The topic of continuous quality improvement (CQI) is firmly back on the agenda for NHS Trusts and ICBs.
For some, that’s not an issue. Perhaps 10% have shown themselves to be really good at this for years now. Another 30% or so will have dabbled with CQI with mixed results, delivering interesting but isolated improvements. But the initial enthusiasm often fizzles out, with no system in place to ensure it sustains.
That still leaves an awful lot of organisations for whom CQI is something that’s traditionally been shunted into a corner, deprioritised behind a hundred other more pressing problems. And for ICBs this is all brand new and a major opportunity to drive system wide, consistent improvement.
For some, CQI is confused with failed turnaround programmes that search for cost reductions and productivity gains that do not last and irritate staff.
There is a way to deliver CQI that focuses on strategic alignment; performance routines and behaviours; leadership development; and creating a problem-solving culture. Ironically, it helps solve the very problems that keep being prioritised over the creation of a long-term CQI programme.
How can we help deliver a culture of continuous quality improvement?
We recognise that each and every organisation is unique and needs a bespoke approach. There are some common principles and lessons that we have learned about creating a culture of continuous quality improvement.
Our approach has been developed over several years working alongside healthcare organisations to deliver outstanding outcomes. This is about making improvement part of the day job from CEO to frontline with the aim of improving care for patients and being a better place to work.
This combines to create a problem-solving, values-led CQI culture. This is what makes CQI sustainable; when it becomes part of the fabric of an organisation, resistant to future changes of leadership or shifts in strategic direction.
We have upskilled
3000+
NHS staff, at all grades,
in CQI techniques.
20%
An acute Trust ranked in the top 20% of all Trusts for staff engagement in the NHS Staff Survey
20%
More than a 20% reduction in harm through administration and prescribing errors in another trust
80%
An 80% increase in Same Day Emergency Care activity and a reduction in spent in department
Watch on-demand: KPMG/Catalysis conference
Over the last decade, we have worked with 16 UK Trusts and over 100 organisations worldwide as trusted continuous quality improvement partners and seen enormous strides forward in patient, people, quality, delivery, and financial outcomes.
Over the last two years, we came together to share lessons learnt and identify potential new ways of working to ensure a culture of continuous quality improvement is embedded across health and social care.
here are we on the continuous quality improvement journey? Our Partner, Jason Parker, provides his view here.
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