvement Advisor)
Something mentioned throughout other factsheets and in the Guide to QI in City & Hackney is Nominal Group Technique (NGT), which is a really useful tool for generating and gathering ideas and perspectives from groups of people.
It is similar to Brainstorming, but has the some key exceptions. Find out more here…
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Active QI Projects – June 2019
This is the monthly report generated from Life QI, showing all active projects within all the directorates.
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