Quality Improvement and the NHS

Alison Cole

AQuA

Monday 18th May 2015

About AQuAEstablished in 2010 as a NHS health and care quality improvement organisation. Based in North West England

Members: 73 commissioner and provider organisations

Hosted by Salford Royal Foundation Trust and accountable to - AQuA’s Board - AQuA members through membership agreements

Grant and fee for service customers supplement member income

AQuA’s Advancing Quality (AQ) programme is separately funded by CCGs and some non-recurrent funding from the former SHA

Our 2015-16 quality improvement priorities

Invest in the Growth & Capability of Staff

Improvement requires a system of support: the

NHS needs a considered, resourced and driven

agenda of capability-building in order to deliver

continuous improvement

Berwick 2013

AQuA Skills Escalator

Career long

help to learn,

master and

apply modern

methods for

quality control,

quality improvement

and quality planningBerwick 2013

Safe

Quality Improvement Methodologies

Patient Centered

Quality

Timely Efficient EquityEffective

6 Dimensions of Quality Healthcare

Source: Institute of Medicine's ‘Aims for Improvement’

Comprehensive transparency of performance data – including the results of treatment and what patients and carers say – to help health professionals see how they are performing compared to others and improve; to help patients make informed choices; and to help CCGs and NHS England commission the best quality care.

The care and quality gap: unless we reshape care delivery, harness technology, and drive down variations in quality and safety of care, then patients’ changing needs will go unmet, people will be harmed who should have been cured, and unacceptable variations in outcomes will persist.

We have a double opportunity: to narrow the gap between the best and the worst, whilst raising the bar higher for everyone. To reduce variations in where patients receive care, we will measure and publish meaningful and comparable measurements for all major pathways of care for every provider – including community, mental and primary care – by the end of the next Parliament. We will continue to redesign the payment system so that there are rewards for improvements in quality.

Moving from ‘repair’ to preventionFrom Deloitte Presentation

Tiers of Integrated Care

Leadership

What skills and knowledge do you need to do this?

12

What are you changing?

• What drives the changes you are dealing with in your organisations?

• How do you know you have to change?• What information do you have to support your

required changes?• What information might you need to support your

changes?• Where can you get this?

Source:W Bridges: Managing Transitions

13

14

Source:W Bridges: Managing Transitions

“While all changes do not lead to improvement, all

improvement requires change.”

Institute for Healthcare Improvement (IHI)

Cascade opportunities and links to your workforces