Our Story

The NELFT vision

  • For improvement to be an integral part of everyone’s role ‘from Board to Ward’

  • For improvement to be led from all levels of the organisation,  addressing organisational priorities

  • To create a workforce of autonomous improvers


NQIP story


NQIP aims to provide the structure to enable us to achieve these aims; to build improvement capacity, ensure that staff have support and opportunity to utilise these skills and ultimately to ensure that improvement is sustainably embedded within the organisation.

Our story

The Quality Improvement (QI) agenda within NELFT is led and delivered by the Quality Improvement Team, a multi-professional team comprising of nurses, an occupational therapist, a physiotherapist, a psychiatrist, health visitors and admin.

The Team’s original work remit was very different from the QI remit that is now our primary focus, although, ‘improvement’ was very much of our former role. Our former role was to support staff to improve aspects of clinical practice that were identified through the Trust’s governance monitoring functions such as audits; events; incidents; national initiatives; etc. However, our interventions and support were not always welcomed by front-line staff and we believe this was partially due to the lack of ownership of the direction of that improvement work as this was being imposed and led by a team that was not directly connected to their teams.

In 2015 the team attended the accelerated Quality, Service Improvement and Re-design (QSIR) programme in Warwick where we learned about QI and its methodology as the basis of our QI training. We have continued to develop our QI skills so that we can deliver the QI agenda within our organisation.

As a team, we provide all QI training within the Trust. We promote the ethos and advantages of QI internally and externally. We offer guidance with all things QI and we actively support and work alongside staff to develop their improvement ideas using the QI methodology and associated supportive tools.

We strongly believe that QI is the way forward to make sustainable change and improvements within our Trust and for the NHS. We welcome and invite all those who wish to learn more about the benefits and uses of QI and above all, we believe QI allows teams to take ownership of their improvement issues and allows and equip teams to ‘lead’ and design these areas of improvement with a little support from the Quality Improvement Team.

Meet the team

Meet the team

Clinical Audit

Clinical Audit Definition:

“A quality improvement process that seeks to improve patient care and outcomes through systematic review of care against explicit criteria and the implementation of change. Aspects of the structure, processes, and outcomes of care are selected and systematically evaluated against explicit criteria. Where indicated, changes are implemented at an individual, team, or service level and further monitoring is used to confirm improvement in healthcare delivery.”

(The Principles for Best Practice in Clinical Audit (2002) endorsed by the National Institute of Health Care and Excellence)

The clinical audit team register and monitor all clinical audit activity within the trust. Please remember that all clinical audits undertaken within the trust must be registered with the team in line with the Clinical Audit policy.

We are available to support staff with National “must do” audits and trust priority audits. New templates are available to assist auditors to write up their clinical audit reports.

If you would like to contact a member of the team please email caudit@nelft.nhs.uk

NICE department


National Institute for Health and Care Excellence (NICE) is a special health authority, set up in 1999, to reduce variation in the availability and quality of NHS treatments and care.  NICE provides national guidance, quality standards and advice for public health and social care to improve health and social care.


NICE publish new guidance documents each month.  The NELFT Clinical Audit & NICE Department download the new guidance each month for dissemination to the NELFT Clinical Reference Group (CRG) which reviews the guidance for applicability to NELFT.  Refer to the NELFT NICE Guidance Implementation Policy for details on the NELFT's NICE dissemination process.  The NELFT All Things NICE page is updated on a monthly basis in accordance with the NICE guidance reviewed by the CRG each month.

Assurance for compliance with NICE in NELFT is provided by monitoring the dissemination of NICE guidance including Technology Appraisal Guidance (TAGs); through NICE related clinical audits as part of the Trust's annual Clinical Audit Programme.

For any 'NICE' related queries, please contact the team on: nice@nelft.nhs.uk or telephone 0300 555 1200 ext 54425

See links below for the NICE guidance reviewed to date. 

NICE guidance published & reviewed in NELFT (2020)

NICE guidance published & reviewed in NELFT (2019) 

NICE guidance published & reviewed in NELFT (2018)

NICE guidance published & reviewed in NELFT (2017)

NICE guidance published & reviewed in NELFT (2016)