Poster and storyboard templates:

Quality Improvement Projects:

Project Poster: https://www.nelft.nhs.uk/download.cfm?doc=docm93jijm4n12552.pptx&ver=17963

Project Storyboard: https://www.nelft.nhs.uk/download.cfm?doc=docm93jijm4n13298.pptx&ver=19113

Clinical Audit projects

Project Poster: https://www.nelft.nhs.uk/download.cfm?doc=docm93jijm4n13015.pptx&ver=18707

Project Storyboard: https://www.nelft.nhs.uk/download.cfm?doc=docm93jijm4n13335.pptx&ver=19173

Once you have decided on your topic you should register your audit project using the latest version of the Clinical audit proposal form with the Trust Audit Facilitators. This will need to be agreed with the Audit Supervisor prior to sending the form to the team. Please see the guidance for help in completing your proposal.

Below are a range of support tools, resources and templates to help you through each stage of your clinical audit.

For a general introduction to clinical audit we suggest watching this video: 

• How to undertake a successful clinical audit - YouTube

Tools for undertaking a Clinical Audit 

Ecass registration:  Clinical Audit Proposal Form - Clinical Audit System NHS NELFT

• The implementation of our Electronic Clinical Audit Support System has allowed NELFT staff to register their clinical audit proposal forms electronically and enable staff to access completed clinical audit projects undertaken by clinicians across the Trust.

• Allows on-line registration of clinical audit projects

• Allows auditors to search for completed audits

• Enables auditors to see what the current status of their audit is and allows them to monitor their progression

Online data collection tool: SNAP XMP – Surveys

• SNAP is an innovative survey solution software that will help you produce online, paper and mobile versions of your questionnaire and combine all your results into one data set for analysis.

• All audits supported by the Clinical Audit and NICE Team will be carried out using the SNAP software package. This is a web-based system on which data collection tools can be designed and staff can submit the data via the web.

• SNAP will allow you to design an interactive audit tool or survey and provide a unique and personalised experience every time you use it.

Clinical Audit Templates and Guidance:

• Audit-Completion-Date-Extension-Proforma.docx [docx] 199KB
• Audit Deregistration Proforma-Updated Aug 22.docx [docx] 192KB
• BASELINE Clinical Audit Report Template - not national audits- Aug 22a.docx [docx] 228KB
• Clinical-Audit-Power-Point-presentation-template.pptx [pptx] 217KB
• Clinical-Audit-Report-Writing-Guidance.pdf [pdf] 443KB
• National-Audits-Local-Summary-Report-Template-Aug-18.docx [docx] 225KB
• NELFT-CA-Poster-Template.pptx [pptx] 880KB
• RE-AUDIT Clinical Audit Report Template
• Request to design a SNAP audit tool_Updated Aug-22.docx [docx] 191KB

Additional External Support

• Clinical Audit Support Centre

• Healthcare Quality Improvement Partnership (HQIP)

  Manages the National Clinical Audit and Patients Outcomes Programme (NCAPOP) and has the responsibility for reinvigorating local Clinical Audit in England and Wales. Has also set up the National Clinical Audit Forum for healthcare professionals: http://www.hqip.org.uk/ .

  HQIP's online or eLearning area – free to use education packages on subjects related to clinical audit and to healthcare quality improvement in general: http://www.rcpch.ac.uk/training-examinations/education/clinical-audit-e-learning

• General Dental Council (GDC) Access the dental revalidation here: http://www.gdc-uk.org/Pages/default.aspx .

• National Institute for Health and Care Excellence (NICE) NICE provides audit tools, audit for its own guidance, including definitions, relevant exceptions, and suggestions for sources of data: https://www.nice.org.uk/ .

• Nursing and Midwifery Council (NMC) Revalidation for nurses and midwives:  http://revalidation.nmc.org.uk/.

• Being Prepared for a CQC Inspection Access the document here: 5. Being Prepared for a CQC Inspection July 2021.pdf [pdf] 122KB

 

Below are a range of support tools, resources and templates to help you through each stage of your quality improvement journey.

Life QI Platform

Funding through the Innovation Cave

Do you have a project or an innovative idea that requires some funding to get started?

The Innovation Cave could help you!

NELFT recognises the importance of encouraging innovation and improvement across the organisation. The Innovation Cave is a means of financially supporting staff and services in seeking new ways to improve the services they provide and helps to put into practice ideas to benefit patients and deliver care more effectively.

How do you apply?

We are now accepting applications!  Download the application form and please submit your application form to: QI@nelft.nhs.uk. 

Innovation Cave Application form:

Innovation Cave Application Form

What do you need to know?

• You can apply for any amount from £500 - £10,000. However, please come and speak to us, if you have an idea that exceeds this amount - we may be able to help you explore other funding opportunities!

• The focus of the Innovation Cave is on innovation and improvement, as opposed to service gaps.

• Interviews are held for those projects that meet the requirements and this date will be advised in advance to enable you to hold it in your diary.

What support do you have?

• Please see our further guidance section on help submitting your bid: Innovation Cave Guidance Notes

• You are also welcome to come to attend our QI drop-in clinics if you have any questions or would like some guidance with your application:

What happens next?

• There is a limited budget available, therefore bids will be assessed, and funds awarded to those which appear to offer the greatest benefits to patients or staff.

• If your application is shortlisted, you will be invited to an interview to discuss your project. If successful, you will be required to attend a NELFT QI Foundation Day if you have not already attended.

• If you are successful, you will be required to submit monthly reports of project progress and to share the results of the project at future internal and external Quality Improvement events. All funds must be used by 31 March of each financial year that the money is awarded, although the project does not have to be completed within this time.

Innovation Cave Flyer

Check out our Innovation Cave Flyer: Innovation Cave

Innovation Cave Projects

1. Conners project case study review
2. Waltham Forest Memory Service Audiology Project for QI microsite

1. Beginning your project

NHS England Tools:

2. Understanding the problem

NHS England Tools:

• Active listening

• Brainstorming

• Cause and effect

• Fishbone diagram

• Mapping the last 10 patients

• Mapping the process

• Pareto analysis

• Process mapping - a conventional model

3. Involving others

A stakeholder is anyone who is involved in your project, or anyone who will be affected by the outcome of your project.  This is includes people within your service or team, as well as other professionals or colleagues in other teams who you work closely with.  Stakeholders also includes our patients and their families. It is vital to engage with stakeholders throughout each stage of the process.

NHS England Tools:

• Discomfort zone

• Clinical Engagement

• Commitment, enrolment and compliance

• Engagement and Empowerment

• Focus Groups

• Patnership working with Health Service Users

• Patient information

• Patient stories

• Resistance - enabling collaboration by working with it

• Stakeholder analysis

• Stakehlder involvement: an overview

4. Setting the aim

NHS England Tools:

• Aim statement development

• Driver diagrams

5. Measurement and Data

NHS England Tools:

• Measurement for improvement: an overview

• Model for measuring quality care (structure, process, outcome and balancing measures)

• Run charts

• Seven steps to measurement for improvement

• Variation - how to manage it

• Statistical Process Control (SPC)

6. Developing Ideas for Change

NHS England Tools:

• Six Thinking Hats

• That's impossible!

• Thinking creatively to solve problems - an overview

7. Testing change

NHS England Tools:

• Plan, Do, Study, Act (PDSA) cycles and the model for improvement

8. Learning from and sharing your work

NHS England Tools:

• Lessons learnt

• Supporting people through change - an overview

• Sustainability Model

• Sustaining momentum

 

British Medical Journal (BMJ):

BMJ offer a variety of resources to support you getting started, such as user guides, welcome documents and posters are available on the BMJ Resource centre. 

• For guidance on 'Ethical considerations in quality improvement: key questions and a practical guide' click here

They also offer training sessions available, to discuss this please email: training@bmj.com.

BMJ offer support when doing the write-up your quality improvement projects using BMJ Quality and publish them in BMJ Quality Improvement Reports. Their platform guides you through each step of the SQUIRE framework, helping you create high quality reports with excellent publication prospects.

Access is free once you register with BMJ quality https://quality.bmj.com/.

 

Q Community:

"We are a community of thousands of people across the UK and Ireland, collaborating to improve the safety and quality of health and care. Q is delivered by the Health Foundation and supported and co-funded by partners across the UK and Ireland." 

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