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    Sustaining a culture of continuous improvement-water-droplet

    Continuous Quality Improvement in the health and care sector

    Operational excellence

    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.

    Where are we on the continuous quality improvement journey? Our Partner, Jason Parker, provides his view hereopens in a new tab

    2024 Event

    local_hospital

    Introduction into CQI

    Russell Jewell, KPMG

    volunteer_activism

    Using CQI to deliver improvement and implement EPR

    Cara Charles-Barks – Royal United Hospitals Bath

    2023 Event

    local_hospital

    Medway's patient first journey

    Jayne Black – CEO, Medway NHS Foundation Trust

    volunteer_activism

    Change, Choice and Principles

    Dr Andy Heeps – Deputy CEO and COO, University Hospitals Sussex, NHS Foundation Trust

    2022 Event

    local_hospital

    Daily management & Incident Command Centre

    Dr. Lucy Xenophon, MD, MPH, Chief Transformation Officer, Mount Sinai Morningside, USA

    troubleshoot

    Making the change stick

    Dame Marianne Griffiths DBE, Former CEO, University Hospitals Sussex

    volunteer_activism

    Aligning systems for sustainment

    Kim Barnas – CEO, Catalysis, USA


    Working in collaboration – Proud2bOps


    Bringing the latest insights, lessons learnt and reflections from the healthcare operational community

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    Our healthcare insights

    Patient First Improvement System: An NHS Medway Story

    Shifting the focus to high priority areas that make the most impact on patients and staff

    Organisation-wide approach to continuous, sustainable quality improvement

    Case study on collaboration with Alder Hey Children's Foundation Trust and The Point of Care Foundation

    Healthcare

    Learn how KPMG professionals are advancing the healthcare industry by offering advice and innovative strategies to meet the challenges of today's healthcare environment.

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    Our people

    Russell Jewell

    Partner

    KPMG in the UK

    Jason Parker

    Partner and Global co-lead of Operational Excellence

    KPMG in the UK

    Jenny Panes

    Partner, Provider Improvement /Urgent and Emergency Care Lead

    KPMG in the UK

    Nim Chandran

    Director

    KPMG in the UK


    Get in touch

    Read enough? Get in touch with our team and find out why organisations across the UK trust us to make the difference.

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