At UHMBT, we are committed to always striving to be the best that we can be. We have a number of schemes to help us identify and make real improvements across our hospitals and in the Morecambe Bay community.
Commissioning for Quality and Innovation (CQUIN) schemes
CQUIN schemes are national and local targets that help hospitals to maintain the safety and quality of patient care.
Listening into Action (LiA) projects
We launched LiA at our Trust in September 2014. Since then, there have been a number of projects, all helping to make improvements that benefit our patients or our staff.
Quality Service Improvement Redesign (QSIR) programme
The QSIR programme involves training staff to help them identify and make improvements in their workplace. Once staff have received the training, and become a QSIR ‘practitioner’, they can then pass their knowledge on to colleagues and work together to make the improvements.
Enhanced Support Programme
The ESP or Enhanced Support Programme is a Trust programme to provide support for teams through additional capacity, resources, and expertise to help them become the best they can be.
The programme comes from a starting position of listening and compassion and is designed to provide additional help to teams within the Trust to enable them to achieve the full potential of their service. The programme consists of a 5 -pillar framework of Diagnostic, Improvement, Action planning, Culture and Sustainability/Accountability.
The aims of the programme are to identify improvements which are possible, and with the support from other Trust teams and functions, involve the whole team to establish the solutions and implement them - empowering the teams to enable them to implement improvements they would like to make.
Currently Urology, Maternity, Paediatrics and Trauma and Orthopaedics are involved in the programme - and all are at different stages.
The support offered depends on the requirements for that service. A number of questions are asked to establish what support is needed: These include questions like - "What does your data tell us about the service?"; "what do patients and families feedback about the service"? and using feedback from colleagues and partners to provide real insight into what we do well and what could be improved.
Within the urology service the ESP has provided support to the team to look in depth at the service and examine improvements to ensure the service is safe into the future. This includes ensuring that a vision for the future is identified which everyone can identify and work towards and supported by a clear and inclusive improvement plan. The urology service is now at the stage where it is implementing the actions to ensure the vision becomes a reality and becomes sustainable to ensure the service remains safe into the future, and for the team, 'a great place to work'.
Within Trauma and Orthopaedics, the service is now producing a deeper diagnostic into their metrics of quality and safety, performance, workforce, and finance and from a richer 'understanding of the business', improvements and actions are developing. The organisational development work has just begun, however the team have demonstrated improvement with a readmissions audit show improving data and a National Joint Registry award for the work at Westmorland General Hospital.
Like T&O, the Women's and Children's Care Group (which incorporates both maternity services and paediatric services), explore the depths of the services through the diagnostic phase of the ESP with improvement, action planning and organisational development interventions underway. Of note, the Paediatric service has appointed a new consultant (in October) and the maternity service has trained 115 colleagues in Postpartum haemorrhage skills.