QI Hub: Involving people
Date Published:
16 November 2022
Last updated:
16 November 2022 Staff engagement, leadership, culture and multidisciplinary working are crucial to deliver and embed any QI project. This section offers guidance and advice on involving others in your QI work.
Leadership and multi-professional working
This section addresses the human aspect of change and the role of leadership and multi-professional working.
It will guide you through some of the main sites that will assist you in the following areas:
- Leadership in QI
- Staff Engagement
- Culture Change
- Interdisciplinary and multidisciplinary QI
- Academic resources
There are many excellent resources out there and these sites will give you some ideas about how to manage these particular areas within your QI project.
- Online communities
There are a few communities – such as Q Community and QI Hikers - formed of groups of like-minded people, where you can find training, resources and advice. These groups can also be found on twitter @QIhikers and #QCommunity and can be valuable sources of expertise and support.
- Improvement Leaders’ Guide: Leading improvement, personal and organisational development - NHS Institute for Innovation and Improvement
Leadership of QI. This guide provides practical advice for use by anyone who wants to include service improvement in their work and are applicable to all areas of health care relating to service improvement.
- Why healthcare leadership should embrace quality improvement - BMJ (2020)
- Effects of Leader Tactics on the Creativity, Implementation, and Evolution of Ideas to Improve Healthcare Delivery - Journal of General Internal Medicine (2021)
This article describes using leadership tactics including brainstorming and reflection to improve implementation of QI.
Culture and staff engagement
- Staff engagement: Six building blocks for harnessing the creativity and enthusiasm of NHS staff - King's Fund
Five steps towards staff engagement in the NHS.
- Embedding a culture of quality improvement - King's Fund
Embedding a culture of QI to support for the shift in emphasis from assurance to improvement.
- How frontline teams engage with patient-centred quality improvement - Nursing Times
Open-access research summary.
- Quality improvement in general practice: what do GPs and practice managers think? Results from a nationally representative survey of UK GPs and practice managers - BMJ open quality (2021)
Open access article examining attitudes and barriers to QI in primary care.
Resources by specialism
- Quality improvement in mental health - King's Fund
This report describes the quality improvement journey of three mental health organisations (two in England and one in Singapore). It provides key insights and lessons for others considering embarking on a similar journey.
Help and support from like-minded communities
- Q community - The Health Foundation
Q is led by the Health Foundation and supported by partners across the UK and Ireland.
- QI hikers – NHS England
A staged Improvement Fundamentals programme with awards for successful completion.
- QIClearn
QIClearn supports individuals, teams and organisations who want to learn to use robust change methods really well to continuously improve patient care.
- Key publications - The Health Foundation
The Health Foundation has worked in quality improvement for over 15 years, and have produced a number of reports and toolkits to help inform practice and policy
Interdisciplinary and multidisciplinary QI
- HEE Wessex School of Quality Improvement
Multidisciplinary and interdisciplinary support for Quality Improvement through training, education, fellowships and showcasing events. Focuses on building capability and capacity across the healthcare workforce in quality improvement and leadership with the ultimate aim to improve patient safety and experience. There are a number of good resources on their website, including details of fellowships, short courses and masterclasses, as well as published frailty projects and project posters, many of which are multidisciplinary.
- Leading Multi-disciplinary Teams Towards Consensus Case Study - HQIP
Describes an experience of convening groups of multi-professional experts across fields and disciplines to improve patient care.
- Guide to involving junior doctors in clinical audit and quality improvement – HQIP
This guide is intended to help people responsible for clinical audit and QI in NHS Trusts to provide appropriate support for these activities. It will also help NHS Trusts ensure that they gain the maximum benefit from the clinical audits and QI projects carried out by doctors in training.
- Competency-Based Interprofessional Continuing Education Focusing on Systems Thinking and Health Care Delivery for Health Care Professionals - The Journal of continuing education in the health professions (2021)
Describes using systems level interdisciplinary learning curricula to improve approaches to QI. Journal subscription or institutional access required.
How to manage your QI team
- RACI Matrix - TURAS, NHS Education for Scotland
This is a good way of keeping track of the responsibilities assigned. Website requires a login but is free and quick to do.
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7 Step Meeting Process - TURAS, NHS Education for Scotland
The 7 Step Meeting Process is a powerful framework for running efficient and effective meetings
- Stakeholder Analysis -TURAS, NHS Education for Scotland
Excellent description of how to identify stakeholders and target them.Website requires a log in but easy and free.
- Quality Improvement Team Member Matrix Worksheet - IHI
Effective quality improvement (QI) teams are multidisciplinary and include different areas of expertise. This worksheet helps you form a QI team that represents a range of perspectives and expertise.
Working with patients and families
A focus of quality improvement work is the positive impact it can have on healthcare, systems and ultimately at the centre, the patients. Involving patients and families in quality improvement work helps identify what is important to them and generate outside the box ideas and review.
- A guide to patient and public involvement in quality improvement – HQIP
This highlights the benefits of patient and public involvement.
- Ethical considerations in quality improvement: key questions and a practical guide - BMJ Open Quality
An article from the BMJ that thinks about the ethical considerations of involving patients.
- Introduction to quality improvement for patients and public – HQIP
E-learning to support patients who wish to become involved in quality improvement work in healthcare.
- Developing a patient and public involvement panel for quality improvement – HQIP
A step-by-step guide to developing an effective patient-led panel. This guide is suitable for patients, the public, and staff working in quality improvement in NHS healthcare provider organisations. Although the guide has been written for use in healthcare, many of its recommendations can be adapted for use in social care settings, to help care provider organisations involve service users, carers, family member and other advocates in the quality improvement process.
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eLearning area - HQIP
Free to use education packages on subjects related to clinical audit and to healthcare quality improvement in general.
- Introduction to quality improvement for patients and public
- Introduction to quality improvement for healthcare professionals
- Trainee Doctors: How do we know we are doing a good job?
- Capturing patient experience to support quality improvement initiatives - Journal of Spinal Cord Medicine (2021)
This paper describes an example of the value of PPI in QI.
Profession-specific support
Nurses
- Quality improvement: Clinical governance - Royal College of Nursing
Quality improvement and clinical governance information for nurses. RCN login required.
Trainees
- QI. What does it mean to me? Trainee Doctors - Academy of Medical Royal Colleges
Academy of Royal Colleges briefing note for Trainee doctors
- Guide to involving junior doctors in clinical audit and quality improvement - HQIP
This really good, albeit lengthy document, talks about problems junior doctors might face, why they should involve juniors, how to provide them the training they need.
- Resources for Trainee Doctors - HQIP
HQIP have collated a set of resources for Trainee doctors. The webpage has a range of support to help trainees to carry out clinical audits or QI projects; including a Top tips document and an eLearning cours.
Consultants
- QI. What does it mean for me? Consultants - Academy of Medical Royal Colleges
Academy of Royal Colleges briefing note for Consultants.
- Guide for Clinical Audit Leads - HQIP
More for audits than QI, but good resource for consultants nonetheless.
GPs
- QI. What does it mean to me? General Practitioners - Academy of Medical Royal Colleges
Academy of Royal Colleges briefing note for GPs.
- Quality Improvement - Royal College of General Practitioners (RCGP)
Royal College of General Practitioners guide to QI and resources.
Medical directors
- QI. What does it mean to me? Medical Directors - Academy of Medical Royal Colleges
Academy of Royal Colleges briefing note for Medical Directors.
- Good governance handbook - HQIP
HQIP’s quality improvement-based governance guide for NHS Boards, managers, commissioners and regulators.
Education and training resources
- Learning from Excellence
The Learning From excellence website has a huge range of resources including background evidence, ways to use positive reporting and appreciative inquiry, videos A very useful website which demonstrates the power of positive action and looking for excellence as a means to promote excellence and manage risk. Ideas and resource for all levels, specialties and professions.