About NELFT Quality Improvement Services

The Quality Improvement Services consists of three teams, the Clinical Audit and NICE Team, the Learning and Support Team, and the Strategic Projects Team. Each team strives to provide assurance and improve quality within NELFT, using Quality Improvement methodologies.

The Quality Improvement (QI) agenda within NELFT is led and delivered by the Quality Improvement Services, a multi-professional team with both clinical and non-clinical background.

As a service, we provide quality improvement training to both NELFT colleagues, and external NHS colleagues and patient representatives. We promote the ethos and advantages of quality improvement internally and externally. We offer guidance with all things quality improvement and we actively support and work alongside staff to develop their improvement ideas using quality improvement methodology and associated supportive tools.

We strongly believe that quality improvement is the way forward in making sustainable changes and improvements within our Trust and for the NHS. We welcome all those who wish to learn more about the benefits and uses of quality improvement. Above all, we believe that quality improvement allows teams to take ownership of their improvement issues, and as well as equipping them to lead and design these areas of improvement with support from the Quality Improvement Services.

You can find additional information here:  NELFT Quality Improvement Services Brochure

Our 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

Sheffield Model Quality Improvement Five Ps

The quality improvement 5 Ps are our main focus and at the heart of all our work. By keeping each of this as our upmost priority we feel we can best make our vision a reality.

  1. Purpose. Our aim and mission.

  2. Patients. Our reason for doing our work.

  3. People. Our staff who take care of patients.

  4. Processes. Our interrelated process that make up the micro-system.

  5. Patterns. The way we work and measure what we do.


About Clinical Audit and NICE team

About Clinical Audit and NICE team


“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)

Benefits of using Clinical Audit and NICE guidance recommendations in your service:

• Identifies, promotes and enables good practice;
• Compares actual practice by measuring care delivered against standards determining whether current practice follows published guidelines;
• Improves patient experience and outcomes;
• Provides evidence that demonstrates where services are cost effective;
• Enables better use of resources and therefore, increased efficiencies;
• Improves communication and liaison between clinicians, managers, patients, services users and organisations.

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. 

About Learning and Support team

About Learning and Support team

The Learning and Support team aims to provide the structure to enable NELFT staff and external NHS colleagues to achieve the following aims:

  • to build improvement capacity;
  • to ensure that staff have support and opportunity to utilise these skills;
  • to ensure that improvement is sustainably embedded within the organisation.

The Learning and Support team provides quality improvement training within the Trust, and uses the Model for Improvement methodology. The team promotes the ethos and advantages of quality improvement internally and externally and also offers guidance with all things QI and actively supports and work alongside staff to develop their improvement ideas using the QI methodology and associated supportive tools.

The key questions we ask ourselves in MFI are:

• What are we trying to accomplish?
• How will we know that a change is an improvement?
• What change can we make that will result in improvement?

“The Model for Improvement (MFI) provides a framework for developing, testing and implementing changes leading to improvement. The model provides an easily understandable scientific method which acts to moderate the impulse to take immediate action with the wisdom of careful study. As a consequence of its simplicity and widespread applications, it is the most commonly used QI approach in healthcare.” - Life QI

About Strategic Projects team

About Strategic Projects team

The Strategic Projects Team support NELFT with Trust wide quality improvement projects that can be scaled up accross NELFT.

New Ways of Working

The Strategic Projects Team are currently supporting NELFT on the New Ways of Working Project. New Ways of Working is one of NELFT’s organisational priorities, which aims to use our learning about the way we had to adapt and deliver our services since the Covid-19 pandemic hit, to create a sustained model of working. This process ensures that each individual employee, team and service user has the opportunity to lead the way our services are provided going forward, through six clearly defined steps. 

How does this impact your team?

Every team within NELFT, will need to go through the New Ways of Working (NWW) process where staff and service users are at the core of its direction. This process will result in a new sustained model of working for your team to ensure you are able to provide your service in a way that best works for each team member and service user. 

What happens now?

Starting the process:
• Each team has been assigned to one of eight different roll-out phases.
• Your team will be contacted by NWW project team with regards to which phase your team is in, and will provide you with guidance and support throughout.

If your team need any further guidance or support on this please either view the New Ways of Working intranet pages, or contact the team at newwaysofworking@nelft.nhs.uk .