Quality, Service Improvement and Redesign YEARBOOK 2019/20€¦ · Quality, Service Improvement and...

NHS England and NHS Improvement

NHS

Quality, Service Improvement and Redesign

YEARBOOK 2019/20

QSIR College Yearbook2

QSIR College Yearbook 3QSIR College Yearbook 3

Growing our QSIR family

This is the third QSIR College Yearbook showcasing our QSIR College graduates, each of whom isaccredited to teach QSIR programmes within their NHS organisation or across their health system.The number of accredited associates has more than doubled from last year – and we continue togrow our nationwide faculty, with approximately 230 more candidates awaiting assessment inJanuary 2020.

We are delighted to be able to report that our QSIR associates are not only growing in number butare also building enthusiasm and capability for improvement locally. Every day we hear aboutsuccessful improvements being made across the country as a result of employing QSIR tools andtechniques. We hear about executive and non-executive board members successfully completingQSIR Practitioner programmes alongside clinical and non-clinical colleagues in their organisations –and wearing their badges with pride! We hear about patient and carer groups and representativesattending QSIR Fundamentals and QSIR Practitioner programmes and are aware of the practicalsupport and information sharing between QSIR associates across their ever-growing network.

It is heartwarming to see our associates greet each other at our QSIR Connect events where we gettogether to share experiences and congratulate new QSIR College graduates and welcome them towhat our associates refer to as the ‘QSIR family’. It is really fantastic to be part of this extended QSIRfamily network – a group of people with a common goal, working together for the shared purposeof constantly improving services for patients.

This Yearbook is our opportunity to shine the spotlight on our QSIR associates and publicly thank andcongratulate them for their hard work, commitment, enthusiasm and warmth. We would also like totake the opportunity to thank our associates’ executive sponsors, without whose support theiropportunity to grow and thrive would not be possible. Thank you to all of you for creating this nowmassive movement to create a sustainable culture of improving services for patients across the NHSin England.

Lynne WinstanleyDirector of Improvement Capability Building and DeliveryImprovement DirectorateNHS England and NHS Improvement

Stephanie ReidHead of Methodology and DeliveryImprovement DirectorateNHS England and NHS Improvement


Why I applied for QSIR College

To be able to learn and teach QSIR across Dorsetso we have a consistent approach to qualityimprovement. To also personally deliver thecourse and see individuals grow in confidenceusing the QSIR tools and methodology andcontinued use of them.

Personal highlights of QSIR

The way in which the QSIR training is deliveredthrough taught sessions and practical learningenabled me to understand the tools, techniquesand theory in a way that is relevant to myworking environment. The highlight of this forme is that I have been able to share myknowledge and teach QSIR to my colleaguesacross Dorset. I have delivered QSIR Practitionerto six cohorts of staff and QSIR Fundamentals tomany staff across Dorset STP and the feedbackfrom participants has been excellent, as has theinteraction with the groups. I have also helped

the national QSIR teaching faculty with theteaching assessments for accreditation of newQSIR associates. This has extended my networkconnections and been a great learningexperience for me.

Future plans/ambitions for QSIR within myorganisation/STP

Further members of staff across West Dorset STPare to be trained as QSIR College associates tohelp deliver the QSIR methodology and toolspan Dorset. We have planned a further threecohorts of QSIR Practitioner training and furthergroups of staff to attend QSIR Fundamentals in2020. The Transformation Office are reviewingthe impact of the last two years of training andthe positive impact this has had across the trustand STP and to showcase learning from theprojects that have been completed.

Deputy Divisional Manager, Family and SurgicalServices DivisionDorset County Hospital NHS Foundation Trust

Executive sponsor: Nick Johnson, Director of Strategy,Transformation and Partnerships

Accreditation date: October 2017

Catherine Abery-Williams

The way in which the QSIR training wasdelivered through taught sessions andpractical learning enabled me tounderstand the tools, techniques andtheory in a way that is relevant to myworking environment.

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QSIR College Yearbook 5


I have been fortunate to have had theopportunity to work with colleagues who havehelped to positively develop my skills andknowledge by sharing their quality and serviceimprovement expertise. My role enables me tospread my learning with others who wish tomake improvements in their area of work and Isaw the opportunity to apply for QSIR College asa chance to further build on this.

As an organisation and local health communitycommitted to growing our improvementnetworks, being able to deliver QSIR locally willsupport us in accelerating our ability to buildimprovement capability and capacity.


I really appreciated the chance to meet and getto know many fabulous people with whom mypath would not have crossed if not for QSIR. Ilook forward to maintaining these networks.

I enjoyed the safe environment for learning thatwas created throughout the programme andbeing able to add lots of new skills to my toolbox.

I never expected the teaching assessment daysto be so much fun and the team support andmotivation was just brilliant!


Within Sherwood Forest Hospitals we are nowpleased to be able to deliver QSIR locally tosupport our Sherwood Six Step improvementapproach. We have also been able to work withcolleagues from across the STP to supportdelivery of a cohort of QSIR which broughttogether people from different organisations.Further cohorts are planned in 2019.

I will be starting a new role within UnitedLincolnshire Hospitals so I look forward to beingable to support the great quality improvementwork they are already doing and to exploringwhat opportunities there are to grow QSIRnetworks further across the region.

Corporate Head of NursingUnited Lincolnshire Hospitals NHS Trust

Accreditation date: November 2018

Sarah Addlesee

I never expected the teaching assessment days tobe so much fun and the team support andmotivation was just brilliant!“”



I have a background in Prince 2 and qualityimprovement and this was my first permanentpost within the NHS so I wanted to consolidatemy experience with a relevant qualification andfelt the QSIR Practitioner course would do thatfor me. Little did I know at that stage that Iwould enjoy it so much and apply to join theteaching faculty.


A personal highlight of the course was theopportunity to discuss common issues withcolleagues from other geographical areas andshare our learning. Becoming a QSIR teachingfaculty associate has enabled me to consolidatemy learning, widen my network and given memore confidence to deliver difficult messages tosenior managers.


Primary care engagement and continuing todeliver coaching sessions in support of nationalQI initiatives (eg NHSE Stop the Pressure) andencourage wider participation in patientpathway QI among the community andvoluntary sector.

Focus within the two main secondary care truststo identify, support and deliver projects withintheir current service improvement/transformation remits and coach staff indelivering new front line projects led by clinicalteams.

Develop another six trust and social careteaching associates by the end of 2019.

Deliver to wider participant cohorts includingcommunity and voluntary sector service staff toenhance the joint working across the ICS andthe wider STP footprints.

Quality and Patient Safety ManagerNHS Buckinghamshire CCG

Executive sponsor: Robert Majilton, Deputy Chief Officer


Asela Ali

Becoming a QSIR teaching faculty associatehas enabled me to consolidate my learning,widen my network and given me moreconfidence to deliver difficult messages tosenior managers.

“”



I believe in QSIR because it empowers everyoneto make improvements. I also personally wantedto challenge myself with an unfamiliar (andterrifying!) prospect of teaching. The QSIRPractitioner programme particularly stood out tome because of the wide variety of people whotake part from all disciplines across the NHS. Thisfostered understanding and the importance ofworking together across organisational or roleboundaries to drive improvement. QSIRfacilitates an environment in which sharedexperiences provide insight into the different, orsometimes surprisingly similar, challenges facingus all. A system-wide perspective empowered usall to drive these changes together.


A particular highlight was meeting so manypeople from across the organisation, includingthe chairman, who came to one of the sessions!What I learned at QSIR has also been invaluablein supporting me through the Elizabeth GarrettAnderson programme.

Another highlight were the absolutely fantastic,supportive ladies in my teaching assessmentgroup. I learned so much from them all andcouldn’t have got through it without them! Theymade the experience so enjoyable and much lessdaunting.


I plan to support the delivery of QSIR in the Trustfor the many future cohorts! Also, as I movearound to my different placements I hope totake QSIR with me and deliver the programmewhere it is not already in place. I want to spreadawareness to staff that may not have had theopportunity or even be aware of QSIR yet, toembed a system-wide collaborative approach toquality improvement across primary, secondary,mental health, community care, and CCGorganisations.

Graduate Management Training Programme Trainee(General Management)Bedford Hospital NHS Trust

Executive sponsor: Eileen Doyle, Deputy CEO


Chloe Allen

Another highlight were the absolutelyfantastic, supportive ladies in my teachingassessment group. I learned so much fromthem all and couldn’t have got through itwithout them!

“”



I wanted to develop and embed a knowledge ofquality improvement across the trust and makeit the norm for people to know how to identify,undertake and manage their own improvementchanges. QI methodology is so important andpractical. Everybody should have the knowledgeand skills to drive forward change.


To see staff realise they can do this, feel inspiredto make real change and to see it through toconclusion is a gift! For that to snowball intomore staff feeling hungry for training and towork on QI to improve patient outcomes isfantastic.


To build improvement capability across ourorganisation creating opportunities for realchange. The ambition is to then integrate acrossorganisational boundaries and look at ways tomake real system change with measuredoutcomes and evaluation to ensure this isreplicable and sustainable.

Head of OperationsEast of England Ambulance Service NHS Trust

Executive sponsor: Tracy Nicholls, Director of Clinical Qualityand Improvement


David Allen

To see staff realise they can do this, feelinspired to make real change and to see itthrough to conclusion is a gift!“”



To equip me with the improvement science skillsto improve patient care, by supporting ourhealthcare system in understanding the rootcauses of the issues affecting their performance,including working with them through thediscovery journey of finding potential solutionsand implementing them sustainably.


A truly insightful programme that makes itdirectly applicable and relevant to resolving theissues within complex healthcare systems andproviders.

A particular highlight was the learning anddevelopment process with my team as weprogressed through the QSIR modules.

Listening and reflecting on the collectiveexperience shared by colleagues and otherdelegates was invaluable.


To be an agent of change that supports thespread of the QSIR methodology throughproviding training opportunities for staffmembers of the NHS South, Central and WestCSU and supporting the wider healthcare systemthrough knowledge sharing including theapplication of best practice.

Programme ManagerNHS South, Central and West Commissioning SupportUnit (CSU)

Executive sponsor: David Tappin, Executive Director ofTransformation


Andrew Alli

Listening and reflecting on the collectiveexperience shared by colleagues and otherdelegates was invaluable. “”



I applied for QSIR College because I hadpreviously completed the QSIR Practitionerprogramme when I was working in a clinicalrole. I enjoyed the programme's structure andfound the format useful for planning serviceimprovement projects, but felt limited as a ‘solevoice’. I subsequently moved into atransformation/QI role and am passionate aboutgrowing improvement capability throughout theNHS. I’m looking forward to getting our firstcohorts up and running now, as there is muchto be gained from the use of a shared languageof improvement across the NHS.


I have enjoyed making contact with othersdelivering QSIR throughout the UK. There are somany talented individuals and teams across theNHS, with some outstanding improvementsbeing delivered – it's very inspiring! At the sametime, I have been studying towards an MSc in

Improvement Science, so it has been great tyingthe two together and having the opportunity todiscuss improvement tools and techniques witha wide range of colleagues – it has deepenedmy learning.


Our trust is new to QSIR, so we are planning tolaunch the programme this year – we arelooking at options to develop capability acrossour integrated NHS trust, as well as looking atnetworks across the STP/other partnerships. Weare considering offering QSIR to groups workingon projects together, so that teams have sometime together to link theory into practice.

Transformation ManagerHomerton University Hospital NHS Foundation Trust

Executive sponsor: Catherine Pelley, Chief Nurse


Deirdre Anderson

There are so many talented individualsand teams across the NHS, with someoutstanding improvements beingdelivered – it's very inspiring!

“”



I wished to develop my knowledge of qualityimprovement. Within the ambulance sector QI istouched on but not utilised to its full potential.The QSIR programme will support our QIstrategy and help our staff in all areas ofimprovement for the benefit of our patients.


The collective development with colleaguesacross the health sector was amazing. Listeningto others and the mutual support absolutelyunderpinned the principles of QSIR for me.


• The launch of the trust’s quality improvement strategy in October 2018. • To nurture and support staff from across all areas of the ambulance service to develop the skills through QSIR.• Embed QI in all aspects of the trust business aligned with the establishment of a QI faculty.

Head of Quality ImprovementEast of England Ambulance Service NHS Trust


Accreditation date: June 2018

Lewis Andrews

Collective development with colleaguesacross the health sector was amazing.“”



There was a lot of buzz around QI – this twoletter acronym that was meant to change theworld! I thought it was important for us toknow about it, as did my trust. We looked forcourses that were accessible, of high quality andwith rigour around both sustainability andspread. The NHS Improvement QSIR Collegecourse was perfect. Not only did it give detailabout QI methodology and practical application,it also taught us how to teach it, bespoke toNHS services. Team by team, we are changingour world.


Sharing knowledge within and between teams.A spirit of learning together to be better,embracing cynicism with open arms.


Setting up a trust QI project database. Involvingmore QSIR trainers. Changing our culture to oneof positive transformation towards goals thatmatter, that are measurable and that areinterrogated towards better patient care everyday.

Consultant PsychiatristWest London NHS Trust

Executive sponsor: Carolyn Regan, Chief Executive, West London NHS Trust


Niraj Arora

Not only did it give detail about QImethodology and practical application, italso taught us how to teach it, bespoke toNHS services. Team by team, we arechanging our world.

“”



I had been the head of the histopathologydepartment for two years when I applied forQSIR College. I had realised the need to developa well-rounded understanding of QI to supportan increasing workload with limited workforceand resources.


Being part of a national team that speaks acommon language based on QSIR tools andconcepts was an eye opener. The high energylevel amongst the team and participants wasgreat. The provision of tools to help drive QIforward.


I will be joining the cohort of QSIR associates inmy trust in teaching and facilitating sessionslocally. I look forward to using some of the QSIRtools in the bowel cancer screening programmelocally to drive QI in this challenging area.

Consultant – Histopathology and Cytopathology,University Hospitals of Morecambe Bay NHSFoundation Trust. Clinical Director of Cumbria andMorecambe Bay Bowel Cancer Screening Programme

Executive sponsor: Robin Proctor, Clinical Director CoreClinical Services

Accreditation date: May 2019

Manal Atwan

Being part of a national team that speaks acommon language based on QSIR tools andconcepts was an eye opener.“”



After completing a QI project locally andthinking the methodology had great tools forstaff and service users, I chose the QSIR Collegeroute. I thought this would be the best way toincrease my knowledge about the variety ofimprovement tools and techniques to share withmy team and apply them to other projects in thefuture.


Personal highlights include sharing trainingtechniques and good practice examples onservice delivery with colleagues from other trustsand organisations in an enjoyable environment.We were given plenty of space to focus on howto deliver QI in the most successful way. It wasgreat to see the buzz generated amongst teamsusing QSIR and the connections we made wereinvaluable!


I would like to see QSIR processes embedded inthe way we deliver improvements aroundmedicines optimisation within the trust andacross the STP. QSIR provides a commonlanguage for both staff and service users toparticipate in innovation and learn to promotehealth and well-being together.

Chief Pharmacist (Interim)West London NHS Trust

Executive sponsor: Sarah Rushton, Executive Director LocalServices


Deborah Baidoo

It was great to see the buzz generatedamongst teams using QSIR and theconnections we made were invaluable!“”



I had previously been involved in some qualityimprovement work but did not have formaltraining. Our organisation adopted the QSIRmethodology as a way to build improvementcapacity and capability, and it was a greatopportunity to have formal training and to meetpeople from other organisations who were at asimilar stage on their QI journey. I am excited tobe part of the programme, to be able to supportdelivery of QSIR locally and to share theknowledge and positive benefits of qualityimprovement in the workplace.


The main highlight for me has been a morein-depth understanding of improvement science,particularly around the importance ofmeasurement for improvement. QSIR has shownalternative ways to present organisational data,where it is used as a way to measure

improvement, and it shows the importance ofusing this information to improve quality. Thesessions were interactive and fun, and itprovided a great way to meet like-mindedpeople and to share ideas.


As clinical lead for QI I aim to develop our QSIRtraining programme. I hope to co-produce thetraining and to include patients and carers aspart of the programme. I am passionate that QIwork to tackle complex problems is led by thoseclosest to the problems, and my aim for theorganisation is to empower staff, patients andcarers to be part of this work. Our small teamwill deliver training and provide coaching onprojects. Quality improvement should be part ofeveryone’s roles in the organisation and wewould like to work closely with our systempartners.

Clinical Lead for Quality ImprovementCambridgeshire and Peterborough NHS Foundation Trust

Executive sponsor: Tracy Dowling, Chief Executive


Elena Baker-Glenn

The sessions were interactive andfun, and it provided a great wayto meet like-minded people andto share ideas.

“”



I have been delivering measurement forimprovement training and support within myorganisation's quality improvement programmefor a number of years. I see this as an essentialcomponent of QI and love supporting colleaguesin this way. I want to continue to develop thisthrough the accredited consistent approach thatQSIR offers. In doing so I also wanted to expandmy knowledge of a broader set of tools andtechniques to use within my own service, myorganisation and across our system as part of across organisational team.


• Breadth, depth and rigorous nature of the QSIR programme and college accreditation process.• Enthusiasm, skills and experience that the ACT Academy team brought to the programme.• Chance to learn and share with and from both the facilitators across our system and participants in the sessions.

• Meeting some great people committed to improving healthcare all the way through the QSIR training days, the assessment centre and onto our local delivery.• Renewed and refreshed impetus being created for a common language and set of tools and techniques that can be aligned with a variety of different organisational approaches.


Building on QSIR delivery and support so faracross our system, plans are being developed tooffer an increased number of cohorts next year.As part of this we are also thinking about whatcomes next for QSIR associates – how can weprovide ongoing coaching and support bothwithin and across our organisations linking inwith other initiatives like the Q community andthe developing EMLA/EMAHSN QI network?

Assistant Director of Insight Nottingham University Hospitals NHS Trust

Executive sponsor: Alison Wynne, Director of Strategy andTransformation


Andrew Barraclough

Meeting some great people committed to improving healthcare all the way through the QSIR training days, the assessment centre and onto our local delivery.

“”



I am responsible for the design and delivery of aQI strategy across the organisation. QSIR Collegestood out as having the potential to make asubstantial contribution to our QI offer. I wasalso drawn to the clear partnership potential ofQSIR College in collaboratively delivering astandardised set of QI tools and techniquesacross the integrated care system (ICS) inNottinghamshire.


The five day practitioner training not only tookus through the comprehensive QSIR tools andtechniques but provided a rich opportunity toengage with QI enthusiasts from across thecountry. It was an entirely enriching experience.A particular highlight was the first time Idelivered QSIR in partnership with other ICScolleagues from across Nottinghamshire – a veryclose sense of partnership, collaboration and acommon QI purpose.


We are already delivering QSIR cohorts acrossthe ICS with particular themed priorities. Thismeans that colleagues from neighbouring trustscan delve into QI in a way that crosses patientpathways and organisational boundaries. Wehave further cohorts planned for delivery acrossthe ICS and also as part of our own internal QItraining offer. Lots of exciting QSIR opportunitiesin Nottinghamshire!

Associate Director of Quality Improvement,Nottinghamshire Healthcare NHS Foundation Trust

Executive sponsor: Julie Attfield, Executive Director of Nursing


Luke Baumber

A very close sense of partnership, collaborationand a common QI purpose“”



As service manager for speech and languagetherapy I have been committed to thecontinuous development of staff and services formany years. Allied health professionals oftenhave an instinct for problem solving andworking collaboratively in a variety of healthcaresettings. Leading a team of highly patient-focusedand motivated staff, we began to developpractice which was innovative; tele-therapy,intensive swallowing therapy and palliativecomfort feeding. While improving quality of carefor patients, these solutions had the addedbenefit of being efficient and cost effective.

My organisation supported me to complete anMSc in Senior NHS Leadership with the NHSLeadership Academy and after graduating I tookup a role within the service improvement team.Applying for QSIR College was the next step andhas increased my knowledge about improvementtools and techniques so that I can apply them toprojects in a more structured and organised wayusing the chosen methodology for ourorganisation.


It is very motivating to meet and learn withpeople from different organisations andbackgrounds who have come together with theshared value and common purpose to improvethings for patients. Implementing and sustainingchange in an organisation as complex as theNHS is challenging. QSIR provides a commonmethodology, language and a sense ofconfidence in those who have completed thetraining. Having access to the online resources,tools and templates has been incredibly useful.


Implementing the change required in the NHSand developing organisations which arecontinuously learning and developing meansthat people throughout the system and acrosspatient pathways need to be equipped with theskills to deliver service improvement. We will beworking as a team across our network to delivera training programme cascading knowledge and skills.

SLT Service Manager and Service ImprovementFacilitator, Buckinghamshire Healthcare NHS Trust

Executive sponsor: Alison Brandon, Associate Director forService Improvement


Debbie Begent

It is very motivating to meet and learn withpeople from different organisations andbackgrounds who have come together withthe shared value and common purpose toimprove things for patients.

“”



I was really interested in learning themethodologies needed to run successfulimprovement projects. Having seen so manyprojects fall by the wayside, I decided to attendthe QSIR programme to learn how to do themright!


The whole programme was incredibly pertinentand useful, the understanding of how tomeasure data for improvement was a realeye-opener! Listening to other people’s projectsand ideas was really inspiring and motivating.


I intend to spread the benefits of qualityimprovement within my teams. I will be joiningour established QSIR teaching programmes ingetting the quality improvement skills/tools intothe hands of staff across the three acute trusts.

Director of Pathology MSB GroupMid Essex Hospital Services NHS Trust, SouthendUniversity Hospital NHS Foundation Trust and Basildonand Thurrock University Hospitals NHS Foundation Trust

Executive sponsor: Jenny Davis, Programme director – clinicalreconfiguration and redesign


Faisal Bin-Reza

The whole programme was incredibly pertinentand useful, the understanding of how to measuredata for improvement was a real eye-opener!“”



My interest in QI and in teaching improvementscience extends back to my time as a trainee,frustrated with the lack of training and supportbeing offered to clinicians and NHS staff of allbackgrounds. I saw the QSIR programme andQSIR College as an opportunity to help build thecapacity and capability needed to supportimprovement initiatives in the NHS.


Meeting lots of like-minded people and realisingthat we share many of the same frustrations,but also learning from others about how theyare delivering improvement training andsupporting improvement work in their localsetting.


Initially to establish a QSIR faculty and localtraining, with a view to QSIR ultimatelybecoming the framework which supports allimprovement activity at our trust, whilst alsocollaborating with our local and regionalpartners to support improvement work acrossorganisations.

Consultant in Anaesthesia and Intensive Care Medicine Maidstone and Tunbridge Wells NHS Trust

Executive sponsor: Steve Orpin, Chief Financial Officer


Oliver Blightman

I saw... QSIR College as an opportunity to helpbuild the capacity and capability needed tosupport improvement initiatives in the NHS.“”



To develop a programme of quality improvementtraining across the trust to increase thecapability.


The tools and teaching of QSIR are exceptional.The examples and case studies really bringimprovement to life and enable the sharing ofideas and best practice across cohorts.


We're looking to develop a sustainable QSIRprogramme across Cornwall Partnership NHSFoundation Trust to enhance the qualityimprovement capability across the trust.

Head of Business PlanningCornwall Partnership NHS Foundation Trust

Executive sponsor: Ellen Wilkinson, Medical Director


Nicola Bliss

The examples and case studies really bringimprovement to life and enable the sharingof ideas and best practice across cohorts.“”



I have attended many training programmes overmy years in the NHS, but none that provided thedepth and breadth of content that sit within theQSIR Practitioner programme. The practicalapplication of these tools and techniques makesthe experience very real for delegates. I wantedto be a part of this movement and worked hardto make that happen.


I have been delivering QSIR Practitioner for threeyears now and remain ridiculously enthusiasticabout the programme. Providing colleagues andstakeholders with an array of tips, tricks andtools to take back into their workplace and useimmediately isn’t something that happens withmany training programmes, but it certainlyhappens for QSIR delegates. Whether it’s havingthe confidence to run a process mappingsession, challenging the presentation of

numerical data or simply recognising thathuman factors are at play, everyone who leavesthe programme is capable of making adifference...and they do.


Working across three organisations toimplement QSIR as our chosen approach toimprovement is an exciting challenge. At WVTthe programme has been running successfullyfor three years and we have learned a lot in thattime. QSIR Practitioner is now available at GEHand SWFT, the first cohort will conclude inDecember 2019. For future cohorts we willencourage primary care, social care,commissioning and third sector colleagues tojoin us. Sharing knowledge, experience andlearning, with no organisational boundaries toget in the way, means that the QSIR classroom isan amazing space for ideas and innovation.

Group Associate Director of ImprovementWye Valley NHS Trust, South Warwickshire NHSFoundation Trust, George Eliot Hospital NHS Trust

Executive sponsor: Alan Dawson, Director of Strategyand Planning


Alison Bolton

Providing colleagues and stakeholders with an arrayof tips, tricks and tools to take back into theirworkplace and use immediately isn’t somethingthat happens with many training programmes, butit certainly happens for QSIR delegates.

“”



Having been involved in projects within my rolethat had not always been a success, I wanted todevelop a better understanding of how to createstronger project sustainability. I wanted to beable to utilise these skills to bring QI to its fullpotential within the trust.

In addition, I wanted to be able to take theknowledge being offered and use it to help mycolleagues create projects that would bring highlevels of improvement to the trust and a higherquality of service to our patients.


Sharing knowledge from all areas of the NHShas helped me to see great improvementpossibilities within my own area.

The assessment days, although hard, wereanother highlight for me, as I learnt so muchfrom all the different areas of expertise andgained a better understanding of the subjectswe would be facilitating in the future.


• Involvement with the trust's quality improvement strategy.

• To support staff across the trust to develop their skills through QSIR.

• To take QI across all areas of the trust and to encourage colleagues to be innovative and create sustainable projects.

Leading Operations ManagerEast of England Ambulance Service NHS Trust

Executive sponsor: Lewis Andrews, Head of QualityImprovement


Janice Boreham

Sharing knowledge from all areas of the NHShas helped me to see great improvementpossibilities within my own area. “”



My motivation for joining the QSIR course wasthreefold.

• It was a great opportunity to link with colleagues from across the Integrated Care System (ICS) footprint for Berkshire, Oxfordshire and Buckinghamshire, and also to begin to build a broader network of colleagues (not just in healthcare) who are all passionate about quality and service improvement.• I was conscious that we were working on improvement projects across the region but unfortunately working in silos. The course was a vehicle for helping to forge relationships to break down boundaries between organisations.• I had no doubt that being amongst driven and enthusiastic people would inspire new ideas, and it certainly delivered!


The highlights were meeting colleagues fromwithin the ICS, sharing ideas, having fun on thecourse and improving my own knowledge andconfidence to teach. I am using the Model forImprovement and other tools and techniquesevery day, whether I am working on patientfacing activities or strategic planning for the ICS.This surely has to be the test of the practicalapplication of the course.


To continue with the roll out plan for theorganisation to >1000 candidates.

Director of TransformationOxford University Hospitals NHS FoundationTrust/Buckinghamshire, Oxfordshire and Berkshire West(BOB) ICS, Programme Director for the BOB ICS AcuteCollaboration Workstream

Executive sponsor: Peter Knight (CIDO)


Belinda Boulton

I had no doubt that being amongst drivenand enthusiastic people would inspire newideas, and it certainly delivered!“”



To enable the consistency and embed the use ofQSIR methodology and culture withinBirmingham Community Healthcare NHSFoundation Trust.


• Understanding and learning how the various tools and presentations can be used effectively to improve and develop NHS services.

• Meeting similar minded individuals, sharing good practice and frustrations between us.

• Being accredited as a QSIR Practitioner and QSIR teaching associate.


To ensure that the QSIR programme is deliveredas part of our wider improvement approachwithin the organisation and to enable anembedded culture of continuous qualityimprovement.

Transformation Programme PartnerBirmingham Community Healthcare NHS FoundationTrust

Executive sponsor: Suzanne Cleary, Director of Strategy andPartnerships


Diane Bradbury

Meeting similar minded individuals,sharing good practice and frustrationsbetween us was a highlight for me.“”



I applied for QSIR College because I wanted toconsolidate my understanding of qualityimprovement methodology to ensure that I passon accurate information when working withstaff in our organisation. There are realopportunities within our organisation to supportstaff to make changes in their services that theyown, believe in and patients and staff willbenefit from.


The measurement for improvement day wasparticularly well presented and fun, with theopportunity to show off our construction skills!The way that session was delivered helped me tosee how even subjects which could be seen as‘dry’ or ‘complex’ could be made easy to follow,learn and then apply.

There are teams in our organisation who havebeen making changes using tools withoutknowing that what they were doing, it has beenrefreshing to be able to tell them they have beendoing the right things.


I am one of a group of five QSIR practitionersthat qualified together from our organisation.We had already formed a QI Academy and we’redeveloping the programme for deliveringtraining to delegates. Now that we are allconfirmed as associate members of the QSIRteaching faculty we can offer the QSIRprogramme through our QI Academy enhancingour ability to help staff identify, plan, deliver andsustain QI across the trust.

Service Improvement Programme ManagerWalsall Healthcare NHS Trust

Executive sponsor: Karen Dunderdale, Director of Nursingand Deputy Chief Executive


Joyce Bradley

The measurement for improvement day wasparticularly well presented and fun, with theopportunity to show off our construction skills!“”



I applied for QSIR College to reinforce myexisting knowledge, and was particularlyinterested in the fact that the course has beendesigned specifically for NHS staff. I also want tosupport the delivery of QSIR to colleagues acrossthe entire trust; to build our overallimprovement capability by enabling more staffto deliver their own change projects, andimproving sustainability and spread.


I was impressed with the standard of thetraining and the use of practical examples inhealthcare scenarios. I think the main highlightswere the opportunities to learn from each otherand the team spirit and support from fellowcandidates during both the learning sessionsand the teaching assessments.


We plan to increase the number of QSIRassociates to continue to roll out QSIR across thetrust. We have a QSIR delivery plan, and I lookforward to supporting the teaching of our nextcohort. QSIR learning workshops have also beenadded to further support staff to deliver theirown improvement projects.

PMO LeadBradford Teaching Hospitals NHS Foundation Trust

Executive sponsor: Sandra Shannon, Chief Operating Officer/Deputy Chief Executive


Sue Bramley

I think the main highlights were the opportunitiesto learn from each other, and the team spirit andsupport from fellow candidates during both thelearning sessions and the teaching assessments.

“”



I applied for QSIR College because I haverecently established and developed the QSIRPractitioner programme for George Eliot andSouth Warwickshire NHS Foundation Trust. Iwanted to be able to utilise my experience intraining and facilitation for service improvementwork. Being part of the national programmereally appealed to me as it’s a great opportunityto network and share practice.


The exciting thing for me personally has beenthe teamwork across three sites, working withan expert QSIR associate, Ali Bolton. Setting upthe programme together has been veryrewarding. The first cohort have really engagedwith the programme and we are already seeingthe cross site benefits of connecting people.


Our future plans involve running the five dayprogramme three times a year as well as ashorter two day version. We are also providingonline Bronze level training for all staff.

Service Improvement LeadSouth Warwickshire NHS Foundation Trust

Executive sponsor: Alison Bolton, Associate Director ofImprovement


Nicki Buckley

The first cohort have really engaged with theprogramme and we are already seeing the crosssite benefits of connecting people.“”



I was invited to join four colleagues in early2018 applying for the QSIR Practitioner andCollege associate programmes, the plan beingto form a college back at our organisation. Assomeone who was new to service improvementand transformation, this was also theopportunity to load myself with the tools andtechniques required to support teams on theirimprovement journeys.


The programme was delivered in such a waythat allowed me, as a novice in improvement, tocomplete a journey of personal developmentthat concluded with the successful completionof QSIR College associate accreditation.


Cohort 1 at Bradford have now completed theirQSIR Practitioner programme and Cohort 2starts soon. We have a number of thesesuccessful practitioners also moving forwardwith the QSIR College associate assessments.Our ambition is to grow the improvementcapabilities of colleagues across the widerorganisation by embedding QSIR as our mainimprovement resource.

Service Improvement MatronBradford Teaching Hospitals NHS Foundation Trust



Sarah Buckley

The programme was delivered in such a way thatallowed me, as a novice in improvement, tocomplete a journey of personal development “”



I am passionate about redesign andimprovement! have spent my career workingwith clinicians, managers and executives tobring innovation to healthcare organisations.Having completed and taught in a similarprogramme in Australia, I’ve seen first-hand theimmense impact it can have on the system.

I am inspired every day by my passionate andhardworking colleagues and the range ofcutting-edge transformational projects takingplace. QSIR is relevant to everything we do, andI’m proud that I can help to spread its benefits inthe system.


QSIR is a highly practical programme, deliveredin an interactive and engaging way. I had somegreat opportunities to network and learn fromcolleagues in other parts of the country. Thecontent draws on tools and techniques from a

range of industries and applies it to the healthcontext in a very pragmatic way. I’ve been ableto come back to NHS North West LondonCollaboration of CCGs and immediately apply anumber of these tools in my own programmes.


North West London (NWL) has embarked on achallenging journey to redesign our health andsocial care system to provide care for an ageingpopulation and manage increasing demand withfewer resources. Our Sustainability andTransformation Plan (STP) outlines our ambitionto focus on the needs of people living within theSTP area, rather than the needs of individualorganisations. This programme of work stretchesacross more than 29 organisations, a populationin excess of two million people and a widerange of health and social deprivation acrosseight CCGs which span some of the richest andsome of the poorest areas in the country.

Senior Implementation Lead – Older People’s Care and 7Day ServicesNHS North West London Collaboration of CCGs

Executive sponsor: Juliet Brown, Programme Director, Strategyand Transformation


Xiao Cai

QSIR is a highly practical programme,delivered in an interactive andengaging way.“”



I have a passion for developing people as well aslearning new subjects – QSIR ticked both ofthose boxes! The course gave me anopportunity to consolidate my skills andknowledge in change management and serviceimprovement. It was great to attend collegewith my colleagues from the same organisationso we could apply the knowledge and skills backin the workplace as we learned them in astandard and shared way. I also welcomed theopportunity to work with NHSI colleagues andothers across the healthcare system.


Being able to actually teach standard deviation!Meeting and working with like-minded peoplefrom across the NHS has provided networkingopportunities and expanded my breadth ofknowledge.

Being able to practice the teaching in a safe andsupported environment. The accreditationprocess was well organised and our assessmentgroup was a fantastic support throughout.


When we commenced our QSIR journey wewere looking at the opportunity to buildimprovement capability in one organisation.Now we are hoping to train 500+ staff acrossthree acute hospitals in the next few years. Weare also looking at plans of sharing our QSIRskills with colleagues in primary care and thecommunity.

Improvement and Change Management Specialistmsb group: Mid Essex Hospital Services NHS Trust,Southend University Hospital NHS Foundation Trust,Basildon and Thurrock University Hospitals NHSFoundation Trust

Executive sponsor: Tom Abell, Deputy Chief Executive andChief Transformation Officer


Becky Carter

Meeting and working with like-mindedpeople from across the NHS has providednetworking opportunities and expandedmy breadth of knowledge.

“”



I have always been passionate about qualityimprovement and QSIR College will enable us tobring an approach to the improvement work weare undertaking as an Isle of Wight healthsystem. We wanted to enable a commonlanguage and build the capabilities within theservices and using QSIR will support us to dothis.


I have really enjoyed the QSIR College course.The connections and support from otherparticipants have been invaluable. The toolshave consolidated my learning from undertakingimprovement work for several years and I amlooking forward to delivering this in ourorganisation.


We have three cohorts planned already whichwill be open to our Isle of Wight health systemcolleagues. To start with, the focus will be oncolleagues delivering improvement prioritiesfrom our Quality Improvement Strategy. TheFundamentals course will be running alongsideand open to all staff to raise awareness.

Head of Service ImprovementIsle of Wight NHS Trust

Executive sponsor: Suzanne Rostron, Executive Director ofQuality Governance


Jo Case

The connections and supportfrom other participants havebeen invaluable.“”



I wanted to be able to promote a commonunderstanding and approach to qualityimprovement within my trust. From a personalperspective, my background is transformationand change management in non-NHSorganisations so I wanted to broaden myknowledge in quality improvement tools andtechniques pertinent to the NHS. I wanted tosupport my trust in being able to deliver QSIRtraining, which is an integral component in ourdevelopment of our continuous qualityimprovement culture. I wanted to be part of thefirst cohort to get the accreditation so I can helplead and champion QSIR in my trust.


My highlights were:

• learning about case studies from NHS Trusts – whether that be from the QSIR presentations themselves or colleagues in the room – regarding the application of QSIR in their areas and their lessons learnt

• expanding my network – particularly through the assessment day – in the hope we can support each other and share learning

• strengthening my quality improvement knowledge

• feeling a sense of community across the QSIR network with our common quality improvement language and methodology.


QSIR will form part of the foundations of ourcontinuous quality improvement culture acrossour organisation. We have developed astructured roll out plan to deliver QSIR as weup-skill staff at all levels of our organisation. Weaim to be an organisation where all staff areskilled and supported to continually seek toimprove, and QSIR is a key enabler in us beingable to achieve this.

Transformation Programme LeadKettering General Hospital NHS Foundation Trust

Executive sponsor: Polly Grimmett, Director of Strategy,Transformation and Contracting


Natasha Chare

We aim to be an organisation where allstaff are skilled and supported to continuallyseek to improve, and QSIR is a key enablerin us being able to achieve this.

“”



To give me the capability to roll out QSIR withinour organisation.


The highlight was the opportunity to networkwith like-minded people.


We have developed our own faculty and willbegin rolling out the programme from January2020.

Transformation Programme Manager Kettering General Hospital NHS Foundation Trust

Executive sponsor: Simon Weldon, Chief Executive Officer


Cath Chisholm

The highlight was the opportunity tonetwork with like-minded people.“”



I wanted to help develop a national qualityimprovement programme from anaesthesia andperioperative medicine in association with theRoyal College of Anaesthetists.


The highlight was beginning to see the coursefor anaesthesia come alive and realising how Ican bring what I have learnt into so many areasof my work.


To continue to build on the reputation of thecourse and its advantages within the world ofperioperative medicine.

Consultant in Intensive Care Medicine and AnaesthesiaUniversity College London Hospitals NHS FoundationTrust

Executive sponsor: Lesley Jordan, Consultant Anaesthesia,Royal United Hospitals Bath NHS Foundation Trust


Sam Clark

The highlight was... realising howI can bring what I have learnt intoso many areas of my work.“”



To improve my knowledge around qualityimprovement and to give me the right tools tosupport my colleagues in their ideas for qualityimprovement.


My personal highlight has been networking withNHS colleagues which has broadened myknowledge of other trusts and services. Otherhighlights include gaining more confidence in anarea that I am passionate about and beingtaught how to support and skill up mycolleagues.


The QSIR training will support me to deliver thetraining in our trust. Most importantly for me, itwill support colleagues in different services andteams, giving them the understanding of how toembed QSIR and use it to support patient safetyand quality improvement.

Quality and Standards Assurance ManagerBirmingham Community Healthcare NHS FoundationTrust

Executive sponsor: Suzanne Cleary, Director of Strategy andPartnerships


Rebecca Coghlan

My personal highlight has been networkingwith NHS colleagues which has broadenedmy knowledge of other trusts and services.“”



I wish to demonstrate that all staff can beinvolved in service improvement andtransformation, no matter where they work, forthe benefit of their patients and teams.


Networking with like-minded people in manydifferent roles and areas of the NHS. Iparticularly enjoyed the support andcamaraderie of the teaching assessment days,learning facilitation skills from one anotherwhilst sharing great ideas for qualityimprovement and best practice.


To become a member of the Chesterfield RoyalQSIR faculty and roll out QSIR methodology tostaff of all disciplines and specialities within thetrust.

To use QSIR principles within my own team toimprove service delivery and support othercolleagues with their improvement projects.

To empower staff to put forward ideas forchange to the trusts ‘Royal Academy ofImprovement’ and get involved in serviceimprovement.

Matron Clinical Education and TrainingChesterfield Royal Hospital NHS Foundation Trust

Executive sponsor: Tony Campbell, Chief Operating Officer


Gemma Cort

I wish to demonstrate that all staff can beinvolved in service improvement andtransformation, no matter where they work,for the benefit of their patients and teams.

“”



To further develop and reinforce myunderstanding of quality improvement methodsto ensure that the improvement work that I do isinformed by the latest thinking and goodpractice.


It has been great to refresh and extend myknowledge and to learn with a fantastic team offellow improvement enthusiasts.


I have an ambition to build a QSIR faculty acrossthe north and to use the training to inspire anew cohort of fellow improvers.

Head of System Improvement (North East andYorkshire and North West regions)NHS England and NHS Improvement

Executive sponsor: Tony Baldasera, Director of SystemImprovement (North East and Yorkshire and North Westregions)


Adele Coulthard

It has been great to refresh and extend myknowledge and to learn with a fantasticteam of fellow improvement enthusiasts.“”



In Blackpool we committed to introduce astructured approach and methodology to qualityimprovement (QI). Our aim is to be anorganisation that embraces and sustainscontinuous QI and learning led by all staff.Achieving this means we have to thinkdifferently, be innovative, and engage andempower everyone, at every level, with the skillsneeded to lead change. To support this journeywe applied as a team to QSIR College as itoffered a comprehensive programme withexcellent resources. My personal commitment isto provide leadership and vision to help embedQI as ‘the way we do things at Blackpool’.


I enjoyed being part of a great team that hassupported each other through our journey andmade learning fun. It has also been a fantasticopportunity to meet some amazing colleagues

from across other NHS organisations who sharea passion for QI. The learning of new skills,support, sharing of ideas and networking hasbeen incredible, not only from course colleaguesbut also the QSIR College team.


• Run system wide programmes of work for complex improvements aligned to the trust’s quality priorities using the QSIR methodology alongside a structured collaborative approach.• Work with the OD department to integrate QI training into leadership courses and align coaching and action learning support with QI.• Build our QI capability and capacity across the organisation.• Work with ICP and STP partners to support improvements across the wider region.

Director of Quality ImprovementBlackpool Teaching Hospitals NHS Foundation Trust

Executive sponsor: Mark O'Donnell, Medical Director


Tracy Crumbleholme

I enjoyed being part of a great team thathas supported each other through ourjourney and made learning fun.“”



I applied for QSIR College so that I could refreshmy quality and service improvement skills tobetter support the trust’s ambition to place QI inthe heart of everything we do. The experience ishelping me to shape the trust’s QI strategicdirection and teach QSIR methods andapproaches to colleagues and their teams.


The QSIR experience has provided with merefreshed skills and introduced me to new toolsand approaches. The networking opportunitieshave been endless and have allowed me toexplore how best to utilise the approachesacross partnerships and systems.


We have created our training plan and have fivecohorts in training, with our first graduationcelebration event taking place soon. We are alsoin the early stages of introducing the QSIRmethods into a number of improvementprogrammes.

Deputy Director – GovernanceCoventry and Warwickshire Partnership NHS Trust

Executive sponsor: Sharon Binyon, Medical Director


Lisa Cummins

The networking opportunities have beenendless and have allowed me to explorehow best to utilise the approaches acrosspartnerships and systems.

“”



I applied for QSIR College because I was leadingmy trust's quality improvement programme andwanted to have a common language andstructure for quality and service improvementwork in the trust. Having a suite of tools is great,but having a culture of improvement is evenbetter.


I have really enjoyed applying measurement forimprovement in real life; seeing how asking theright questions and looking at the right data cansave a great deal of time and heartache.


I would like to see a QI approach being thebackbone for all transformation activity acrossour ICP. There is no change effort that could notbenefit from clarity of purpose, evidence-baseddecision making and an iterative approach toproblem solving.

ICS Programme ManagerBuckinghamshire ICS

Executive sponsor: David Williams, Director of Strategy


Matan Czaczkes

I have really enjoyed applying measurement forimprovement in real life; seeing how asking theright questions and looking at the right datacan save a great deal of time and heartache.

“”



To strengthen my personal understanding ofquality improvement tools and techniques andalso to develop the skills to facilitate teachingsessions to teach this programme to others. I amhighly motivated by quality improvement andthis was the perfect course to consolidate mylearning. I wanted to be influential and involvedin increasing quality improvement trainingwithin my trust, supporting and empoweringstaff to develop service improvement to impactpositively on patient experiences and standardsof care.


A real highlight was the positive energy createdthrough working with other healthcareprofessionals from other trusts. This wasparticularly motivational and supportive whencompleting the QSIR College assessment.

Another highlight were the interactive sessionsthat really embedded the ethos of qualityimprovement through discussion and interestingactivities.


To put quality improvement at the heart offuture projects and support my colleagues intheir quality improvement journeys.

Clinical Improvement and Effectiveness ManagerBlackpool Teaching Hospitals NHS Foundation Trust

Executive sponsor: Peter Murphy, Director of Nursing AHPand Quality


Anna Dallow

A real highlight was the positive energycreated through working with otherhealthcare professionals from other trusts.“”



A key tenet of our clinical service strategy is todeliver continuous quality improvement inpatient outcomes which are affordable andprovide value for money.

The QSIR syllabus concisely addressed Bradford’sneed for a structured approach to continuousimprovement based on an omnistic range ofspecified methodologies.

I’m fortunate to lead the transformation agendaat Bradford Teaching Hospitals, with threedistinct parts to the team; quality improvement,service improvement supported by theprogramme management office. I wanted toconsolidate my knowledge to enable me toconfidently lead and be part of the roll-out ofQSIR across the trust.


The teaching assessments were intense but wellworth the effort. For me, they were a realisationand crystallisation of many different aspects ofthe syllabus. Talking through examples helped toembed my learning. Listening to fellow studentshelped me to reinforce my learning. There wasalso great camaraderie and the creation of anew network of colleagues passionate aboutimproving healthcare and equally supportive oftheir fellow QSIR students.


Continue with the roll-out of QSIR across thetrust, expand the number of practitioners andfurther support all colleagues on our continuousimprovement journey.

Transformation Director Bradford Teaching Hospitals NHS Foundation Trust



Chris Danson

The teaching assessments were intense butwell worth the effort. For me, they were arealisation and crystallisation of manydifferent aspects of the syllabus.

“”



I wanted to develop and embed a body ofknowledge around quality improvement for staffso they were equipped with the know-how toundertake and manage their own improvementchanges. Quality improvement methodology isso straightforward and practical it should be agift for everyone to use.


The highlights have been seeing staff developingthe confidence to ‘have a go’, apply some of thelearning they have acquired though QSIR andseeing their changes make a difference withintheir areas. The spread and growth of QSIRcontinues to be personally inspiring andmotivating. I love being involved with theprogramme and supporting the embedding ofQI thinking across the NHS.


• Developing and embedding a QI strategy for the organisation and across Walsall Together• Further growth of the Walsall QI Academy and Faculty• Embedding QI thinking and methodology across nursing and midwifery within the trust.• Contributing to an internal QI learning programme for student nurses and trainee nursing associates

Deputy Director of Nursing Walsall Healthcare NHS Trust

Executive sponsor: Karen Dunderdale, Director of Nursing andDeputy Chief Executive

Accreditation date: April 2015

Angie Davies

The spread and growth of QSIRcontinues to be personallyinspiring and motivating.“”



I was nominated by the director of nursing totake part in QSIR College. The personal andorganisational benefits were my primarymotivations for taking part.


Delivering QSIR to my colleagues has been sucha valuable development experience for mepersonally and for the organisation.

Seeing the penny drop with colleagues whohave been struggling with their projects hasbeen one of the most rewarding aspects ofdelivering QSIR. The number of people whohave stated that attending QSIR has made themfeel empowered to identify things that need tochange and then act with confidence has beenincredible.

Getting to know so many colleagues from acrossthe organisation has also been of immense valueon both a professional and personal level. Tounderstand what people do day in day out, todiscuss their challenges, how they overcomeobstacles, and to see what makes them tick hasbeen a real privilege.

Prior to the 2018 reaccreditation process Iprovided our Board with a seminar of QSIR andhow it is helping our organisation. The level ofsupport from the Board has been instrumental inincreasing the visibility of QSIR and demand forplaces is now so high there is a waiting list.Possibly the highest of all the highlights was theday our Chairman attended – I know everyonein the room got so much out of the sessions. Heenjoyed it so much he’s coming back again.


I plan to complete the 7th Bedford-based cohortby the end of 2019, bringing the number ofpeople trained here to approximately 120 in justunder two years.

Several colleagues will be participating in theQSIR College programme later in 2019 whichwill give our organisation the additional capacitywe need to support even more people throughthe training.

Transformation ManagerBedford Hospital NHS TrustBedford, Luton and Milton Keynes STP

Executive sponsor: Stephen Conroy, Chief Executive


Nia Davies

The number of people who have stated thatattending QSIR has made them feel empoweredto identify things that need to change and thenact with confidence has been incredible.

“”



I'm convinced that the tools for improvementthat are taught and that can be passed on havethe potential to transform processes within andacross systems in my trust. With that in mind,applying for QSIR College was an opportunity Icouldn’t miss – one of those no-brainerdecisions.


I like data and measurement so it has beenbrilliant to see people change the way theymeasure their performance and improvementprojects. When I hear the words “we havestopped RAG rating” I get worryinglyhappy....which probably makes me sound a bitweird.


My aim is to embed a culture of continuousimprovement within our STP by giving peoplethe tools, time and encouragement to do this. Iwould hope that for every cohort that passesthrough the QSIR course we deliver we aregetting closer to this goal. Hopefully my deliveryof QSIR sessions is improving each time as well!

Senior Biomedical ScientistWorcestershire Acute Hospitals NHS Trust

Executive sponsor: Sarah Smith, Director of Strategy, Planningand Improvement


William Davies

I like data and measurement so it hasbeen brilliant to see people change theway they measure their performanceand improvement projects.

“”



I applied for QSIR College as I saw it as afantastic opportunity, to be able to build on thecurrent improvement capability work in myorganisation. I really appreciated QSIR’spragmatic and transtheoretical approach toimprovement and redesign which I think will beuseful to staff within all staff groups and at all levels.


The demand and capacity element of QSIR Ifound really helpful. It made me think about ourapproach to capacity in the organisation, and itmade me realise some things that I could haveapproached differently in previous roles, or atleast gave me an understanding of why some ofthe actions I had taken hadn’t been successful.The child in me, really enjoyed utilising MrPotato Head in PDSA and measurement, it was afun way to learn.



Programme Director Clinical Redesign and Reconfigurationmsb group: Mid Essex Hospital Services NHS Trust,Southend University Hospital NHS Foundation Trust,Basildon and Thurrock University Hospitals NHSFoundation Trust

Executive sponsor: Tom Abell, Deputy Chief Executive and ChiefTransformation Officer


Jenny Davis

The child in me, really enjoyedutilising Mr Potato Head in PDSAand measurement, it was a funway to learn.

“”



As a quality improvement facilitator I felt that Ihad gained a great deal of knowledge andexperience from attending the QSIR programmeand wanted to share my experience within myown organisation and across the integrated caresystem (ICS) that is in effect in Nottinghamshire.The QI tools and techniques shared within QSIRCollege have enhanced my improvement skillsand will also improve the services we offer toour local service users and carers. They aremostly simple tools which help supportimprovements.


Although the assessment was slightly daunting,it provided an opportunity to be aroundlike-minded people who have the drive to wantto share and pass on their experiences. Helpingfrontline teams to make their services the bestthey can be through using a simplemethodology alongside tools to make theexperience for service users and carers better,was particularly rewarding.


Within the ICS it is the ambition to hold anddeliver QSIR training for a number of keymembers of the healthcare staff to make qualityimprovement everyday business for all, nomatter where, or for which organisation, youwork. We also aim to connect organisationswith the QSIR tools. This would be done within,and in conjunction with, some of the mainhealthcare organisations of Nottinghamshire.

Quality Improvement FacilitatorNottinghamshire Healthcare NHS Foundation Trust

Executive sponsor: Luke Baumber, Associate Director forQuality Improvement


Steve Daykin

The QI tools and techniques shared withinQSIR College have enhanced my improvementskills and will also improve the services weoffer to our local service users and carers.

“”



Having spent many years working in the NHS itreally is great to see a consistent, nationally ledapproach to transformation. QSIR College gaveme the opportunity to be a part of that and tobuild on the current improvement capacity andcapability work in my organisation.


Meeting my QSIR assessment colleagues fromacross the country in Coventry. QSIR associatecolleagues become your mentors and supportersas the transformational and large scale changeswe are all contending with continue tochallenge us across the NHS.


Burton Hospitals FT has taken five cohorts ofparticipants through the programme. I’mdelighted to be teaching on this latest one. Wehave multi-disciplinary teams on the course and,as associate members of the QSIR teachingfaculty, we mentor our teams through thecourse and beyond. This is proving essential forthe participants and a great developmentopportunity for the teaching associate to seeprojects through to their end points. The nextstep for the trust is to enrol patients,non-executive directors and governors onto theprogramme.

Head of PMOUniversity Hospitals of Derby and Burton NHSFoundation Trust

Executive sponsor: Magnus Harrison, Executive MedialDirector


Jane Docksey

It really is great to see a consistent,nationally led approach to transformation.QSIR College gave me the opportunity tobe a part of that and to build on thecurrent improvement capacity andcapability work in my organisation.

“

”



Having completed the QSIR training programmein West London NHS Trust and having appliedthe QSIR methodology to quality improvementprojects in the Ealing CAMHS (Child andAdolescent Mental Health Service)Neurodevelopmental Service, I was encouragedby the trust's quality improvement team to applyfor QSIR College. I considered that this wouldallow me to deepen my knowledge, skills andexperience on QSIR and to contribute to theQSIR teaching and dissemination in the trust.


As part of the West London NHS Trust QSIRprogramme, the Ealing CAMHSNeurodevelopmental Service designed andtested a new neurodevelopmental assessmentmodel, which includes a new skills mix, a stagedassessment process and the use of computerisedsystems. This was in relation to a nationalproblem on long waiting lists forneurodevelopmental assessments for childrenand adolescents. The project aimed to reduce

the number of young people waiting for anassessment by 10% over the period January toDecember 2018; the outcome of the projectexceeded the expectations as the teamsucceeded in reducing the number of caseswaiting by 30%. The Ealing CAMHSNeurodevelopmental Service received nationalrecognition at the International Forum onQuality and Safety in Healthcare (Glasgow, UK)in March 2019 for the quality improvementwork in reducing the waiting list forneurodevelopmental assessments for childrenand adolescents.


We aim to develop a strategy for thedissemination of QSIR training amongst CAMHSclinicians and the implementation of QSIRmethodology across the CAMHS Service Line inWest London NHS Trust.

Consultant Child and Adolescent PsychiatristWest London NHS Trust

Executive sponsor: Sarah Rushton, Director of Local andSpecialist Services


Maria de Gracia DominguezBarrera

I considered that this would allow me todeepen my knowledge, skills and experienceon QSIR and to contribute to the QSIR teachingand dissemination in the trust.

“”



I applied to update my knowledge and skillsaround tools I had been using previously, todiscover new tools, and to gain accreditation todeliver the QSIR course internally to colleagues.


My personal highlight has been theconsolidation of knowledge gained and beingable to support my organisation to establish asuccessful QI training programme.


We plan to continue to offer the QSIR trainingand expand the numbers of practitionerscompleting successful QI projects to enable asmany colleagues who wish to do so to makequality improvements.

Head of Service ImprovementKent Community Health NHS Foundation Trust

Executive sponsor: Sarah Phillips, Medical Director


Sarah Donovan

My personal highlight has been theconsolidation of knowledge gained andbeing able to support my organisation toestablish a successful QI trainingprogramme.

“”



I wanted to further develop my knowledge, skillsand experience of working with QI. This was tobetter support improvements in patient, carerand staff experiences and outcomes, as well asto deliver more experience designed projects.


The highlights have been learning from the QSIRfaculty members and other participants on thecourse – there have been many differentexperiences and ideas to draw from. Also (and Ididn’t think I would say this) the teachingassessment days were amazing! The group allworked hard on their presentations and werereally supportive of us all.


I wish to continue to develop my experience inusing the knowledge and skills I have learnt andalso to teach others so that they can benefitfrom the tools and approaches used. I will lookforward to many more QI projects acrossdifferent services and pathways to improve andsustain changes in CPFT.

Clinical Manager, Stroke and Neuro RehabilitationCambridge and Peterborough NHS Foundation Trust

Executive sponsor: Sarah Warner, Director of ServiceTransformation


Charlotte Dorer

The highlights have been learning from theQSIR faculty members and other participantson the course – there have been manydifferent experiences and ideas to draw from.

“”



For a long time I could see the enthusiasm mystaff had for making a difference and improvingthe quality of care for our patients. QSIR Collegegave me the chance to be able to harness theirpassion and support them all, and myself, in ourQI journeys.


Enhancing my knowledge in qualityimprovement and being able to use this in myday to day management. The group we werewith were so engaged and supportive, itprovided a great learning environment.


To grow our QSIR faculty, deliver training to ourstaff to build on their skills and empower themto be involved in QI at our trust.

Unscheduled Care MatronBlackpool Teaching Hospitals NHS Foundation Trust

Executive sponsor: Peter Murphy, Director of Nursing, AHPand Quality


Victoria Drake

The group we were with were soengaged and supportive, it provided agreat learning environment.“”



As an organisational development practitionerwho is passionate about staff engagement andsupporting teams to bring their improvementideas to life, joining the QSIR movement was aneasy choice!

Having had a personal interest in QI for manyyears, when the opportunity came to apply tothe QSIR College it was almost too good to betrue. Personally QSIR has helped strengthen myOD and QI practice and, for the trust, supportsme in contributing towards the development ofa QI organisational culture, empowering staffand improving our patients’ experiences andstandards of their care.


Of all the personal highlights a few in particularstand out. I thrive on watching teamrelationships grow and strengthen as peoplebond whilst developing their QI skills. I never tireof watching those light bulb moments as aresult of creative thinking processes or the

satisfaction of others when they realise theirimprovements are making a real difference toour patients through evaluation ofmeasurements.


As a trust we believe that in order to reach ourtrue potential we need to invest in our services,to look at them through a different lens and toharness the enthusiasm of our teams to drivequality improvements though the whole system.So through a small but dedicated team we’redetermined to further stimulate and embed aprogressive organisational culture whichempowers our staff, teams and leaders to makecontinuous improvements across all of ourservices. QSIR, our QSIR Practitioners and theQSIR College are all integral parts of how we willdo this over the coming years.

Head of Organisational Development, Equality andDiversity and Quality Improvement Northern Lincolnshire and Goole NHS Foundation Trust

Executive sponsor: Jayne Adamson, Director of People andOrganisational Effectiveness


Simon Dunn

I never tire of watching those light bulbmoments as a result of creative thinkingprocesses or the satisfaction of others whenthey realise their improvements are making areal difference to our patients

“”



QSIR was already being delivered in ourorganisation and we wanted to increase ournumber of accredited deliverers (QSIR teachingfaculty associates) so we could offer morecohorts and a better follow up support serviceto attendees.


Whilst being incredibly nerve-racking, the QSIRassessment and subsequent delivery of thematerial has provided me with a robustknowledge base of the concepts. It alsoprovided me with the confidence and networkto develop further training offers.


At UCLH we plan to use QSIR as part of a suiteof improvement offerings in order to providestaff with the skills and confidence to start to dothings differently. We wish to help grow amind-set and culture which is more open toexperimentation, focuses on learning fromfailure and values and supports people. Thisapproach is essential to improve outcomes andexperience for both patients and staff.

Improvement LeadUniversity College London Hospitals NHS FoundationTrust

Executive sponsor: Emma Taylor, Director of Education

Accreditation date: September 2016

Vicky Dunne

The QSIR assessment and subsequentdelivery of the material has providedme with a robust knowledge base ofthe concepts. It also provided mewith the confidence and network todevelop further training offers.

“

”



The SLP is a collaboration between Oxleas NHSFoundation Trust, South London and MaudsleyNHS Foundation Trust, and South West Londonand St George’s Mental Health NHS Trust. Itbrings together clinical expertise, experience andinnovation. We applied for QSIR College toenhance our capacity and capability to supportour individual organisations and the wider SLPdeliver on their strategic aims of improvingquality, using resources most effectively anddelivering best practice consistently to allpatients.


Highlights were the opportunity to develop ournetwork across the SLP and to access thebreadth of knowledge and experience of fellowparticipants and the QSIR faculty.


Each organisation in the South LondonPartnership has an internal QI trainingfoundation training programme. The QSIRprogramme, delivered by faculty across the SLPfor staff across the SLP, will support greatercollaboration in QI across the SLP as well assupport the development of internal expertisewithin each trust to support their individual QIstrategies.

The SLP will be offering an additional three-daycoaching qualification in combination with QSIRPractitioner which together will constitute theintermediate training level for the threeorganisations.

Associate Medical Director for Quality Improvement andInnovationSouth West London and St George’s Mental Health NHSTrust

Executive sponsor: Mark Potter, Medical Director


Justin Earl

Highlights were the opportunity to developour network across the SLP and to access thebreadth of knowledge and experience offellow participants and the QSIR faculty.

“”



I was offered the opportunity to apply for QSIRCollege against the background of a renewedfocus on quality improvement in our trust andthe intention to create a faculty ofmultidisciplinary quality improvementchampions. I felt this would be a fantasticopportunity to further develop my personalknowledge and skills and, in turn, share thelearning with others in a practical way. Many ofour AHP staff have some fantastic ideas toimprove the quality of care we provide topatients and I hoped that the QSIR theory andtools would help me to support them inbringing these to life.


The QSIR programme has provided me withsome personal challenges and put me out of my

comfort zone at times, which has been a greatlearning experience. The environment felt verysupportive throughout and it was lovely to meetand share the experience with like-mindedpeople from other organisations.


I believe the prioritisation of qualityimprovement across the NHS is a really positiveculture change and I’m proud to be a part ofrolling out the programme within our trust. Wehave a plan to give staff at all levels theopportunity to enhance their skill set via theQSIR Fundamentals training or the Practitionerprogramme and will also hopefully continue toexpand the QSIR College associate faculty. Iintend to integrate the methodology into myeveryday work and have already witnessed lotsof enthusiasm from others to do the same.

Deputy Head of TherapiesBlackpool Teaching Hospitals NHS Foundation Trust

Executive sponsor: Tracy Crumbleholme, Interim Director ofQuality Improvement


Anneka Edmondson

The environment felt very supportivethroughout and it was lovely to meet andshare the experience with like-mindedpeople from other organisations.

“”



The only option to improve the service offer topatients, service users and carers is to work inpartnership, breaking down unnecessary silos ofcare and building relationships acrossorganisations. The offer to train with QSIRCollege as an STP was an opportunity tosymbolise the potential of partnership across theNottinghamshire STP.


It was a great opportunity to enter a learningjourney with colleagues; to form learning groupsthat are supportive; to test your skill set acrossthe board and to build relationships.


In the Nottingham and Nottinghamshire ICS anOrganisational Development and SystemEffectiveness Plan has been developed with sixdeliverables. Deliverable two focuses on thedelivery of the quality improvement agenda overa two year period. The QSIR toolkit andapproach has been made the foundation of thedelivery plan.

Associate Director Learning and OrganisationalDevelopmentNottinghamshire Healthcare NHS Foundation Trust,Nottingham and Nottinghamshire ICS

Executive sponsor: Lyn Bacon, Chief Executive Officer ofNottingham CityCare


Julian Eve

The QSIR toolkit and approach hasbeen made the foundation of the[STP] delivery plan.“”



I have always had a service improvementcomponent to my various roles since joining theNHS in 2005. I applied for QSIR College becauseI wanted to be able to broaden the skills andknowledge I had developed over that time andformalise them in order to teach and pass themon to others.


Through attendance on the QSIR Practitionercourse and QSIR College I have met a widerange of dedicated and enthusiastic healthservice and social care staff who want to dowhat they can to make improvements that willmake a real difference to patients. The coursesallow for detailed learning and many fruitfuldiscussions but are also fun.


I will support Alison Bolton to grow a QSIRqualified team within Wye Valley NHS Trust anddeliver quality and service improvement trainingto all levels of staff. We are considering a threetiered approach to delivery; this will include aone day session for beginners, a two day sessionfor improvers and the full QSIR Practitionerprogramme for those staff who are in a positionto need the full content or for those staff whoare interested in QSIR as part of their owndevelopment.

Strategic AnalystWye Valley NHS Trust/Herefordshire andWorcestershire STP

Executive sponsor: Alan Dawson, Associate Director ofStrategy and Planning


Nick Exon

I have met a wide range of dedicated andenthusiastic health service and social carestaff who want to do what they can tomake improvements that will make a realdifference to patients.

“”



Throughout my career I have always been drivenby improvement, regardless of my role. I amcurrently working on building improvementcapability across our own organisation as well asthe wider integrated care system (ICS), and, asQSIR is our adopted approach the logical thingto do was to join QSIR College. Not only do Ihave a passion for improvement I have a strongdrive to support teams to develop theirimprovement skills. My vision, which is alsoaligned to our strategic vision, is to create aculture where everyday is improvement andimprovement is every day. QSIR College hasgiven me the tools and support network to seethis vision through.


My personal highlight has to be the phenomenalrelationships and networks that have been builtthrough QSIR College, not just work driven butalso social. Because of this, there is alwayssomeone to help, coach or mentor as required.

Teaching QSIR Practitioner and QSIRFundamentals has become part of me, as hasthe increased dynamism that continuousimprovement provides.


We have completed our fifth QSIR Practitionerprogramme across our ICS and we are alsodelivering QSIR Fundamentals bimonthly, all ofwhich have been really successful. The plan is tobuild a sustainable QSIR community within theICS which will provide constant support andnetworking across the ICS. We are also lookingto hold annual events for everyone who hasgraduated from QSR Practitioner. There aredefinitely beautiful improvement days ahead anda lot of potential has been released as a result ofQSIR!

Improvement LeadNottingham University Hospitals NHS Trust



Joe Faruqi

My personal highlight has to be thephenomenal relationships and networksthat have been built through QSIR College.“”



As a QI practitioner for over 20 years, I appliedto get a better understanding of the trainingoffer. I had just moved to a new role where partof my portfolio included both developing anorganisational approach to QI and supportedtraining and I wanted to see whether QSIR couldbe the vehicle to deliver that training. Happily, Ifound this to be the case!


I have met some fabulous people over thecourse of the training and it has reallybroadened my network and learning. The QSIRresources (slides, handbook) are veryprofessional and well designed and are a usefulreference point. It has also been a springboardto productive dialogue across the OD and QIcommunity within Nottingham on how to takeQSIR forward.


We are currently running QSIR training eventswith other local provider organisations as part ofa collaborative ICS-wide approach. This includesholding QSIR Fundamental events for patientand public representatives who may be involvedin quality improvement and wish to learn moreabout the processes.

Associate Director of Service ImprovementSherwood Forest Hospitals NHS Foundation Trust

Executive sponsor: Andy Haynes, Medical Director


Ceri Feltbower

I have met some fabulous people over the courseof the training, and it has really broadened mynetwork and learning.“”



To enable me to deliver QSIR training across myown organisation and the ICS.


Highlights were completing the whole QSIRCollege process and finally getting stuck in todelivering local training and delivering the wholeQSIR programme over five days for colleagues inKing’s Lynn – exhausting but brilliant!


To increase the number of sessions available forour staff and to build an ongoing network ofimprovement experts across the trust.

Service Improvement LeadSherwood Forest Hospitals NHS Foundation Trust

Executive sponsor: Andy Haynes, Medical Director


Ann Fewtrell

delivering the whole QSIR programmeover five days for colleagues in King’sLynn – exhausting but brilliant!“”



Completing QSIR training was the logical nextstep in my professional development when Imoved into a full time quality improvement role.It was an opportunity to refresh my knowledgein some areas, fill gaps in others and learn somecompletely new things. Overall I hoped to gain abroad and up to date understanding of how QIis delivered successfully in the NHS, alongsideother people who are working on similarproblems.


I enjoy learning new things and so the moreunfamiliar parts of the syllabus were the mostinteresting, for example I was able to startunderstanding why a different set of statisticalmethods is used for measurement in QI than inresearch. That was a light bulb moment in someways.

The assessment process was challenging but theparts of it which went well felt very rewarding. Imade a big effort to explain one tricky concept

during my session and a colleague commentedthat it was the first time they had understood itproperly which really made all the preparationfeel worthwhile.


Our organisation has faced some challengingperiods recently and within my team we allknow we have a lot of work ahead, which,whilst daunting, is also a motivating challenge.My colleagues have already trained somecohorts of QSIR Practitioners and with me andothers now qualified it will be possible to rampup capacity substantially. We believe our trusthas the potential to become outstanding, butonly if a big cultural shift occurs. We hope thatQSIR will be a core component of achieving thisand in particular we aim to keep in close contactwith those who complete the training in orderto maintain momentum and keep building thenetwork of optimistic people who are leading QIchanges.

Quality Improvement PractitionerEast Sussex Healthcare NHS Trust

Executive sponsor: Catherine Ashton,


Adam Finnie

I was able to start understanding why adifferent set of statistical methods is used formeasurement in QI than in research. That wasa light bulb moment in some ways.

“”



To confidently use the tools to support staff ingenerating ideas that lead to the delivery andimplementation of improvement programmes.


It gave me confidence in using tools, not just todeliver QI programmes, but to assist instructuring and delivering meetings and tosupport decision making.


Our chief nurse, Nancy Fontaine, is our lead fora QI faculty across the Norfolk STP includingprimary and secondary care.

Clinical Support Services Divisional Director and TrustAHP LeadNorfolk and Norwich University Hospitals NHSFoundation Trust

Executive sponsor: Nancy Fontaine, Chief Nurse


Tracey Fleming

It gave me confidence in using tools, not justto deliver QI programmes, but to assist instructuring and delivering meetings and tosupport decision making.

“”



During my time working in quality and serviceimprovement I have been fortunate to havetraining, and opportunities to deliver training, indifferent improvement methodologies. I saw theQSIR programme as an ideal way to consolidatemy learning in some areas and a fantasticchance to learn new tried and tested qualityimprovement tools.

As a trust we have tried previously to implementa standard approach to quality improvementand I felt that being accredited to teach QSIRwould enable us to take the next step and teachthe national standard approach.


I have really embraced and thoroughly enjoyedthe opportunity to meet with like-mindedpeople who are as passionate as I am aboutfacilitating change in the NHS. I like the way the

programme curriculum is split into manageablesessions and offers a varied approach to thelearning. Being able to practise some of thetools by including interactive sessions is reallybeneficial and assists in building networkingopportunities with other people in the cohort.


QSIR complements our current culture andleadership programme and is our chosenmethod of QI at the trust. This approach hasbeen integrated into our Quality ImprovementPlan and has full board support.

I am really looking forward to being aninstrumental part of the rollout and can’t wait toget started. Our first cohort of staff have beenidentified and are due to commence QSIRtraining in December 2019.

Quality Improvement LeadIsle of Wight Healthcare NHS Trust

Executive sponsor: Suzanne Rostron, Executive Director ofQuality Governance


Cathy Frost

Being able to practise some of the tools byincluding interactive sessions is really beneficialand assists in building networking opportunitieswith other people in the cohort.

“”



I have been a clinical nurse specialist in palliativeand end of life care for 15 years and introducedthe AMBER care bundle to the trust as part ofthe Transforming End of Life in Acute Hospitalsprogramme, publishing ‘Collaborative servicesdemonstrate positive outcomes for end of lifecare in an acute hospital setting’, NursingManagement (2013).

As part of my year's secondment to the post ofClinical Service Improvement Lead Frailty (frommy Deputy Director of Nursing role in SpecialtyMedicine) I was keen to formalise myknowledge of service improvement and be ableto teach these skills to colleagues.


I have enjoyed learning from other participantsabout how QSIR will be applied in differentsettings. The camaraderie has also been verysupportive – especially during the teachingassessments!


I will be teaching QSIR on the trust’s Bronzeprogramme and as part of the the Hereford andWorcestershire STP QSIR Practitionerprogramme.

Clinical Service Improvement Lead FrailtyWorcestershire Acute Hospitals NHS Trust

Executive sponsor: Sarah Smith, Director of Strategy andPlanning


Jennifer Garside

The camaraderie has also been verysupportive – especially during theteaching assessments! “”



Since joining the NHS 10 years ago I’ve alwayshad a passion for improving services for bothpatients and staff. I saw this qualification as away to spread this passion and give others theskills needed to make the improvements. I’m afirm believer that the NHS have the staff withthe experience and expertise needed to makethe improvements – we just need to enhancetheir skill sets.


Studying alongside colleagues from across thecountry who are as equally passionate aboutimproving our services has been a highlight. Thenetworks formed will last a lifetime.


We hope to develop a QSIR network acrossBirmingham and beyond that will form asustainable programme for improvements to ourservices.

Assistant Director of Finance The Royal Orthopaedic Hospital NHS Foundation Trust

Executive sponsor: Steve Washbourne, Interim Director ofFinance


Amanda Gaston

The networks formed will last a lifetime.“”



When I joined the QI team the first thing I didwas attend the QSIR training. My manager thenasked if I would consider being a coach forQSIR. Having enjoyed the course, and QI beingmy everyday, I was pleased to undertake thetraining to help increase my understanding butalso to be able to support others in their QIjourney.


The main highlights for me were the teamsupport – everybody wanted everyone to dowell. Working with other people who have ashared interest in QI and talking about how theywere going to use their QSIR coaching wasinteresting and thought provoking. We allthought it was great to be able to support eachother in the training sessions.


We will be delivering QSIR Fundamentals andQSIR Practitioner training alongside QSIRassociates across the Nottingham andNottinghamshire ICS.

Quality Improvement Facilitator Nottinghamshire Healthcare NHS Foundation Trust

Executive sponsor: Luke Baumber, Associate Director forQuality Improvement


Elizabeth Gethings

Working with other people who have ashared interest in QI and talking about howthey were going to use their QSIR coachingwas interesting and thought provoking.

“”



I am really interested in inspiring staff led qualityimprovements. I applied for QSIR College to gainthe knowledge to help encourage this.


Oddly, given my fear of public speaking, thehighlight has been the enjoyment fromdelivering the QSIR programme. The trainingand the knowledge gained has given me theconfidence to present with confidence.


I intend to continue to deliver the program andencourage staff from wider staff groups toparticipate.

Consultant Radiographer/Radiology Clinical DirectorPortsmouth Hospitals NHS Trust

Executive sponsor: John Knighton, Medical Director


Nicola Gibbons

The training and the knowledge gainedhas given me the confidence to presentwith confidence. “”



I work in facilities and whilst I had rudimentaryknowledge of service redesign from previousroles, I felt I would benefit from more formallearning. This would allow me to improve myconfidence and take service improvements tothe next level, by embedding continuousimprovement techniques and philosophy withinthe facilities and estates services. I felt QSIRCollege would give me the skills to support staffand champion initiatives across facilities.


I’ve applied the QSIR learning to a serviceimprovement project I am leading. The highlightfor me has been applying the serviceimprovement changes and seeing a significantshift in the SPC chart data, enabling me to fullyjustify the improvement. I have also found it veryrewarding to work alongside like-minded clinicalstaff, absorbing everyone’s enthusiasm andpositivity.


The trust intends to embed QSIR across thewhole organisation. It is a fantastic opportunityto have a coordinated approach to qualityimprovement across the system and to see realbenefits from improving the service we deliver.

Commercial Contracts and Transformational Delivery LeadChesterfield Royal Hospital NHS Foundation Trust



Sara-Lea Goodwin

The highlight for me has been applying theservice improvement changes and seeing asignificant shift in the SPC chart data,enabling me to fully justify the improvement.

“”



I applied for QSIR College to complete thetraining and enable the dissemination of QSIR.This supports cross-organisation capabilitybuilding as part of our larger culturalimprovement programme.

Enabling our staff and volunteers to accessonsite QSIR training means we are betterequipped to continuously improve usingco-production methods which are consistentand evidence based.


The QSIR programme goes beyond the technicalaspects of change, really focussing on thehuman dimensions of changes and humanfactors that can support or hinder change. I feelthis is an important aspect that someimprovement programmes omit which can thenmean that improvements are not sustained.

I am also the trust Freedom To Speak UpGuardian and feel that the QSIR programmesupports a culture which enables people to

better recognise the contribution of all andenable actions to be taken when people dospeak up.


I am proud to say that we have a team whohave become accredited QSIR associates. Wehave planned our first four QSIR cohorts andthese are fully booked with staff from across theorganisation at different levels and in differentroles. QSIR training will be provided alongsidecoaching, mentoring and action learning sets tosupport people to progress from learning intoaction, and to ensure that people use the toolsand techniques that are provided.

Completing our QSIR training enabled us toconnect with other NHS trusts across the ICSand STP footprints with which we are linked.Conversations have started about how we canshare the next stage of our improvementjourney and plan 'across place' improvements toensure the patient care we provide is the safestand best it can be.

Deputy Director for Organisational Learning andDevelopmentRotherham Doncaster and South Humber NHSFoundation Trust

Executive sponsor: Kathryn Singh, Chief Executive


Judith Graham

The QSIR programme goes beyond thetechnical aspects of change, reallyfocussing on the human dimensions ofchanges and human factors that cansupport or hinder change.

“”



Back in 2014 we were on the brink of creating anew quality improvement function at UCLH, andlooking for ways to ensure that the training andsupport we needed to give to others was validand credible. QSIR College opened up atprecisely the right time: it gave us access to arecognised QI curriculum and all the ideas andresources we needed to deliver it, as well as apersonal and collective assurance about thequality of our teaching and support.

Today, much of the capability building andimprovement support offered at UCLH stemsfrom that single decision.


It’s hard to think of specific highlights – we all geta little boost every time we are able to add newideas, or insights, or energy to someone’s effortsto improve services. But for me personally, there isno doubt that QSIR College is one of the thingsthat has helped me to feel part of a real andimportant improvement movement in the NHS.The journey is neither short nor easy, but Igenuinely believe that building improvement

capability in the NHS is the only way to long-termquality and sustainability in healthcare. To me,that’s a worthwhile endeavour.


UCLH has many improvement enthusiasts whowant to improve the services they offer. As ateam, we are fundamentally committed todelivering more QSIR Practitioner programmes tothese improvement leaders, helping them buildthe capability of UCLH as a learning, improvingorganisation. We want to build on the core thatQSIR College has provided us with.

How do we extend our own knowledge andskills so that we can deliver masterclasses inspecialist improvement topics? How can we givesenior leaders a better insight into the value ofimprovement methodologies? How do we bestcoach and support whole teams to apply theQSIR approach to their strategic serviceimprovement projects? How can we help otherorganisations benefit from our ownimprovement journey? These are the questionswe are looking forward to addressing in ournext year of QSIR College.

Head of ImprovementUniversity College London Hospitals NHS FoundationTrust

Executive sponsor: Emma Taylor, Director of Education


Dave Grewcock

There is no doubt that QSIR College is oneof the things that has helped me to feelpart of a real and important improvementmovement in the NHS.

“”



When I applied to QSIR I was responsible forleading the service improvement team at SouthWarwickshire NHS Foundation Trust, who wereresponsible for delivering service improvementadvice and hands on support for improvementredesign initiatives across the organisation. I amnow in a new role at Kettering General HospitalNHS Foundation Trust but have a similarresponsibility with the transformation team. As ateam we are all skilled in, and regularly use, thetools described within the QSIR toolkit.

The transformation team is also responsible forproviding improvement training to theorganisation. We are using QSIR as ourapproach to this going forward as we recognisethe quality of the material within theprogramme and the focus it has on delivering onBerwick’s recommendations and improvement inan NHS setting.


Being involved with QSIR has enabled me to:• develop and embed my improvement understanding further• network with improvement colleagues• have access to expert resources to use for teaching QSIR• have a support network of QSIR experts to contact for advice.


We see the QSIR programme as an invaluablecomponent to our ongoing development of acontinuous quality improvement culture here atKettering General Hospital. We are working withlearning and development colleagues and QSIRassociate colleagues across the local system todeliver a QSIR training strategy, taking a ‘dosing’approach, to up-skill staff at all levels of theorganisation and system. Alongside this, weplan to cascade advanced skills by embedding a‘train the trainer’ approach.

Head of Transformation and PMO Kettering General Hospital NHS Foundation Trust

Executive sponsor: Polly Grimmett, Director for Strategy,Transformation and PMO


Melanie Griffiths

We see the QSIR programme as a valuablecomponent to our ongoing development ofa continuous quality improvement culture“”



Since taking on the role of service improvementprogramme manager I have enjoyed beinginvolved in change and looking to ensurechange is sustained. QSIR College seemed likethe next logical step in my development.


I enjoyed some of the elements more thanothers and to some extent was dreading havingto teach the ones I was wary of. Imagine mysurprise when I found that one of them was oneof my selected lessons I had to teach for theaccreditation! And perversely I really enjoyed thethree days teaching and watching others whowere beginning their QSIR journey alongsideme. I learnt a few new techniques that I hope toincorporate in my teaching style.


I am one of a group of five QSIR practitionersthat qualified together from our organisation.We had already formed a QI Academy and weredeveloping the programme for deliveringtraining to delegates. Now that we are allconfirmed as QSIR associates, we can offer theQSIR programme through our QI Academyenhancing our ability to help staff identify, plan,deliver and sustain QI across the trust.

Head of Digital Technology ServicesWalsall Healthcare NHS Trust



Andrew Griggs

I really enjoyed the three days teaching andwatching others who were beginning their QSIRjourney alongside me.“”



I wanted to learn about QI methodology tosupport successful change within mydepartment. Achieving accreditation and beingable to teach this very practical and relevantcourse was the next logical step.


Positive deviance! I am in awe of theencouragement and support received from thefantastic colleagues in our cohort – in particularduring the teaching assessments. Understandingthe usefulness of runcharts was a lightbulbmoment.


I look forward to joining other local associates inspreading QSIR within our organisation andaround the East Midlands region. We havestarted with our post-fellowship anaesthetictrainees and will gradually work up to takingover the world in due course!

Consultant Anaesthetist University Hospitals of Leicester

Executive sponsor: Moira Durbridge, Director of Safetyand Risk


Janette Gross

I am in awe of the encouragement andsupport received from the fantasticcolleagues in our cohort – in particularduring the teaching assessments.

“”



Quality improvement tools and techniques havealways been an important part of my own workin the NHS, and in my previous career inengineering and academic study. I enjoyteaching and supporting others to deliver theirchange projects. I could see we needed a strongnetwork of improvement activists workingacross our organisations to meet the hugechallenges of our STP. QSIR offered awell-designed curriculum of tried andtechniques with a really practical approach. QSIRCollege gave me the opportunity to develop myskills and work with my teaching partner todevelop an ambitious delivery programme.


Diverse project teams come together fromacross the STP at our QSIR workshops. Learningtogether creates a real connection, and I havereally enjoyed seeing the teams’ collaborativeworking relationships grow. I have been inspiredby their creativity and enthusiasm, and theworkshops are always buzzing with peopleworking out their stakeholder analysis, process

maps and driver diagrams. I have also learnt agreat deal myself from our participants andteaching has certainly benefited my own workwith the Gloucestershire cancer programme.


Interest in the QSIR programme inGloucestershire is continuing to grow and weare currently recruiting for further Practitionerand Fundamentals cohorts in 2018. We willcontinue to encourage a broad participationwith team members from a diverse range oforganisations and professional backgrounds.Next year we will make great progress towardsour ambition of embedding quality and serviceimprovement skills across our health and socialcare community. Our intention is to be a greatenabler for excellent partnership working acrossthe STP so that our project teams can delivercomplex change at pace. As a partnership weare now forming a countywide ImprovementAcademy, with QSIR as a key offering, andbuilding an ongoing model for coaching,networking, and continuous learning.

Associate Director Service Improvement and RedesignNHS Gloucestershire CCG/One Gloucestershire STP

Executive sponsor: Ellen Rule, Director of Transformation andRedesign


Kathryn Hall

the workshops are always buzzing withpeople working out their stakeholderanalysis, process maps and driverdiagrams.

“”



Having worked in the NHS for nearly 15 yearsgaining operational and project managementexperience, the term 'quality improvement' isone that I have heard and used frequently. TheQSIR course has enabled me to consolidate myexperience with proven QI methodology tofacilitate change within my organisation.


Networking with colleagues and sharing ourstories has been invaluable to me. Theenvironment in which QSIR is delivered is one ofsharing and filled with like-minded people whoreally want to make positive change within theirrespective organisations. Together with theprofessional and supportive faculty it truly hasbeen a worthwhile investment of my time.


I have already begun to support our local QSIRassociates with QSIR Fundamentals days. Thesehave been highly successful and we are planningmore in the coming months.

Individually, I am working with smaller teamsand individuals across our organisation sharingtools, processes and ideas related to QSIR everyday.

Transformation Programme Manager Oxford University Hospitals NHS Foundation Trust

Executive sponsor: John Drew, Director of Improvement andCulture


Tanya Hamilton

The environment in which QSIR is delivered is oneof sharing and filled with like-minded people whoreally want to make positive change“”



I first learnt about QSIR and qualityimprovement in the NHS a few years agothrough my role at the time as serviceimprovement programme manager. I felt it wasessential to better understand themethodologies available to enhance my abilitywhen supporting teams to make improvements.In turn we can pass on new knowledge andskills for colleagues to use. It is great to be partof a growing movement of technical enthusiastswith QSIR skills.


The opportunity to meet like-minded individualsfrom across the NHS, share experiences andlearning is invaluable when learning these newskills. Going on this learning journey with theteam at Walsall also helped us to bond andunderstand each others’ strengths andweaknesses for when we deliver the traininglocally.


I am one of a group of five QSIR Practitionersthat qualified together from our organisation.We had already formed a QI Academy and weredeveloping the programme for deliveringtraining to delegates. Now that we are allconfirmed as QSIR associates we can offer theQSIR programmes through our QI Academy,enhancing our ability to help staff identify, plan,deliver and sustain QI across the trust.Individually I am sharing this knowledge throughmy Care Group Team during daily activities.

Care Group Manager – Long Term Conditions Walsall Healthcare NHS Trust



Chris Harris

The opportunity to meet like-mindedindividuals from across the NHS, shareexperiences and learning is invaluablewhen learning these new skills.

“”



I applied with Naomi, my joint post holder, asthe QSIR College package was a perfect matchfor our organisational and job role needs. Wewere looking for a change methodology to useat Moorfields to both standardise how change isdelivered and to build a culture of change “cando” at all levels of the organisation. Being ableto have a nationally accredited course behind uswas both highly attractive and suitablychallenging for us both personally, building onour experience in past NHS organisations andgiving it structure.


The highlight for me was the assessmentsession, which although challenging, was alsovery rewarding. It was great to see otherspresent, to hear their examples and to enjoybeing part of an enthused NHS gathering. It

made me feel confident in my own knowledgeand skills. It gave us a boost and a launched usback to Moorfields with a positive attitude andmotivation to deliver a QSIR training plan.


Our role is to lead change methodologydevelopment through service improvementprojects and training, and having QSIR tools andteaching faculty accreditation helps us deliverthat. One year in, we are training our secondQSIR Practitioner cohort and have had positivefeedback from them, the first cohort andcolleagues who have attended our monthlyfoundation course. We now have two moreteam members as associates and our aspirationsare for more, to keep building the continuouschange culture we are seeking.

Joint Director of Service Improvement andSustainabilityMoorfields Eye Hospital NHS Foundation Trust

Executive sponsor: John Quinn, Chief Operating Officer


Sarah Haspel

It was great to see others present, tohear their examples and to enjoy beingpart of an enthused NHS gathering.“”



I have always been passionate about deliveringhigh quality care and making a difference topeople and services in a creative way. I getexcited about innovation and engaging otherson my improvement journey. I started my role asQuality Lead two years ago and had limitedknowledge regarding formal qualityimprovement tools and techniques. I felt thatapplying for QSIR College would enable me tolearn the theory behind the practice and developmy confidence to share with others.


I am proud to have been on the first cohort ofaccredited QSIR College associates within ourorganisation. I enjoyed the way QSIR was

delivered by highly motivating andknowledgeable facilitators. The interactive styleof delivery and the practical sessions helped meto make sense of the theory. The tools and skillslearnt are applicable to practice and can be usedin a variety of settings. Passing the assessmentswas also a relief!


We are planning to deliver the training to ourfirst cohort of colleagues within CornwallPartnership NHS Foundation Trust very soon.Exciting but anxiety provoking! I am lookingforward to learning from colleagues locally tooand discussing real local examples. More cohortsto follow.

Quality Lead – Mental Health Inpatient and TargetedServicesCornwall Partnership NHS Foundation Trust



Angela Hawke

The interactive style of delivery and thepractical sessions helped me to makesense of the theory.“”



To increase my knowledge and skills aboutmaking improvements and managing projects,and to be able to share this with those I engagewith and teach.


It has been a refresher and consolidation of myexisting knowledge and also introduced me tosome new skills and tools that are available. Ithas allowed me to meet new people with similarinterests, from a wide variety of backgrounds,and we were able to learn from each other. It’sbeen great.


We will be delivering a programme of QSIRFundamentals days to introduce staff to QSIRand also running five day programmes.

Practice Educator for QualityThe Royal Wolverhampton NHS Trust

Executive sponsor: Simon Evans, Director of Strategic Planningand Performance


Katie Haywood

It has allowed me to meet newpeople with similar interests, from awide variety of backgrounds, and wewere able to learn from each other.

“”



I found myself curious after a colleague of mineattended an earlier course and she was soenthusiastic about the skills she had developedthat I just had to have a closer look. Followingfurther review of the information available onthe NHS England and NHS Improvementwebsite, I was hooked. I applied and, although Ihave worked in the NHS for over 30 years in avariety of clinical and non-clinical roles at bothleadership and management levels, I found thetime spent very valuable from both a skillsdevelopment and networking perspective.


The biggest highlight for me was the section onmeasurement for success. SPC charts presentdata that makes it clear if a change has made apositive difference and tells a story in a waywhich is easy to understand across the wholeteam.

You may think this is because I was already datafocused, I was not! After 35 years I have finallyturned.


I intend to be an ambassador of the QSIRapproach and support and lead training acrossour teams. Most of all I intend to encouragethose who don’t yet feel comfortable (as Ididn’t) with the measurement of data to supportthe improvement process. I want to help themto understand they really can and how muchvalue this will bring to their services and patients– which is why we are all here, isn't it?

Out-patient Programme ManagerChesterfield Royal Hospital NHS Foundation Trust

Executive sponsor: Maria Riley, Associate Director of Strategyand Improvement


Ruth Heafield

I intend to encourage those who don’t yet feel comfortable(as I didn’t) with the measurement of data to support theimprovement process. I want to help them to understandthey really can and how much value this will bring to theirservices and patients – which is why we are all here, isn't it?

“”



As the transformation team, led by our managerand QSIR associate, we collectively applied toQSIR College to upskill ourselves as a team andpromote it as the QI methodology to adopt trustwide.


Personally, measurement for improvement hasbeen one element that has really benefitted mein my QI programmes, in particular in the use ofSPC. The other tools and resources have alsobeen extremely useful. Networking and sharingexperiences and ideas was hugely beneficial.


We are going to be rolling out QSIR trainingacross our trust and building our own faculty ofQSIR associates to teach QSIR to our staff.

Transformation Programme LeadKettering General Hospital NHS Foundation Trust

Executive sponsor: Polly Grimmett, Director of Strategy andTransformation


Kate Hepton

Networking and sharing experiencesand ideas was hugely beneficial.“”



I have worked in the field of qualityimprovement for many years but did not haveany formal qualification. I wanted to broadenmy skills and knowledge of the various qualityimprovement tools and share the learning.


The highlight for me was the final assessmentweek. I hadn't realised quite how much I hadretained until then. The support from the groupwas amazing and I learnt so much by seeinghow colleagues approached the topics creatively.


I would like to see Birmingham CommunityHealthcare NHS Foundation Trust really embed asystematic approach to quality improvement andcontinue to grow as a leading learningorganisation. My ambition is for us to be part ofan improvement community to ensure wedeliver the best care for our communities.

Clinical Quality Assurance Programme ManagerBirmingham Community Healthcare NHS FoundationTrust

Executive sponsor: Suzanne Cleary, Director of Strategy andPartnership


Carol Herbert

The support from the group wasamazing and I learnt so much byseeing how colleagues approachedthe topics creatively.

“”



I have been involved in quality and serviceimprovement for many years and felt that theQSIR programme would enable me to refreshmy knowledge and skills and consolidate myunderstanding of quality improvementmethodology. I saw the opportunity to becomea QSIR associate to enable me teach QSIRcontent and share my learning with others whowish to make improvements in their area ofwork, and ensure that we have a consistentapproach to quality improvement across theorganisation.


I really appreciated the chance to meet and getto know new people who are committed toimproving healthcare. I look forward tomaintaining these networks and making evenmore new connections as the QSIR movement

grows. Teaching in general and coaching othersto make improvements is a personal highlightfor me and I had forgotten how much I loved it.


The trust has published our quality and safetyimprovement strategy that outlines a clearstrategic intent for QI. We have agreed to useQSIR as an organisational/system wide approachto build improvement capacity and capability. Asan organisation and local health system we arecommitted to growing our improvementnetworks across Norfolk and Waveney.Delivering our local QSIR Practitioner andFundamentals programmes will support us inaccelerating our ability to build improvementcapability and capacity, and contribute togrowing our NNUH QI Faculty and Norfolk andWaveney Quality Academy.

Head of Patient Safety ImprovementNorfolk and Norwich University Hospitals NHSFoundation Trust



Barbara Hercliffe

Teaching in general and coaching others tomake improvements is a personal highlight forme and I had forgotten how much I loved it.“”



I originally applied for QSIR as Assistant Directorof Service Transformation at WorcestershireAcute Hospitals NHS Trust. QSIR enabled us asan STP to develop our Improvement Faculty,giving us a consistent methodology acrossHerefordshire and Worcestershire. QSIR alsoenabled us to maximise resources across thecounties, providing a focus for improvementtraining and taught by a diverse and talentedteam with a wealth of experience, knowledgeand skills.


My highlight was becoming the subject of the“day in life of a QSIR associate”. I was filmed fora whole day – it was thrilling, exciting anddeeply unnerving in equal measure!

I became part of a joint faculty of like-mindedcolleagues. We shared experience, improved ouroffering and shared knowledge with so many of

our colleagues. Through the faculty we weregiven the unique opportunity to understandissues and opportunity for improvement acrossour STP and also to work across ourorganisations to deliver meaningful change forstaff and patients. It was a privilege to becomepart of the wider QSIR community. Taking skillsfrom QSIR, I am now using them in my role asLean Transformation Consultant to supporttrusts in developing their service improvementknowledge and skills to underpin theirorganisation wide lean transformations.


To teach and promote QSIR to organisationswithin my current programme.

Lean Transformation Consultant, Vital SignsProgramme NHS England and NHS Improvement


Ann Hill

I became part of a joint faculty of like-mindedcolleagues. We shared experience, improvedour offering and shared knowledge with somany of our colleagues.

“”



As a project manager I find the QSIRmethodology and tools invaluable. Joining QSIRCollege gives me the opportunity to maintainmy knowledge and continually learn fromothers.


I love hearing how the QSIR tools are applied.


Our STP is keen to embed and embrace the QSIRculture to empower all staff to become ‘ChangeMakers’.

Senior Planning and Project ManagerWorcestershire Health and Care NHS Trust

Executive sponsor: Sue Harris, Director of Strategy


Deborah Hipkins

As a project manager I find the QSIRmethodology and tools invaluable.“”



Personal interest in service improvement work,teaching and a desire to help frontline staffwanting to improve local services – especiallywithin primary care.


A highlight for me was seeing just how muchthe groups enjoyed the sessions and how wellthe content transcended role and level ofexperience. Another was the dialogues thatoccurred in the room and having had thefreedom to set up the project.


I would like to continue to use QSIR to buildintegration within primary care, but in a morestructured way.

GPHammersmith and Fulham GP Federation


Chad Hockey

A highlight for me was seeing just howmuch the groups enjoyed the sessionsand how well the content transcendedrole and level of experience.

“”



I’m passionate about improvement within theNHS and was keen to drive forwardimprovements within my trust. The QSIR modelis a way of improving the knowledge andconfidence of staff, but also providing aframework to support improvement work.


I was delighted to successfully achieve my QSIRassociate status which has allowed me tobecome more embedded with the improvementwork within my trust.


To further drive the quality improvement agendawithin my trust and to continue to link QI to thetrust's strategic objectives. Also to give staff agenuine vehicle for change and improvement.

Improvement Project ManagerNorthern Lincolnshire and Goole NHS FoundationTrust

Executive sponsor: Jayne Adamson, Director of Peopleand Organisational Effectiveness


Paul Holmes

I was delighted to successfully achieve myQSIR associate status which has allowedme to become more embedded with theimprovement work within my trust.

“”



I thoroughly enjoyed the QSIR course and theapproach to quality improvement they used. Iwas aware of competing methodologies and feltthat QSIR had the most to offer to theenvironment I work in. As the departmental leadfor quality improvement, we take clinical staffwith no prior experience through QI projects topublication. QSIR is ideal for this as it isaccessible to beginners and uses a ‘tools in thebag’ approach which is more suited to thevaried problems on which we work.


The highlights for me have been taking mylearning from QSIR and putting it into practice inreal life through supporting a portfolio of QIprojects.


I am part of the trust’s QI faculty and we arecurrently planning how to deliver QSIR coursesto our trust.

Emergency Medicine ConsultantUniversity Hospitals of Derby and Burton NHSFoundation Trust

Executive sponsor: James Crampton, Medical Director forQuality and Safety


David Hodgson

The highlights for me have been taking mylearning from QSIR and putting it intopractice in real life through supporting aportfolio of QI projects.

“”



I wanted to expand my existing knowledge,learn from others and help SCW develop acommon language across the organisation onquality improvement. I really liked that QSIRbrings together so many user friendly tools andconcepts into one curriculum.


I absolutely loved hearing from colleagues acrossthe NHS. The passion to improve services forpatients was really inspiring. I relished theopportunity to expand my network whilstlearning about improvement projects across lotsof services – acute, community, mental health,commissioning, ambulance, GPs, CSUs. I feltmotivated to find out more and explore theavailable tools and put the techniques intopractice as soon as I could. There are so manyinteresting and fascinating people in the QSIRfamily, all working together.


Our mission at SCW is to support our customersto achieve the best possible outcomes forpeople, communities and populations. Ourreputation is built on delivering outcomes andour commitment to continuous improvement.

We'll be rolling out QSIR across SCW fromNovember 2019. We want all our staff to feelempowered in making improvements at all levelsof the organisation. The work our staff do withour customers will be underpinned by the QSIRmethodology and is cemented in our mission.We'll be growing our number of QSIR trainers aswell, building more resilience and furtherembedding the approach across the NHS.

Associate Director of Planning and ProgrammesNHS South, Central and West CommissioningSupport Unit (CSU)



Charlie Howorth

I absolutely loved hearing from colleaguesacross the NHS. The passion to improveservices for patients was really inspiring.“”



I am passionate about QI and wanted to join mytrust's QSIR faculty to enhance knowledge of QImethodology to our staff.


As a mental health nurse I was in the minoritywithin my cohort, therefore it was fantastic togain insight into my colleagues’ roles and QIprojects.


We are determined to deliver QSIR training toreach every team within our trust to give ourstaff the skills and confidence to undertakeprojects to improve patient care and experienceand staff wellbeing.

Service Development and Assurance LeadEssex Partnership University NHS Foundation Trust

Executive sponsor: Natalie Hammond, Executive Nurse


Scott Huckle

...it was fantastic to gain insight intomy colleagues’ roles and QI projects.“”



I applied for QSIR College with the support ofmy executive sponsor as I wished to improve myknowledge and skills in quality improvement. Ialso wanted to effectively support and enablestaff to use quality improvement methodologyto make positive changes that make a differencefor patients and staff. As an organisation weplanned to use QSIR to build knowledge andcapability regarding quality improvement toensure continuous improvement anddevelopment.


Meeting other colleagues and sharinginformation and ideas throughout theprogramme has been really valuable. QSIRCollege has enabled me to work as part of asmall team to roll out the programme across theorganisation. I have enjoyed teaching theprogramme with my colleagues and have foundstaff attending the training are enthusiastic to

study the QSIR curriculum and complete theirown quality improvement projects. Teaching theprogramme and the interaction during thesessions has brought new ideas, information andchallenges, which has been a highlight for me.


Within our organisation we are now runningQSIR training and this is available to all staff. It isplanned that the QSIR programme will developfurther, with increasing numbers of staffreceiving training therefore building capabilityregarding quality improvement. We plan to startdelivering QSIR Fundamentals and aredeveloping ways to support any qualityimprovement projects that are being completedwithin the organisation.

A shared understanding has been establishedbetween members of the STP regarding qualityimprovement and there is agreement to worktogether using QSIR as the approach.

Quality Improvement and CQUIN LeadNorthamptonshire Healthcare NHS Foundation Trust

Executive sponsor: Julie Shepherd, Director of Nursing,AHPs and Quality


Gemma Hunt

Teaching the programme and the interactionduring the teaching sessions has broughtnew ideas, information and challenges,which has been a highlight for me.

“”



As part of a QI team we support our frontlineteams with projects, so I wanted to build on myknowledge of QI to support my day to daywork.


The highlight was networking with colleaguesfrom trusts around the country.


We are delivering QSIR across the localintegrated care system. I plan to be involved inthis delivery.

Quality Improvement FacilitatorNottinghamshire Healthcare NHS Foundation Trust

Executive sponsor: Luke Baumber, Associate Director ofQuality Improvement


Karen Hurst

The highlight was networkingwith colleagues from trustsaround the country. “”



When I started my role within thetransformation team at Dorset County Hospital Iattended the second cohort of our in-houseQSIR training as I was keen to develop myknowledge, skills and capability in deliveringsuccessful change. Additionally I have always feltvery passionate about supporting others indeveloping their skills, knowledge andconfidence. Applying for the QSIR Collegetraining and joining the Dorset QSIR faculty feltlike the perfect opportunity to combine the two.


My knowledge of QI theory and practice hasgrown enormously as a result of attending QSIRPractitioner, going through the teachingassessment process and now delivering the QSIRtraining myself.

My main personal highlights have been meetingso many like-minded colleagues with a realpassion for service improvement, teaching theQSIR Fundamentals session to our executiveteam and delivering QSIR to my colleagues.

QSIR College has certainly pushed me out of mycomfort zone but witnessing those light-bulbmoments and growing confidence throughoutour teaching sessions has been incrediblyrewarding. I feel very privileged that I am able tocontribute to colleagues’ learning and supportthem on their improvement journeys.


I am proud to be a member of the QSIR deliveryteam in my organisation. We are about tocomplete our sixth cohort of QSIR Practitionerand the lists for our 2020 cohorts are alreadyfilling up.

Delivering QSIR Fundamentals and QSIRPractitioner to like-minded, enthusiasticcolleagues across Dorset is an excitingopportunity to build relationships beyondorganisational boundaries, learn from eachother and embed a consistent co-ordinatedapproach to change across the system.

Transformation Project OfficerDorset County Hospital NHS Foundation Trust

Executive sponsor: Nick Johnson, Director of Strategy,Transformation and Partnerships


Christina Hynch

...highlights have been meeting so manylike-minded colleagues with a real passionfor service improvement, teaching the QSIRFundamentals session to our executive teamand delivering QSIR to my colleagues.

“”



My ambition is to work within our serviceimprovement team and when I first heard aboutQSIR College, I knew this was the programmefor me. Having gone through each element ofthe programme and finally becoming anassociate this year, I feel like I am constantlylearning with every session and discussion eachtool ignites. The learning, the challenging andthe discussion generated encapsulates thejourney that is QSIR.


QSIR has given me the tools I need in small,bitesize pieces to help constructively andproactively improve our processes and services inline with our trust’s values and short and longterm objectives. Being able to consistently use

the same tools throughout the organisationenables us all to think differently and morecreatively. One of my biggest personal highlightswas being able to meet such inspirationalpeople within my cohort. The ideas generated insome of our sessions were amazing!


I can't wait to start teaching colleagues all aboutthe tools available for them to use as part oftheir quality improvement projects. It is greatknowing that all organisations within the STPwill be using the same tools and same languageto have a positive effect on our services whichwill only enhance our patient experience.

Engagement and Events OfficerBuckinghamshire Healthcare NHS Trust

Executive sponsor: Alison Brandon, Associate Director ofService Improvement


Donella Irvin

It is great knowing that all organisationswithin the STP will be using the same toolsand same language to have a positiveeffect on our services which will onlyenhance our patient experience.

“”



I have always believed that the best patient careis only possible by constantly striving to improveour quality of care. I found out from QSIR thatthey have all the tools to improve quality andsustain such improvement with their structuredprogramme.


I don’t know where to start! I had a very goodinsight into the current situation in the NHS. Iwas highly impressed with the overallprogramme, especially learning what are themost important steps in project managementand improvement of existing services withproper methods to measure the improvement.


Our ambition is to get started with QSIRteaching locally in Leicester by the end of 2018and develop a network of QSIR faculty locallyand deliver the programme to at least threecohorts of quality champions at UniversityHospitals of Leicester NHS Trust by end of 2019.

Consultant Physician, University Hospitals of LeicesterNHS Trust

Executive sponsor: Andrew Furlong, Medical Director


Vittalrao Jadhav

I was highly impressed with the overallprogramme, especially learning what are the mostimportant steps in project management andimprovement of existing services with propermethods to measure the improvement.

“”



I have been very lucky to be given theopportunity to carry out the responsibilities ofmy current and previous roles. They haveenhanced my skills and expertise and made mean outstanding person.

In order to broaden my knowledge and make aneven bigger impact I was ready for anotherchallenge. I felt that QSIR would provide mewith the foundations to becoming atransformational leader driving my organisationto success.


QSIR equipped me with the necessary skills,knowledge and mind-set that enabled me tolead the required steps for the successfuldevelopment and execution of the organisation’s

goals. It really enhanced my expertise andconfidence in working with improvementprojects, as well as giving me access to manytools to help deliver results.


I would like to see QSIR grow even furtherwithin my organisation. The skills, knowledge,tools and expertise that we are able to acquirevia this opportunity are essential for the deliveryof our organisational priorities. QSIR can bebeneficial to a variety of roles, both junior andsenior, within our organisation. The resource wehave been able to develop through the QSIRCollege programme is invaluable to theorganisation and should be used to furtherenhance that expertise across all teams.

Senior Commissioning ManagerNHS Oxfordshire CCGBuckinghamshire, Oxfordshire and Berkshire West(BOB) ICS

Executive sponsor: David Smith, Chief Executive Officer, NHS Oxfordshire CCG


Sonja Janeva

The resource we have been able to developthrough the QSIR Practitioner programmeis invaluable to the organisation andshould be used to further enhance thatexpertise across all teams.

“”



I found the QSIR methodology and deliveryresonated with my personal approach toimprovement projects and so I was keen tobecome involved in widely spreading thelearning across my trust.


The ability to consolidate, expand and utilise myknowledge and improvement toolkit, as well asbeing able to network with other like-mindedand driven professionals looking to improveservices within the NHS.


To continue to spread and support theinnovation and learning that the QSIR modelprovides to help build momentum trust wide toachieve our trust goals and uphold our trustvalues.

Service Improvement Manager University Hospital Southampton NHS FT

Executive sponsor: Jane Hayward, Director of Transformation


Hollie Jeffery

I found the QSIR methodology anddelivery resonated with my personalapproach to improvement projects“”



I applied for QSIR College so I could furtherdevelop my knowledge of improvementmethodology to help make meaningful changesfor patients, staff and visitors. By completingQSIR College I am now able to educate otherstaff in my organisation so that positive changescan be carried out by many different groups.


Learning new ways of delivering potentiallycomplex content has been extremely useful.Meeting new people from differentorganisations has helped create positiverelationships to share ideas. Knowledge ofstatistical process control charts allows me toevidence change as it is happening.


Within our organisation we have many internalcohorts planned. This will be delivered by stafffrom a variety of backgrounds who have allattended the QSIR College programme. Wehope that all staff can be involved withimproving the services that they provide. As anindividual I plan to use QSIR techniques dailyboth in my improvement role and clinical role.

Senior Physiotherapist/Improvement FacilitatorChesterfield Royal Hospital NHS Foundation Trust



Luke Jenkinson

By completing QSIR College I am now ableto educate other staff in my organisation sothat positive changes can be carried out bymany different groups.

“”



To enable me to teach the QSIR programme atmy organisation.


I really enjoyed meeting other QSIR courseparticipants. I found the group of people that Iwas paired up with for my QSIR Collegeassessments amazingly supportive and some ofus are still in touch now via Twitter.


I am already teaching QSIR at SouthWarwickshire NHS Foundation Trust alongsideothers from WVT and really enjoying it.

ACP Simulation and Clinical Skills LeadSouth Warwickshire NHS Foundation Trust

Executive sponsor: Fiona Burton, Director of Nursing


Jo Jennings

I found the group of people that I waspaired up with for my QSIR Collegeassessments amazingly supportive...“”



Our organisation has always had a fluid view onthe methodologies and toolsets used for serviceimprovement and redesign, ensuring we takethe most appropriate approach for each specificproblem or challenge. We had already startedon our improvement capability journey and QSIRseemed like a perfect opportunity to continue tobuild on our approach and strengthen ourknowledge of further tools and methodologies.


I found it incredibly helpful to hear from otherattendees during the training who shared theirexperiences of using some of the QSIR tools andtechniques as well as the opportunities andchallenges for service redesign.

The highlight of the course for me was themeasurement for improvement element.Although this was a subject I was familiar with,the course content and explanation solidified mylearning, but also made me think about how Iwould teach the subject to people who wereunfamiliar with measurement as part of theireveryday work.



Head of Change Managementmsb groupMid Essex Hospital Services NHS TrustSouthend University Hospital NHS Foundation TrustBasildon and Thurrock University Hospitals NHSFoundation Trust



Emma Johnson

The highlight of the course for me was themeasurement for improvement element... the coursecontent and explanation solidified my learning, butalso made me think about how I would teach thesubject to people who were unfamiliar withmeasurement as part of their everyday work.

“

”



I wanted to further develop my knowledge ofquality improvement methodology so that Icould then be part of a highly skilled andmotivated team to cascade this training acrossthe organisation. Previous roles within the trusthave demonstrated a desire from colleagues toimprove their own services and up skilling localteams through QSIR training will help to fill thiscurrent void in QI knowledge. Success for theseteams in the future will be success for all of usdelivering the QSIR curriculum.


Meeting colleagues from across the UK andlearning from each other through the groupworking sessions and beyond. We have madefriendships that will transcend this training to bemaintained throughout our own personaldevelopment in the future. Our jointcelebration/relief at the end of the teachingassessment is an image I will always remember.


I am one of a group of five QSIR Practitionersthat qualified together from our organisation.We had already formed a QI Academy and weredeveloping the programme for deliveringtraining to delegates. Now that we are allconfirmed as QSIR practitioners, we can offerthe QSIR programme through our QI Academyenhancing our ability to help staff identify, plan,deliver and sustain QI across the trust.

Quality Improvement Programme Lead Walsall Healthcare NHS Trust



Tom Johnson

We have made friendships that will transcend thistraining to be maintained throughout our ownpersonal development in the future.“”



I have been a critical care and anaestheticconsultant for 12 years. I have also been theNational Emergency Laparotomy Lead at myhospital for five years. Whilst I have contributedto some significant improvements, I also seenmore good projects fail than I care to mention,largely due to a lack of understanding of QI. TheQSIR course offered a great opportunity for meto learn and develop my understanding of QIscience from colleagues who understand theNHS.


The was the first chance I had to meet and learnfrom a diverse range of multidisciplinarycolleagues. I found the experience really positiveand now have a much greater respect andappreciation of the role and contribution ofothers.

I found the QSIR course fascinating and wasimpressed by the energy of both tutors andlearners. The practical sessions were also helpfulwith understanding challenging concepts.


I will be joining fellow QSIR colleagues in Bath toparticipate in my first teaching QSIR cohort.

I am looking to develop a QSIR faculty at mybase hospital in Swansea to begin QSIRteaching.

I am enjoying the challenge of utilising my newQSIR skills to maximise project success in criticalcare and anaesthesia and at all MDT levels.

Consultant in AnaesthesiaAbertawe Bro Morgannwg University Health Board

Executive sponsor: Lesley Jordan, Consultant Anaesthetistand Patient Safety Lead, Royal United Hospital Bath NHSFoundation Trust


Harri Jones

I found the QSIR course fascinating andwas impressed by the energy of bothtutors and learners.“”



I have a real interest in the quality improvementagenda and the potential benefits that this canbring. As such I wanted to formalise this interestinto actual knowledge and understanding of thevarious tools and techniques with a view tobeing able to deliver QSIR training to otherhealthcare professionals.


Becoming involved in such an important agendathat can have such an impact on the work thatwe do. I enjoyed the structured delivery approachof all the modules and the introduction ofvarious tools and techniques that can be easilyutilised. The demand and capacity module wasparticularly pertinent and relevant and useful inmy current work.


To become a facilitator delivering and promotingQSIR training programmes within theNottingham and Nottinghamshire ICS.

Training ManagerNottinghamshire Healthcare NHS Foundation Trust

Executive sponsor: Julian Eve, Associate Director of Learningand Organisational Development


Martin Jones

The demand and capacity module wasparticularly pertinent and relevant anduseful in my current work.“”



My organisation had already signed up toprovide QSIR Practitioner and Fundamentals andmy role as a Senior Improvement Practitioner isto deliver this training, so for me the QSIRCollege course was essential. The opportunity toparticipate in QSIR has also been a veryrewarding learning journey, and I am lookingforward to sharing the knowledge and skills Ihave developed during the course with mycolleagues at East Sussex Healthcare NHS Trust.


QSIR College has been hugely beneficial indeveloping my knowledge and self-confidencein both teaching and using QI methodologywhich are core responsibilities of my role.

My absolute personal highlight has beendeveloping my knowledge and understanding ofmeasurement and demand and capacity – bothsubjects that terrified me before attending QSIR!

I have also enjoyed meeting and networkingwith people from different organisations andbackgrounds and I have grown very fond of myQSIR bible, which is already looking ratherdog-eared from constant reference!


Our ambition is to create a culture of continuousimprovement throughout all levels of theorganisation and to support our colleagues toutilise a structured approach to qualityimprovement. We are planning to run regularQSIR Practitioner and Fundamentals cohorts overthe next year to consolidate our delivery skillsand to build a QI community which supportssharing, learning and connecting forimprovement.

Senior Clinical and Quality Improvement Practitioner East Sussex Healthcare NHS Trust

Executive sponsor: Catherine Ashton, Director of Strategy,Innovation and Planning


Emma Jones-Davies

My absolute personal highlight has beendeveloping my knowledge and understandingof measurement and demand and capacity –both subjects that terrified me beforeattending QSIR!

“”



I have been involved in quality improvementsince 2008, leading improvements in theatresafety, sepsis and acute kidney injury using QImethodology. In my role as trust Patient Safety/QI lead I wanted to spread capability andcapacity in QI across the organisation toencourage staff to make improvements in theirareas and make this ‘how we do things’ in Bath.QSIR College facilitated this and gave me theopportunity to deliver a nationally accreditedcourse to all our staff which was invaluable.


We have delivered the course in Bath for overtwo years training more than 130 staff. It hasbeen exceptionally rewarding, with staff inspiredand engaged to make a difference. Feedbackhas been really positive and the course is wellreceived, particularly as the work environment iscurrently so challenging. Three months aftercompletion of the course, candidates presenttheir project at a celebration event,demonstrating the QSIR tools used, and alsoreconnecting with each other, the networkingaspect being something that they have reallyvalued. In 2018 a formal evaluation of our

course was performed by the University of WestEngland which confirmed its success:

• 96% candidates reported increased confidence in addressing QI issues.• 93% increased confidence in helping others with QI.• 100% recommend the course to colleagues.

We were also very proud when our work wasacknowledged nationally being shortlisted asfinalists for the Health Service Journal Awards inNovember 2018 in the Learning and Educationcategory.


In 2018 our hospital commenced a neworganisational development programme,embedding behaviours and processes to makeQI part of everyday work. QSIR will be used tosupport staff to achieve this by giving thoseleading the changes skills and tools to make thissuccessful and is therefore a key aspect tosuccessful delivery of the OD programme. Weplan to get more staff trained as QSIR associatesto facilitate this as well as encouraging moreQSIR Practitioners to facilitate other projects andincrease their expertise.

Consultant Anaesthetist and Trust Patient Safety LeadRoyal United Hospitals Bath NHS Foundation Trust

Executive sponsor: Lisa Cheek, Director of Nursing andMidwifery


Lesley Jordan

Our celebration event at the end of each cohortis a proud moment and we are always amazedto see how many of the QSIR tools have beenused in the projects over even just a short time.

“”



During my time working in the NHS, the work Iam most proud of are things I can see havemade an improvement to patients’ care or thedaily working of staff. I applied for QSIR Collegebecause I feel there are opportunities forimprovement within our organisation and, byequipping people with the skills and knowledgeto tackle the change for themselves, we areempowering them to progress their own ideas.


The highlights of QSIR for me were building onsome of the ideas I am already familiar with,such as measurement for improvement, and alsolearning new skills in a supportive environmentwith a diverse group of people with real worldexamples of the tools in practice. Beforeattending the course I was apprehensive aboutusing more creative tools, but after using themin the sessions and hearing examples of howthey have helped others I felt ready to put theminto practice.


One of the trust’s visions for our organisations is‘Always Improving’. My ambition is to contributeto this vision with the roll out of QSIR with myfellow QSIR associates. Alongside the roll out ofthe three cohorts we plan to deliver one daysessions and ad hoc workshops. This is toprovide additional support to the practitioners toensure they get the best from the training andany additional support they may need to deliveron their projects.

Cost Improvement and Transformation Project ManagerUniversity Hospitals Southampton NHS Foundation Trust

Executive sponsor: Jane Hayward, Director of Transformationand Improvement


Victoria Kearney

Before attending the course I was apprehensiveabout using more creative tools, but afterusing them in the sessions and hearingexamples of how they have helped others I feltready to put them into practice.

“”



In my role I have led my teams throughtransformation, improvement and redesign ofthe health visiting service. As a result of QSIRCollege I now have the skills and knowledge tohelp lead and support others through thisprocess using evidence based tools andtechniques. It is going to be good being part ofa trust team rolling out these skills to others inorder to support organisational change andimprovement to patient care.


I enjoyed the taught days but have to confess tofeeling daunted by the teaching assessments.However, it is good to be pushed out of yourcomfort zone as you don't know what you canachieve until you try! The support from my QSIRcohort, both on the assessment day and ourin-house team, was brilliant and the opportunityto network with colleagues from around thecountry, all undertaking different roles, wasreally useful.


I am now one of a cohort of QSIR teachingassociates in the trust who are rolling out theprogramme across the divisions. I am due todeliver to my first full cohort in early January andam working with the team to deliver QSIRthroughout the remainder of the year. I am alsousing individual tools with teams to underpinwork already being undertaken.

Team Leader Health Visiting/School NursingBlackpool Teaching Hospitals NHS Foundation Trust



Sarah Keighley

The support... was brilliant and theopportunity to network with colleaguesfrom around the country, all undertakingdifferent roles, was really useful.

“”



I am passionate about quality improvement butthere are so many methodologies and tools outthere, which can lead to confusion anddisengagement. The proposition of joining acollege which is recognised across the NHS, witha common approach, is something I felt wouldbe extremely beneficial. The online resources arevery helpful and I also wanted to network withother QI practitioners working in the NHS.


The assessment days in Northampton, althoughstressful, were also hugely helpful. I learnt a lotfrom my fellow presenters both in terms ofcontent and techniques and we were verysupportive of each other.


I am now part of the faculty within myorganisation and will be contributing to theregular teaching of QSIR that we providethroughout the year. I am also linking with alocal university and teaching on a course. I wantto continue to develop my network and myknowledge and skills.

Improvement and Delivery ManagerNorthern Lincolnshire and Goole NHS Foundation Trust

Executive sponsor: Claire Low, Director of People andOrganisational Effectiveness


Lucy Kent

I learnt a lot from my fellow presentersboth in terms of content and techniquesand we were very supportive of each other.“”



I applied for QSIR College as I am keen to drivequality improvement forward and recognise thatbeing part of this not only provides me with theknowledge and skills to do this, but also assuresthose with whom I am sharing this knowledgethat it is credible, evidence based and testedinformation.


That has to be the people that I have met,including the colleagues from within my ownorganisation that I have got to know better aswell as the super enthusiastic andknowledgeable QSIR faculty and our fellowcourse candidates. Our assessment days werequite tough, but such fun and there was lots oflaughing at the same time. Joy in work!


We hope to increase our small band of QSIRenthusiasts into a growing movement of QSIRPractitioners – making our brilliant organisationeven better!

Head of Quality Governance and ProfessionalStandardsKent Community Health NHS Foundation Trust



Karen Kessack

Our assessment days were quite tough,but such fun and there was lots oflaughing at the same time. Joy in work! “”



I really enjoy coaching and supportingindividuals within the trust on their improvementprojects within my current role. I felt that QSIRCollege was a great opportunity to spread thereach and benefits of this support. I really likedthe team approach to QSIR and thought itwould work well with our existing training style.It was also a chance to update my skill set anddevelop confidence in certain improvementmethodologies.


Personal highlights for me were the fantasticnetworking and sharing opportunity that thecourse encouraged. Talking through examplesboth helped to embed my learning but also togive me ideas for changes that had been triedelsewhere. I particularly felt these benefitsduring the teaching assessments – which I reallywasn’t expecting!


To start the journey of running our initial threecohorts of five day QSIR Practitioner training,along with coaching, to make sure that the trustget the most from the training and attendeesare able to successfully deliver their service andquality improvement projects. My ambition isthat these projects will have material benefits tothe quality and experience we achieve for ourpatients in line with our trust aims of ‘patientsfirst’ and ‘always improving’. I also aim to trainmore members of the department to increasethe reach of the faculty.

Lead Cost Improvement and TransformationProgramme ManagerUniversity Hospitals Southampton NHS FoundationTrust

Executive sponsor: Jane Hayward, Director of Transformationand Improvement


Lucinda King

Personal highlights for me were the fantasticnetworking and sharing opportunity that thecourse encouraged. Talking throughexamples both helped to embed my learningbut also to give me ideas for changes thathad been tried elsewhere.

“

”



I recognised both the need within myorganisation and the value the programmewould add to my professional remit. I wanted tobe able to work in a further dimension (andwasn’t disappointed).


The networking opportunity has been great –the wealth of knowledge amongst my peers isfantastic. While many of us face similarchallenges the combined energy and ‘cando-ness‘ is quite inspirational.


• We believe that quality is everyone’s business and we expect every member of staff to constantly drive quality improvements for their patients.

• The QSIR methodology is supported by the STP to enable an increasing use of the techniques across system wide priorities.

• Learning is shared widely throughout the trust through a range of approaches – weekly updates, team meetings and internal/public facing web pages. We will continue to embed this by having QI events throughout the year to showcase best practice and learning as well as incorporating QSIR methodology into the trust’s business planning process, so that, intrinsically, quality is part of any new service development or change.

We are increasingly working across the system,this brings with it the opportunity to unpack oldchallenges and further embed our collaborativeworking.

Strategic Lead for AHPs, South Warwickshire NHSFoundation Trust

Executive sponsor: Jayne Blacklay, Managing Director


Rachel Kirkwood

The networking opportunity has been great– the wealth of knowledge amongst mypeers is fantastic.“”



With a small number of University Hospitals ofMorecambe Bay staff already undergoing theprocess of becoming a QSIR College associate, Ijumped at the opportunity to be a part of thispositive movement in our trust. The programmemanagement office I worked within (when Iapplied) had always offered projectmanagement training sessions and talked ofexpanding the sessions with tools andtechniques to engage stakeholders and supportall the stages of the project life cycle. QSIRprovides this and more. I have many years oftraining experience and really enjoy practicalways of working with others. I am destined todeliver QSIR!


I have thoroughly enjoyed the learning throughtraining sessions and time spent with colleaguesfrom UHMB and those from other organisations.It has added the theory to my practice and many

strings to my bow with regard to the vastnumber of tools that are now at my disposal. Iregularly use the QSIR tools and share mylearning beyond the delivery of the QSIRtraining. Currently I apply this in a HealthFoundation Continuity of Care project with GPpractices in South Cumbria.


Our trust’s aim is to make this widely available toour health economy in the Bay. We are keen toget participants from across the health economyattending collectively so we foster relationshipsand culture change helping to create thatclimate for transformation. We are encouragingstaff to become training associates so that wehave a team of people within all disciplines thatwill allow sharing of experiences and encouragecollaborative working relationships.

Quality Service Improvement FacilitatorUniversity Hospitals of Morecambe Bay NHSFoundation Trust

Executive sponsor: David Wilkinson, Director of People andOrganisational Development


Jo Knight

I have thoroughly enjoyed the learningthrough training sessions and time spentwith colleagues from UHMB and thosefrom other organisations.

“”



I applied to QSIR College as throughout mycareer as a physiotherapist I have beeninterested in quality improvement and haveutilised many tools and techniques aligned to itthat have facilitated the development andimprovement of services in the NHS. I attendedthe QSIR Practitioner course and realised thatthis was an area that I wanted to enhance myskills in and teach others to do the same.


I am passionate about improving care within myorganisation internally, and externally incollaboration with partner organisations. Mypersonal highlights have been facilitating othersto improve and develop services through variousprojects and pieces of work across the system.Seeing how people grow in confidence to usethe tools and techniques to make changes iswhy I love being a part of QSIR, and doing it in a

way that enhances collaborative working isfantastic. There have been some brilliantoutcomes for people attending the QSIRprogrammes and it feels great to have facilitatedsome of those through my teaching.


Our organisation is part of an integrated caresystem (ICS) within Gloucestershire and hasrecently merged physical health and mentalhealth organisations to become one. The futureambitions of QSIR are to continue to driveprojects and pieces of work across the ICS,enabling more partnerships and more effectiveworking.

Service Development Manager Gloucestershire Health and Care NHS Foundation Trust

Executive sponsor: Paul Roberts, Chief Executive Officer


Clare Lait

Seeing how people grow in confidence touse the tools and techniques to makechanges is why I love being a part of QSIR“”



I applied to QSIR College as I saw it as anexcellent opportunity to further myunderstanding of improvement methodology. Inaddition, I was interested in gaining more insightinto flow and capacity so as to be able to betterevaluate processes within my trust to see whereand how improvement might be made. Theopportunity to spend protected time with otherlike-minded people was particularly important.


Much to my surprise, the sessions onmeasurement were a particular highlight.Gaining a better understanding of SPC chartsand the statistical theory behind them wasextremely useful as it has provided me with thetools I need to persuade clinicians thatimprovement is, indeed, a science. This hasallowed me to recruit more clinicians to thecause.


Over the last two years we have increased ourtraining to six courses each year and starteddelivery of the QSIR Fundamentals course as anintroduction to improvement. We are looking tostart ‘QSIR improvement clinics’ to provideongoing support to our delegates after theyfinish the course and are looking at ways ofengaging with primary care in the region. Thenext 12 months promises to be exciting, but thechallenge is now to convert training into realimprovement outcomes.

Consultant renal physician and Associate ClinicalDirector for Improvement, MSE Hospitals Groupmsb group: Mid Essex Hospital Services NHS Trust,Southend University Hospital NHS Foundation Trust,Basildon and Thurrock University Hospitals NHSFoundation Trust



Aroon Lal

Gaining a better understanding of SPC chartsand the statistical theory behind them wasextremely useful as it has provided me withthe tools I need to persuade clinicians thatimprovement is, indeed, a science.

“”



I applied for QSIR College with a few colleaguesso we could set up the first QSIR training facultyfor the NHS London region, as part of NHSEngland and NHS Improvement’s commitment todeveloping staff in improvement expertise.


I really enjoyed the assessment week. Workingunder a moderate amount of pressure andmeeting some fantastic fellow associates wasboth rewarding and a real pleasure.


I have created a QSIR London faculty onHexitime.com. It is an online platform whereQSIR associates across the capital can offer theirtraining hours to others, or request trainingthemselves to bolster their own training teams.You can also share venues and administrativesupport on this national timebank. Together inLondon we can overcome conventionalorganisational constraints and share our QSIRexpertise using the timebank virtual currency topass our time forward.

Head of Quality Improvement (London)NHS England and NHS Improvement

Executive sponsor: Martin Machray, Director of Nursing(London)


John Lodge

Working under a moderate amountof pressure and meeting somefantastic fellow associates was bothrewarding and a real pleasure.

“”



I was leading a transformation unit/PMO andwanted to develop a kit bag of tools,techniques, resource packs and a trainingapproach which could have real reach in myorganisation and partner organisations. I nowwork in an STP so reach is even more important.


The highlights for me have been the interactionand the sharing of ideas with colleagues from arange of disciplines. I feel that we have beenfortunate as we have a high proportion ofmedical staff involved and as well ascommissioners, so there is a real balance oftalent and experience in our QSIR melting pot.


I will continue to support my colleagues inStaffordshire and Derbyshire, but my plans goingforward will be to roll out the QSIR programmein my current STP. A number of organisationshave change methodologies, so I will be carefulto ensure there is added value with my QSIRoffer. So I plan to introduce some taster sessionsand I have managed to secure some of the QSIRresource packs to tempt people to explore theprogramme.

Director of Service RedesignSt. Helens and Knowsley, Cheshire and Merseyside STP,but practiced in Burton on Trent (Staffordshire andDerbyshire)

Executive sponsor: Ann Marr, Chief Executive, St. Helens andKnowsley Teaching Hospitals


Wayne Longshaw

I plan to introduce some taster sessions and Ihave managed to secure some of the QSIRresource packs to tempt people to explorethe programme.

“”



I went on a locally delivered QSIR Practitionercourse and really enjoyed it, but it was when Istarted using the tools in my day job and sawhow effective (and still enjoyable) they are that Idecided to apply for QSIR College.


My highlights so far have been meetingcolleagues from across the country who aregoing through the same things we are locally,and facilitating multi-agency workshops tocollaboratively improve services.


I will become part of a team of QSIR associatesdelivering the QSIR Practitioner programmeacross Hereford and Worcestershire. I will besupporting the work already underway buildingimprovement skills across organisations. I'mlooking forward to nurturing and supporting agrowing culture of continuous improvementwithin the CCG and across our STP.

Delivery Programme Manager, Redditch andBromsgrove CCG

Executive sponsor: Simon Trickett, Accountable Officer


Jack Lyons-Wainwright

I'm looking forward to nurturing andsupporting a growing culture ofcontinuous improvement within theCCG and across our STP.

“”



I lead the quality improvement (QI) team, whichhas been established to provide a range ofsupport to staff across our organisation toimplement and embed changes that lead toimprovement. In addition to providing supportfor service and quality improvement initiatives,the QI team is also responsible for generatingengagement and building improvementcapability at all levels of the organisation.

QSIR provides a consistent approach to qualityimprovement that aligns with our organisationalstrategy. The college element also provides amodel for ensuring that we are able tosustainably develop capability for deliveringtraining locally.


QSIR has really helped to consolidate myknowledge of service and quality improvement.It has been a real bonus to be able to meet

many like-minded people who are alsopassionate about quality improvement, to shareideas and approaches. I never expected theteaching assessment days to be so much funand I found it to be one of the most enrichinglearning experiences!


QSIR is an integral component of ourorganisational approach for embedding aculture of continuous improvement. In additionto QSIR, we have a range of QI training courseson offer so that we are able to offer training tostaff working across a range of roles and levelsof our organisation. We will soon have anestablished team of local QSIR teaching facultyassociates who will support our ambition toupskill staff across our organisation, and create anetwork of individuals who are skilled inmanaging and implementing change andimprovements.

Head of Clinical and Quality ImprovementEast Sussex Healthcare NHS Trust

Executive sponsor: Catherine Ashton, Director of Strategy,Innovation and Planning


Katey Ma

I never expected the teaching assessment daysto be so much fun and I found it to be one ofthe most enriching learning experiences!“”



In Nottingham we applied to QSIR College as asystem with a strong held belief that we shouldadopt a system wide approach to improvement,equipping our system leaders with theknowledge and skills to support and enablesystem wide transformation.

I hold a strong belief that if we ‘learn together,we will work together as a system’. The QSIRworkshops provide time for leaders to discusstheir individual and collective challenges,working together to explore serviceimprovement solutions.


• Cohesiveness and support of the delegates on the programme during assessment process – quite remarkable!• Opportunity to work closely and build relationships with my system colleagues from our STP.• Meeting and working with ACT team members – big thank you for your encouragement and support.

• Opportunity to meet and learn from other QSIR Practitioner trainees.• Sense of achievement passing the course.


• First batch of QSIR Practitioner training to Nottinghamshire STP organisations will begin in November 2017 followed by a second batch in April 2018 with a view to generate 100 practitioners.• It is expected that with the additional QSIR associates in the future, the number of practitioners can be increased.• Using QSIR locally within CityCare.• QSIR is included within one of the six priority areas highlighted in the Organisational Development (OD) and System Effectiveness – Supporting The Nottinghamshire Sustainability Transformation Partnership (STP) Plan (2017–19).

Assistant Director of Learning and OrganisationalDevelopment, Nottingham University Hospitals NHSTrust

Executive sponsor: Lyn Bacon, Chief Executive Officer,Nottingham University Hospitals NHS Trust


Helen Mancini

The QSIR workshops provide time for leadersto discuss their individual and collectivechallenges, working together to exploreservice improvement solutions.

“”



I applied for QSIR College in order to gain moreknowledge and skills about quality improvementtools/methodologies, spurred on by my passionand determination to get it right for patientsand staff and to create a culture of continuousimprovement.


Highlights were networking with other QSIRcolleagues and putting my new knowledge andskills into practice, including supporting othercolleagues with their QSIR training.


Next comes building capacity across myorganisation in quality improvement. We havesuccessfully completed QSIR Cohort 1. Feedbackwas really positive and inspiring. Training wasalso available to colleagues in our localNorthamptonshire Health and Care Partnership,formerly known as the Northamptonshire STP.QSIR Cohort 2 has just started and I am soexcited about training and supportingcolleagues to become QSIR Practitioners or joinQSIR College.

Quality Improvement and CQUIN LeadNorthamptonshire Healthcare NHS Foundation Trust

Executive sponsor: Julie Shepherd, Director of Nursing, AHPs andQuality


Daisy Maradzika

I am so excited about training andsupporting colleagues to become QSIRPractitioners or join QSIR College.“”



Prior to working for the CCGs I was a midwifewith an interest in service improvement. I foundQSIR Practitioner provided me with a wealth oftools that are easily understandable andtransferable into the clinical environment. Iapplied to become an associate so that I couldshare my knowledge, embed the use of QSIRwithin my team and empower my colleagueswith the skills to deliver improvement projects.


The highlight of being a QSIR associate isknowing that by delivering the course widelyacross the North West London healthcare systemwe are improving the success rate of hundredsof projects across our patch, which willultimately have a direct positive effect on the

quality of patient care. To demonstrate how thisworks we regularly invite members of previouscohorts to come and present to others how theyhave been able to use the tools in practice toenhance the quality and effectiveness of theirimprovement projects.


Within the NHS North West LondonCollaboration of CCGs we are a faculty of five.We run five cohorts per year for NHS staff acrossthe North West London HCP and demand forthe course is growing. This year we have plansto extend our faculty to enable us to delivermore QSIR Practitioner courses. As the numberof graduates grow we also plan to hold regularrefresh days.

Maternity Transformation Programme Implementation LeadNHS North West London Collaboration of CCGs

Executive sponsor: Juliet Brown, Director of Strategy andTransformation


Helen Maric

...by delivering the course widely across theNorth West London healthcare system we areimproving the success rate of hundreds ofprojects across our patch

“”



I applied for QSIR College because I wanted tobe part of the faculty that taught QSIR at Lutonand Dunstable Hospital. I had attended QSIRPractitioner and I was so inspired that I decidedto seek a role in quality improvement andproject management. This area resonated withme because improving quality means we canmake a difference for our patients in an everchallenging and evolving environment.


The first hurdle was passing the QSIRassessments, gaining the confidence to deliverQSIR and getting accredited. I felt I was part ofsomething special, a unique team deliveringQSIR within our organisation. It was an excellentopportunity for meeting new people andnetworking and equipping me with the tools tosupport other staff with their projects.


The quality improvement strategy within thetrust for 2017/2018 has outlined a teachingstrategy for service improvement. Serviceimprovement techniques will be introduced as aconcept to all new starters within the trust. Theywill also be incorporated into some of ourteaching programmes. This introduction toservice improvement will help us develop ourworkforce and prepare them for enrolling on tothe five day QSIR Practitioner programme. QSIRhas been embedded in our trust and in some ofour STP associate trusts. Moving forward, weaim to develop a regional cross site teachingfaculty that will collaboratively deliver the QSIRcourse.

Quality Improvement Nurse, Luton and DunstableHospital NHS Foundation Trust

Executive sponsor: Carmel Synan-Jones, Deputy Director ofNursing


Micah Matore

I felt I was part of something special,a unique team delivering QSIR withinour organisation.“”



To support clinical and operational teams andservice users to improve and transform theservices we deliver across Kent and Medway.


The highlights for me were learning new toolsand techniques and connecting with peopleacross the country.


To co-deliver the QSIR programme with ourcommunity organisation.

Acting Assistant Director Transformation andImprovement Kent and Medway NHS and Social Care PartnershipTrust

Executive sponsor: Vincent Badu, Executive Director ofPartnerships and Strategy


Martine Mccahon

The highlights for me were learning newtools and techniques and connectingwith people across the country.“”



I applied for the QSIR College to further developmy quality improvement knowledge in line withnational requirements, to link in with other QIteams and share knowledge of delivery and tohelp support our organisation’s delivery plan forDeveloping People Improving Care – specificallyaround the development of capacity andcapability across our health economy.


My personal highlights have been meeting newpeople who also deliver QI within theirorganisations and health economies and sharingknowledge, as well as forging relationships withthe College.

It was good to reflect that the development ofour strategy and delivery plan to create anorganisation that has the capacity and capabilityat all levels to use quality improvement toolsthat will enhance patient and staff experience isvalidated.

The personal sense of accomplishment andachievement was more than I expected onhaving passed the online exam and the teachingassessments.


Future plans are to continue to build quality andservice improvement capacity and capabilitywithin our organisation and across the healtheconomy and to tell our story of improvement,demonstrating that improvement is part ofeveryone’s role every day.

I also want staff who have attended our QSIRprogrammes and have gone on to deliver animprovement to feel energised and motivated tocontinue to improve. The successes they realiseencourage more staff to get involved.

Associate Director of Engagement and Improvement,University Hospitals of Morecambe Bay NHS Trust

Executive sponsor: David Wilkinson, Director of People and OD


Elizabeth McDougall

Future plans are... to tell our story ofimprovement, demonstrating thatimprovement is part of everyone’s roleevery day.

“”



I wanted to be part of quality improvementprocess that was grounded in a consistent andsustainable methodology and that allowed allstaff to be involved across the trust rather thanfocused in just one area.


Many, many highlights, including light bulbmoments with Mr Potato Head, getting theplane to fly across the room, and explaining‘Calendar Goats’ as a concept to encouragerecycling... All of these highlights emphasisedthe value of team working and networking.


Plans are already in place at the trust to runcourses to train 80 other staff in the first year,but the ambition must be the sustainable qualityimprovement that we will measure in the future.

Head of Costing and SLR Maidstone and Tunbridge Wells NHS Trust

Executive sponsor: Stephen Orpin, Chief Finance Officer


Patrick McGinley

Many, many highlights, including lightbulb moments with Mr Potato Head,getting the plane to fly across theroom, and explaining ‘Calendar Goats’as a concept to encourage recycling.

“”



I wanted to apply for QSIR College as some ofmy colleagues are accredited and I wanted to beable to support them with the roll out within ourorganisation and the STP.

Being part of the College has given me thechance to use my change management andservice improvement skills in a way that I canteach and support others. Knowing that you canhelp someone by equipping them with toolsfrom the curriculum to help with their projectsthat will result in an improvement or redesign isone of the main reasons I applied.


There have been many highlights – theexperience has been a very enjoyable one. I havehad many opportunities to work through thePractitioner programme and the College withlots of colleagues across the NHS and benefitfrom shared learning and experiences.

I found the assessments very enjoyable andmade me feel as though I was attending thePractitioner course rather than being assessed.

Along with my colleagues we have beenrunning a number of QSIR programmes courseswithin our trust and it has been nice to teachthe content whilst having fun! Being able toteach PDSA cycles whilst everyone was throwingpaper aeroplanes around the room has beenone of my highlights and brings energy into theroom whenever I teach it!


The main plan is to continue the roll out of theQSIR Fundamentals course to more people at alllevels within our organisation as well asdelivering QSIR Practitioner across the STP inalignment with our delivery plan.

Deputy Director of Transformation Oxford University Hospitals NHS Foundation Trust



Jo McMahon

Being able to teach PDSA cycles whilsteveryone was throwing paperaeroplanes around the room has beenone of my highlights and brings energyinto the room whenever I teach it!

“”



Improvement and redesign, particularly involvingmulti-providers is what gets me up in themorning! Feedback from colleagues rated thiscourse very highly both in terms of improvementscience theory and practical application. Thetools and approaches can be used from day oneto improve care. A key driver was also learningand working more closely with colleagues acrossthe system to break down silo working. I'mreally excited to be part of this improvementmovement.


I found the measurement module particularlyhelpful, especially opting for ‘plot the dots’rather than RAG rating. I am determined tomake headway with this in our organisation andhaving like-minded colleagues to champion thisis refreshing. The demand and capacity day wasalso excellent in debunking the commonapproaches, and we use these tools on a dailybasis.

A high point was getting to know the verysupportive colleagues that were part of ourassessment group. We formed a strong bondand have been in touch to share ideas andqueries.


We are running a rolling five day practitionerprogramme with colleagues from the STP andalso concurrent monthly one day fundamentals,stand-alone demand and capacity days. We aimto train staff from the grass roots to directorlevel to reinforce the QSIR approach toimprovement science. Besides formal training weoffer ‘at the elbow’ support and advice. We aimto ensure a common language andimprovement/redesign approaches are usedacross the organisation.

Senior Programme Manager, Transformation Team,Oxford University Hospitals NHS Foundation Trust



Ruth McNamara

A high point was getting to know thevery supportive colleagues that werepart of our assessment group. Weformed a strong bond and have beenin touch to share ideas and queries.

“”



My role is centred on services with the focus ofthe work often around cultural change anddifferent ways of working. The QSIR programmeprovides a helpful focal point to bring togetherclinical and non-clinical staff from across a widerange of disciplines and organisations andpromote working across barriers and theformation of local networks.

The QSIR programme also provides anopportunity for development of my programmemanager role with the chance to reflect thechanging relationship between commissionersand providers as new organisational formsdevelop.


The QSIR Practitioner sessions were really helpfulas a refresh of the various tools and techniques,but for me the most valuable aspect was theopportunity to meet with colleagues from acrossthe country and share learning, particularlywhere they are tackling similar issues to thosewe're addressing locally. The QSIR College

assessment sessions were also helpful toconsolidate the learning and identify mypersonal approach to delivering the programme.


Locally we've set out plans to develop towards amodel of integrated care within Hammersmithand Fulham through a series of steps towardsmore partnership, collaborative working. Thefoundation of this move will be to implementthe 10 High Impact Actions for Primary Carewith quality improvement methodologiesembedded across the work undertaken. TheQSIR programme will provide the necessarytraining to individuals and organisations acrosscommunity settings. Local QSIR delivery has alsohighlighted the ability of the programme to:

• promote network formation through peer support of project delivery• develop leadership capacity and• improve pathways for patients.

All of this will be essential to developing anintegrated care model.

Integrated Care LeadNHS Hammersmith and Fulham CCG

Executive sponsor: Debbie Parkin, Head of Primary Care


Matt Mead

for me the most valuable aspect was theopportunity to meet with colleagues fromacross the country and share learning,particularly where they are tackling similarissues to those we're addressing locally.

“”



I applied because I believe that we all couldwork more effectively for the benefit of serviceusers, and we need to demonstrate that theimprovements we make have real worldbenefits.


My first QSIR experience was developing aproject to find lost wheelchairs in the trust andsince then I have never looked back! I was solucky to have worked with a great group on theassessment days and had a really enjoyableexperience. I have moved from feeling that QSIRwas on the periphery of my day job to it beingat the centre.


To help deliver QSIR teaching sessions and tosupport the development of the QSIR agendathroughout the trust.

Professional Lead for Occupational Therapy and Head of VRSWest London NHS Trust

Executive sponsor: Jenni Guest, Head of Service Improvement


Ian Merrick

I have moved from feeling that QSIRwas on the periphery of my day job toit being at the centre.“”



Having taught QI methodologies in previousroles, I wanted to join the faculty and workalongside my colleges in delivering QSIR to ourorganisation.


Having worked with and taught improvementmethodologies for several years, it's great to seethings being taught differently which gives thema fresh approach and makes you think of thingsdifferently yourself. Putting improvement toolsinto practice with the front line staff is the mostrewarding thing.


My organisation aims to train 500+ staff overthree trusts and I will help to deliver this target.

Improvement and Change Management Specialistmsb group: Mid Essex Hospital Services NHS Trust,Southend University Hospital NHS Foundation Trust,Basildon and Thurrock University Hospitals NHSFoundation Trust

Executive sponsor: Tom Abel, Deputy Chief Executive andChief Transformation Officer


Kelly Miles-Gale

...it's great to see things being taughtdifferently which gives them a freshapproach and makes you think ofthings differently yourself.

“”



I applied for QSIR College as I had found theQSIR Practitioner course invaluable for my role inservice improvement and – as part of the qualityimprovement strategy within our NHS trust –sharing this methodology to a wider staff groupwould really help to embed a standardapproach.

We felt that as the QSIR format is underpinnedby the ACT Academy and NHS Improvement,this cements its credibility in the wider QI field.


Delivering the QSIR programme to ourcolleagues within the NHS trust has been bothexciting and challenging. I personally really enjoy

the engagement and creativity days as I feel it’sinteresting to hear new ideas and new ways ofthinking. It’s an opportunity for us all to get ourheads together and share ideas. I always comeaway from the day having learned somethingnew from the group of participants.


I aim to continue to share the QSIR learning andembrace new ways of thinking. Using thisformat to QI is now embedded in how I dothings at work and has been invaluable.

Transformation Officer, NHS Fareham, Gosport andSouth East Hants CCG

Executive sponsor: Campbell Todd, Senior CommissioningManager, NHS South Eastern Hampshire CCG


Anne-Marie Millard

I personally really enjoy theengagement and creativity days as Ifeel it’s interesting to hear new ideasand new ways of thinking.

“”



I applied for QSIR College to consolidate myknowledge of QI and develop my understandingof the delivery of QI training to equip otherswith the skills and knowledge to tackle changeand quality improvement themselves.


Having the opportunity to share the learningexperience with colleagues across myorganisation that I wouldn't usually work with.Their support, especially with the assessmentsand the value gained from sharing experiences,has been significant. The encouragement andguidance from the faculty was excellent – theirsupport and smiles didn't go unnoticed.


Our trust is committed to fully embedding QSIRQI methodology and is running a rollingprogram of QSIR teaching cohorts andsupporting QI projects. These are open to staffin our trust and the wider local healthcommunity.

Service Improvement Lead Core Clinical ServicesUniversity Hospitals of Morecambe Bay NHSFoundation Trust

Executive sponsor: David Wilkinson, Director of Workforceand Organisational Development


Claire Mounsey

The encouragement and guidance fromthe faculty was excellent – their supportand smiles didn't go unnoticed.“”



I am currently the lead improvement programmemanager within our trust and I lead a small teamfocused on large scale trust-wide improvementprojects. However, the need for continuousimprovement to be embedded into ourworkforce culture has been clearly identified aspart of our new improvement strategy. Weexplored courses that could deliver high qualityand credible QI methodology and QSIR wasperfect.


Highlights included working as a team to learntogether and support each other to develop ourQI skills to an advanced level. Also, seeing thepositive influence of the learning on others'practice as a result of delivering QSIR within myown workplace.


QSIR has been approved as the QI methodologyof choice for Portsmouth Hospitals and is nowrecognised within the trust’s strategy and isbeing mapped into the formal learning anddevelopment programmes for all our staff. Thisis supported informally in between the formalteaching days by Q cafés which we aim toexpand as we become more successful andgrow our own QSIR teaching faculty.

Planned Care Transformation Officer, Fareham andGosport and South East Hampshire CCG



Mandy Mugridge

working as a team to learn togetherand support each other to develop ourQI skills to an advanced level“”



I wanted to expand my knowledge of qualityimprovement in order to share the skills, and inparticular the QSIR toolkit and resources, withteams within my trust. I anticipated this wouldalso help with the co-creation projects I carry outon a regular basis.


One of the highlights would have to be thethree day assessment period. Seeing my peersteaching the multiple modules helped me gain amuch better understanding and confidence. Theteaching environment was very friendly and thesupport we gave each other during theassessment period is something I felt was reallybeneficial for all involved.


To share my knowledge of the QI resources withour fantastic teams at the trust, with a big focuson co-production. Multiple dates for QI forumshave been set for next year and I very much lookforward to getting involved.

Service Adviser Humber Teaching NHS Foundation Trust

Executive sponsor: John Byrne, Medical Director


Tom Nicklin

Seeing my peers teaching the multiplemodules helped me gain a much betterunderstanding and confidence.“”



I wanted to gain a deeper understanding ofquality improvement methodologies in order tosupport the trust to deliver their aims of qualitywith ‘Joy at Work’ – reducing bureaucracy at thefrontline, mobilising improvement capability andcapacity being a key focus for that.


The highlight was being part of the dynamictrust wide quality service improvement groupwhich has as its remit not only theimplementation of the trust's quality strategybut also a mandate to foster a culture of QIwithin the organisation.


We have a communications plan within the trustfor the roll out of QSIR. From mid November2018 we are starting with our first cohort ofQSIR training which will include managementand front line staff as well as representativesfrom among our commissioners. In the longerterm we hope to deliver joint training with acutepartners.

Head of Clinical Audit and ResearchKent Community Health NHS Foundation Trust



Dawn Nortman

The highlight was being part of thedynamic trust wide quality serviceimprovement group“”



I wanted to expand my knowledge, skills andrange of improvement tools and techniques tosupport quality and service improvement. While Ialready had a good understanding, I wanted todevelop a framework that would allow me toteach it to other people in a structured way.


My personal highlights have been networkingwith like-minded people, learning from otherimprovement leaders and I have really enjoyeddelivering two sessions of training – eventhough it was part of an exam! It was a greatway to help me develop my skills andconfidence.


My future plans for QSIR (along with my threeQSIR associate colleagues) are to help spread itacross our organisation. We think it is a fantasticresource which many staff can benefit from. Wewant to make QSIR our mainstreamimprovement resource and support our staffdevelop improvement skills and capability.

Transformation ManagerBradford Teaching Hospitals NHS Foundation Trust



Sonia Nosheen

I have really enjoyed delivering twosessions of training – even though it waspart of an exam!“”



I have worked in the NHS for 20 years and havebeen continuously involved in changeprogrammes, but have never had formal trainingin quality improvement and sustainability ofchange. I was very keen to develop theknowledge for my own teams, but also to sharelearning with the wider trust.


I have thoroughly enjoyed the programme; I feelI’ve gained a huge amount of knowledge andskills. My biggest highlight of the course hasbeen gaining an understanding of data. This hasalways been a challenge for me, but I now feelthe knowledge I’ve gained has started a verykeen interest in understanding and analysing thedata we present.


We are about to begin our first QSIR Collegecohort, teaching 36 members of staff. This is justthe start of sharing the QSIR methodologyacross the trust.

Senior Matron Norfolk and Norwich University Hospitals NHSFoundation Trust



Suzanne Nurse

My biggest highlight of the course has been gainingan understanding of data. This has always been achallenge for me, but I now feel the knowledge I’vegained has started a very keen interest inunderstanding and analysing the data we present.

“”



I wanted to expand my toolkit of improvementtools and techniques which I will be passing onto staff at all levels (clinical and non-clinical) inmy organisation. This is with the intention ofgetting staff to feel confident and becomecapable of using the quality and serviceimprovement tools and skills acquired to leadimprovement and change in their own areas.

As a learning organisation, we aim for theseskills to be scaled up trust-wide and for thistranstheoretical improvement bundle to be partof the key mechanisms for making this possible.


The teaching assessment week was by far thehighlight for me. The teaching sessions bycolleagues were stimulating and helpedreinforce and consolidate my learning around anumber of areas. The team spirit and supportwas great and I look forward to maintaininglinks with fellow QSIR College Associates.


QSIR will be an integral facet of learning in ourimprovement training programme as well as ourOD and leadership development work inBradford Teaching hospitals. We have a QSIRdelivery plan in place and will continue to buildcapability within our organisation to deliver thisprogramme going forward.

Quality and Patient Safety ManagerBradford Teaching Hospitals NHS Foundation Trust



Chioma Obasi

The team spirit and support was great and Ilook forward to maintaining links with fellowQSIR College Associates. “”



My passion is to impart QI knowledge, inparticular to spread the culture of improvementmeasurement among frontline staff. Havingused QI in practice since 2017–2018, when Iundertook QSIR Practitioner, it was the naturalstep to acquire the skills required to pursue myobjectives.


My personal highlight has been leading thedevelopment of a new team/service in the past18 months using approved QSIR methods. I havemanaged to achieve this without making QIburdensome. Recently I led the implementationof a QSIR tool, RED2GREEN/SAFERBUNDLEdesigned for use in an acute setting to improvepatient flow within our community team.


I am fortunate to be part of the first QIprogramme using the QSIR approach withinCPFT. This consists of a four-person team (QISupport team), a wider network of QSIRPractitioners and QSIR College associates. Theaim is to embed QI in staff’s daily practice,focusing on a bottom-up approach withstrategic direction. We also aim to introduce aconsistent approach to conducting QI within theorganisation.

Clinical Team Lead and QI Advanced PractitionerCambridgeshire and Peterborough NHS Foundation Trust



Olawale Olanrewaju

My personal highlight has been leading thedevelopment of a new team/service in the past18 months using approved QSIR methods.“”



I applied for QSIR College as I knew it was keyfor me to be able to develop and upskill otherstaff members within the trust on qualityimprovements methodology, ensuring we havethe right skills and tools to deliver high qualityand efficient services which is patient centrefocused.


Gaining a greater understanding on a number ofmodels and tools within QSIR which can beeasily embedded as ‘business as usual’ withinday to day operational management. Thesupport from the national QSIR faculty has beengreat and the support network from my QSIRCollege colleagues has been really positive.


QSIR will become a core training element withinour trust supported by a leadership anddevelopment programme. QSIR will become ourcontinuous improvements approach. We havealready scheduled to undertake collaborativetraining with our NHS partners, who are alsoQSIR College trained, on our qualityimprovement programmes that cross NHSboundaries, ensuring we develop system widesolutions that provide clinical and financialsustainability.

Head of Programme Management Office Maidstone and Tunbridge Wells NHS Trust

Executive sponsor: Steve Orpin, Chief Financial Officer


Suzanne O'Neil

We have already scheduled to undertake collaborativetraining with our NHS partners, who are also QSIR Collegetrained, on our quality improvement programmes thatcross NHS boundaries, ensuring we develop system widesolutions that provide clinical and financial sustainability.

“”



I wanted to gain a deeper understanding ofquality improvement methodology in order toenhance patient and staff experience throughservice improvements.


Highlights were meeting new colleagues,sharing experience and aspirations and gainingnew knowledge.


We are rolling out QSIR Practitioner andFundamentals across our trust to support achange of ethos to a culture of organisationalquality improvement with staff and patients atthe heart of the developments.

Head of Quality, Governance and Professional Standards Kent Community Health NHS Foundation Trust



Amanda O'Neill

I wanted to gain a deeper understanding ofquality improvement methodology in orderto enhance patient and staff experiencethrough service improvements.

“”



I applied for QSIR College to develop my skills indelivering successful change and also to supportthe growth of improvement capability in myorganisation.


The QSIR community is knowledgeable,supportive and encouraging, with an emphasison learning from each other’s experiences. Ireally enjoyed the networking opportunities –hearing how others were tackling similar issueswas, and continues to be, invaluable. QSIRCollege pushed me out of my comfort zone andin doing so improved my confidence.


I am pleased to have joined the QSIR team in myorganisation. Delivering the QSIR Fundamentalsand QSIR Practitioner programmes to colleaguesacross Dorset is an exciting opportunity toembed a consistent approach to change. TheQSIR programme is helping us to continue tobuild relationships beyond organisationalboundaries supporting the Dorset STP.

Service Improvement Delivery Manager Dorset County Hospital NHS Foundation Trust

Executive sponsor: Linda Power, Chief Operating Officer


Kirsty Owen

QSIR College pushed me out of mycomfort zone and in doing so improvedmy confidence.“”



I have had various roles within healthcareincluding nursing, service improvement, processredesign, assurance and regulatory oversight.Whether working at an individual patient levelor system level across organisational boundaries,I have always been involved in improvement.QSIR College is an enabler for spreadingknowledge and skills in quality improvementmethodology; critical to improving patientoutcomes and the quality of care.

Working in NHS England and NHS Improvement,it is important that we not only encourageorganisations to embrace quality improvementbut we also embrace QI ourselves, using itinternally as well as externally. Developing ourorganisational capacity and capability will enableus to demonstrate a QI culture through ourbehaviour rather than merely rhetoric.


The five day Practitioner courses were fun andengaging. Getting together with people from

different organisations, all interested inimprovement, was a privilege. It was a realopportunity to learn not just from the coursematerial but from a wealth of experience fromdifferent perspectives, roles and organisations.

As strange as it might sound, I particularly likedthe practical assessment to become a QSIRCollege associate. The camaraderie gained fromthe shared experience gave a sense of themutual support we all have to offer each other.Listening to each other deliver our session was agreat learning event, picking up ideas on how toimprove on our own personal delivery.


Along with two colleagues also joining QSIRCollege this year, our priority in the first year willfocus on staff within our organisation withenergy and passion for the course. Thesepioneers will help to create an internal demandfor quality improvement.

Senior Delivery and Improvement LeadNHS England and NHS Improvement (London)

Executive sponsor: Martin Machray, Director of ClinicalQuality, London


Carl Owusu

It was a real opportunity to learn not justfrom the course material but from awealth of experience from differentperspectives, roles and organisations.

“”



To continue to expand and develop myknowledge on how to run transformationprojects and programmes within the NHS.


QSIR College was fantastic. I was nervous beforearriving (as I expect most people are!) but whenthe sessions began I found the whole experienceexhilarating and very well organised. Not onlythat, but it helped solidify the QSIR Practitionermaterial in my head.


We are building an ongoing culture of changewithin our organisation and plan to continue toexpand our teaching base, running as manycourses in house as possible. By using thematerials from QSIR coupled with our ownorganisational examples, we believe that we canpositively influence all staff to continuallyidentify areas of improvement within their ownservice area.

PMO ManagerMoorfields Eye Hospital NHS Foundation Trust


Benjamin Oxford

QSIR College was fantastic. I was nervousbefore arriving (as I expect most people are!)but when the sessions began I found the wholeexperience exhilarating and very well organised.

“”



To be able to build on my experience and haveaccess to evidenced based techniques and toolswhich I could then, with a level of authority andcredibility, pass this accredited knowledge on tocolleagues in my trust to improve outcomes forour service users.


Firstly passing the college assessment process!Doing the course was a challenge to fit inaround my ‘normal’ job, but the hard work hasabsolutely been worth every single second. Ienjoyed meeting new people and wasoverwhelmed by the support, positivity andsense of camaraderie. I feel privileged to be partof such a great movement which is spreadingfast.


Since graduating and being accredited asassociate members of the QSIR teaching facultyin October we have started our first cohort ofpractitioner training and have plans to completeat least four or five cohorts of 30–40 people inthe coming year. Our first cohort includescolleagues from the CCG and STP, which isgreat, and we hope to build on this. We alsoaim to start doing some joint work withcolleagues in the acute trust, who are alsocollege graduates. We are all very motivated andexcited about the future and spreading the QSIRmessage as far and wide as we can.

Assistant Director, Business Development and ServiceImprovement Kent Community Health NHS Foundation Trust

Executive sponsor: Gordon Flack, Director of Finance


Natalie Parkinson

I feel privileged to be part of such a greatmovement which is spreading fast. “”



I’ve had the opportunity to work on a numberof improvement programmes in my career and Iwanted to further my knowledge ofimprovement methodologies and tools so I couldimplement and evaluate change.


The breadth and depth of the programme hasequipped me with the skills, knowledge andconfidence to lead on improvement projects andprogrammes. A personal highlight for me werethe teaching assessments – nerve-racking andintense but well worth the effort as they gaveme the confidence to begin teaching QSIR tocolleagues across Warwickshire.


Our intention is to deliver the QSIR programmeacross Warwickshire, alongside QSIR associatesfrom Wye Valley NHS Trust. We are consideringa three-tiered approach to delivery – this willinclude a one day session for beginners, a twoday session for improvers and the full QSIRPractitioner programme for those staff who arein a position to need the full content or forthose staff who are interested in QSIR as part oftheir own development.

Business Development ManagerSouth Warwickshire NHS Foundation Trust

Executive sponsor: Jayne Blacklay, Managing Director


Jiten Parmar

The breadth and depth of the programmehas equipped me with the skills, knowledgeand confidence to lead on improvementprojects and programmes.

“”



I applied for QSIR College because I wanted tolearn about improvement tools which arestraightforward, can easily be used in clinicaland non-clinical areas and can make adifference. I have been supported by ACTAcademy to develop new knowledge and skillsin service improvement. I also wanted theopportunity to work with colleagues across theintegrated care partnerships to deliver QSIR.


I learnt to appreciate the benefits of looking atwhole systems in the demand and capacitymodule, and found the section on RAG ratingand variability enlightening. This highlightedhow important it is to look at measurements

over time. All the games we used to illustrateprincipals were fun and useful. Overall, my newknowledge about quality improvement, how tomake processes better and those changessustainable has led me to evaluate my ownwork.


To continue working with colleagues from theintegrated care partnership, to continue to rollout QSIR Practitioner and QSIR Fundamentals. Tosupport colleagues and teams to use QSIRmethodology and to keep myself updated andto become more familiar with some of the QSIRmodules I am currently less familiar with.

TutorNottinghamshire Healthcare NHS Foundation Trust

Executive sponsor: Julian Eve, Associate Director of Learningand Organisational Development


Angela Pemberton

All the games we used to illustrateprincipals were fun and useful.“”



I applied for QSIR College for me! It was, andremains, the perfect enabler for me to continuepractising as a service improvement lead whilstsharing the vision and tools with colleagues andpeers across our patch.


My personal highlight has been the completionof what started out to be a very large andunwieldy project that tested every part of whatQSIR had taught me. The creative thinkingmodules and the tools to help apply focus werevery much part of its success. The PDSA cycle inparticular ensured that when it didn’t quite goto plan, nothing was viewed as a failure. Theproject is going to be used internally as a goodnews story and all learning gained has beenshared; another skill acquired from QSIR!


My ambition is to enable colleagues, peers andteams to embrace service transformation – bigor small and to own and deliver their ownprojects and plans.

Head of Service Transformation – Children and YoungPeopleBuckinghamshire Healthcare NHS Trust

Executive sponsor: Alison Brandon, Associate Director forService Improvement


Vicky Perkins

The project is going to be used internallyas a good news story and all learninggained has been shared; another skillacquired from QSIR!

“”



I applied for QSIR College as there was anopportunity for me to further develop myknowledge in quality improvement methodologyand service redesign. Having worked in qualityimprovement already, I wanted to learn newskills and techniques that I could apply to mywork. QSIR College also promoted accreditation,which for me would demonstrate my capabilityin teaching and facilitating.


There is a lot of activity by means of fun, gamesand discussion. There was always a chance topractise on the same day and during theassessments. This enabled me to build on thetheory which was taught and to identify areaswhere I need to improve.

The assessment section of the QSIR College wasalso one of my personal highlights. After a fewweeks of practising my teaching and facilitation,I was able to demonstrate my ability to theassessors and their feedback is something I amproud of.


Within South London and Maudsley NHSFoundation Trust, we are linking with Oxleas andSouth West London and St George’s MentalHealth NHS Trust to develop a SLP academy forstaff across the South London Partnership toattend a intermediate level QSIR course. Theresources provided by QSIR College will beutilised within this academy for teachingpurposes and we will be following the sameapproach as QSIR College.

Quality Improvement LeadSouth London and Maudsley NHS Foundation Trust

Executive sponsor: Barbara Grey, Director of QualityImprovement


Sasha Persaud

After a few weeks of practising my teachingand facilitation, I was able to demonstrate myability to the assessors and their feedback issomething I am proud of.

“”



I applied for QSIR College to build on myknowledge and experience of qualityimprovement methodology. I was keen to buildconfidence in quality improvement techniques toinform my practice, teach others and drivequality improvement within my organisation.


QSIR has given me the building blocks forservice improvement. It ensures credibility ofknowledge, the use of recognised strategies andsets the standard for a common language acrosshealthcare professionals. I have gainedknowledge and experience from my colleaguesand the QSIR network.

QSIR has helped in new and existing projectsincluding the introduction of the role of MedicalExaminer, culminating in a nationally recognised

service that was a HSJ finalist for patient safety.As nurse lead for sepsis, I have also been able toevidence some of the best outcomes for ourpatients, above the national average.


Buckingham Healthcare NHS Trust has adopteda QI strategy to drive improvements and build aculture of change and staff engagement. As partof the QSIR work plan I will be regularly teachingQSIR Fundamentals across the organisation andwith partners across the region.

Innovation is pivotal to the NHS in improving thepatient experience. I am looking forward tojoining and enabling my colleagues to achievechange across all grades and disciplines of thehealthcare system.

Nurse Lead – Mortality Review and SepsisBuckinghamshire Healthcare NHS Trust

Executive sponsor: Tina Kenny, Medical Director


Julia Phillips

[QSIR] ensures credibility of knowledge,the use of recognised strategies and setsthe standard for a common languageacross healthcare professionals.

“”



As a GP and medical director for a largecommunity trust, I see first-hand the problemsstaff and patients encounter in the NHS. I thinkquality improvement science is something weshould all be aware of and it is a fantastic wayto make changes that matter to patients, carersand staff.


The curriculum is broad and gives a really goodknowledge of a wide range of tools. Workingwith like-minded colleagues has given me somany ideas for ways we can start to implementQI and hopefully see the resultingempowerment of frontline staff and patients,and see the results of real improvements.


Within Kent Community Health NHS FoundationTrust we have prioritised QI for the organisation.We have an organisational implementation planwhich is getting us off to a really good start onour QI journey. We are also working tocollaborate across our STP where others wish toalign or share resources with us. We hope todeliver training to groups of cross organisationalcolleagues, and in time see some crossorganisational QI projects come to life. We alsohope to see an increasing number of projectswithin Kent Community Health NHS FoundationTrust that are led by the frontline staff andsupported by the QI training, tools and team.

Medical Director Kent Community Health NHS Foundation Trust

Executive sponsor: Paul Bentley, Chief Executive


Sarah Phillips

[it] has given me so many ideas for wayswe can start to implement QI andhopefully see the resulting empowermentof front line staff and patients

“”



I applied for QSIR College in order to furtherdevelop my knowledge of QI and learn fromothers about how they have built QI capacity intheir organisations.


The SLaM QI team will be working alongsidecolleagues in Oxleas and South West Londonand St George’s to run QSIR across the SouthLondon Partnership.

Quality Improvement LeadSouth London and Maudsley NHS Foundation Trust

Executive sponsor: Barbara Grey, Director – SLaMImprovement Partners


Cassie Philpin

I applied for QSIR College in order tofurther develop my knowledge of QI andlearn from others about how they havebuilt QI capacity in their organisations.

“”



To be honest it was a bit last minute and I was‘volunteered’ to attend! I'm so glad I was. Iremember travelling to the first day, reading theinformation that had been sent through. I was abit overwhelmed but so curious about what Iwas going to learn.


The training was great and I learned so muchbut my highlight has to be meeting and workingwith my teaching assessment cohort. We hadamazing camaraderie throughout the threedays. It really sparked my enthusiasm andcreativity to think about the different ways thatwe can develop and promote QI within ourorganisation.


I'm excited to get people on board their ownQSIR adventure. As an organisation we are atthe beginning of our new improvement journeyand we are taking the opportunity to adopt awhole organisation approach. Our plan is tostart off training with our Board so theyunderstand our message and can then supportthe roll out of QSIR. We want everyone atCalderdale and Huddersfield NHS FoundationTrust to ‘Work Together 2 Improve’.

Clinical Governance Support ManagerCalderdale and Huddersfield NHS Foundation Trust

Executive sponsor: Jackie Murphy, Chief Nurse


Gemma Pickup

I'm excited to get people on board theirown QSIR adventure.“”



To enhance my improvement skills andknowledge to enable me to deliver successfuloutcomes in my transformation changeprogrammes that in turn deliver sustainablebenefit realisation for Nottingham UniversityHospitals NHS Trust. In particular I will acquireproven knowledge and skills that support thedelivery of quality and efficient services forpatients. Furthermore, to assist the trust toupskill clinical and non-clinical colleagues inimprovement capability through training andproviding them with the know-how to designand implement more efficient patient-centredservices based on tried and tested tools andapproaches.


The highlight has been being able to deliver thefirst QSIR Fundamentals training for patientsacross the Nottinghamshire integrated caresystem (ICS). This has definitely meant that we

have taken a step further towards patients,carers and staff developing a shared languageand understanding. Another highlight has beenparticipating in the national QSIR filming alongwith patients that demonstrates all thecommendable work and networking happeningacross the Nottinghamshire ICS. This also sets anexample for other organisations that areconsidering collaborative working as anintegrated care system.


We are planning to deliver a much bigger QSIRPractitioner cohort for staff and further QSIRFundamentals programmes for patients acrossthe ICS. We are going to take on a system widequality improvement project in one of the mainpathways (possibly emergency department)using the QSIR tools and approaches. We havealso agreed to follow and roll out the QSIR toolsand approaches to our local authoritycolleagues.

Deputy Programme Director Nottingham University Hospitals NHS Trust

Executive sponsor: Alison Wynne, Director of Strategyand Transformation


Linda Pitchford

The highlight has been being able todeliver the first QSIR Fundamentalstraining for patients across theNottinghamshire integrated care system.

“”



In 2015 I was supported by the Director ofNursing and Midwifery to apply for the QSIRtrain the trainer programme. My role involvesfacilitation of and leading QI projects within thechallenges of a busy acute hospital. I wanted toshare my passion and enthusiasm for QI and Iwas attracted to this programme as I felt itoffered the opportunity for myself and acolleague to learn and develop as QI leaders andtrainers. I also felt I would benefit hugely fromlearning with a wide range of staff fromdifferent organisations.


In 2018/19 we have sustained the delivery ofour QSIR Practitioner and QSIR Fundamentalstraining programmes, building our capability andcapacity to improve safety and experience forour patients and staff.

I feel I am confident and credible in the deliveryof all aspects of QSIR Practitioner andFundamentals and we have delivered to a widerange of staff from executive director,consultants, senior nurses, therapists etc.

We have consistently achieved positive feedbackand evaluation with over 90% course ratingsevaluated good or very good. Particularhighlights are hearing a common language ofquality improvement in the organisation, eg‘driver diagrams’, ‘measurement forimprovement’.


In 2019 we will be continuing to deliver boththe one and four-day programme as part of thenew organisational development programme,Improving Together. It will be aligned to theprogramme, ensuring all staff involved in theimprovements have the skills and knowledge toachieve success. We therefore plan to scale it upand deliver more training, as well as aiming tosupport two more staff to accredit as NHSImprovement QSIR trainers.

We also plan to spread outside of the acute trust– offering external places on each course, forexample to members of the CCG and AHSN. Weare continuing to formalise our QSIRPractitioners to act as mentors to all cohorts.

Senior Nurse Quality ImprovementRoyal United Hospitals Bath NHS Foundation Trust

Executive sponsor: Lisa Cheek, Director of Nursing andMidwifery


Anne Plaskitt

I feel I am confident and credible in thedelivery of all aspects of QSIR Practitionerand Fundamentals.“”



I applied for QSIR College as I wanted to be ableto drive forward quality improvement within theorganisation that I work for. I wanted toempower teams and colleagues with the skillsthat QSIR gives to improve the quality of carethat we deliver. I wanted to be part of a systemthat will provide lasting quality improvementwithin the NHS. QSIR is a national accreditedprogramme which will mean that organisationscan speak using a common language.


My highlights form QSIR have been theopportunity to understand wider systems, theopportunity to work with colleagues acrossorganisational boundaries and passing theassessments.


We have started to deliver the QSIR Practitionercourse and two further cohorts are plannedwithin the next nine months. QSIR isfundamental to supporting our move fromquality assurance to quality improvement. TheQSIR slides, courses and methodologies willcreate a common language within theorganisation that transcends hierarchy. Teamsare now able to drive forward improvementswithin their areas that can be sustainable.

Head of Quality, Governance and ProfessionalStandards, Public Health, Children's Specialist andLearning Disabilities ServicesKent Community Health NHS Foundation Trust



Sarajane Poole

QSIR is a national accredited programmewhich will mean that organisations canspeak using a common language.“”



To be able to learn and teach QSIR across AWPand to ensure we have a consistent approach toquality improvement. QSIR College will supportour quality improvement strategy and help ourstaff in all areas of improvement for the benefitof our service users.


Being involved with QSIR has enabled me tofurther develop and embed my improvementunderstanding, to share knowledge and goodpractice and to network with colleagues acrossthe health sector.


There is a commitment to build the facultywithin AWP. This will enable a much morecomprehensive QSIR programme to be deliveredgoing forward. It will also enable greaterresource for coaching the teams locally andtherefore building the momentum trust-wideand spreading the QI knowledge.

Quality Improvement LeadAvon and Wiltshire Mental Health Partnership NHS Trust

Executive sponsor: Julie Kerry, Director of Nursing


Becca Porteous

Being involved with QSIR has enabled meto further develop and embed myimprovement understanding.“”



I have spent the majority of my NHS careerworking within complex integrated care systemsand view one of the great catalysts to achievequality service redesign and improvementprogrammes is through having the appropriatetools and techniques that are shared consistentlyacross all organisations.

I see QSIR as a great opportunity to achieve thisand I am very proud to be part of the team tosupport the delivery of the training across NorthWest London.


QSIR has supplied me with a variety of practicaltools and techniques that I have been able toapply in my approach to programmemanagement and share with my colleagues. Thisincludes implementing techniques within ourteam meetings to develop business planningthrough the Six Thinking Hats which receivedpositive feedback. I look forward to taking thisfurther with the whole QSIR curriculum andspreading this across our organisations.


North West London has embarked on achallenging journey to redesign our health andsocial care system to provide care for an ageingpopulation and manage increasing demand withfewer resources. Our Sustainability andTransformation Plan (STP) outlines our ambitionto focus on the needs of people living within theSTP area, rather than the needs of individualorganisations. This programme of work stretchesacross more than 29 organisations, a populationin excess of two million people and a widerange of health and social deprivation acrosseight CCGs which span some of the richest andsome of the poorest areas in the country.

Self-Care Programme LeadNHS North West London Collaboration of CCGs

Executive sponsor: Juliet Brown, Programme Director,Strategy and Transformation


Aran Porter

one of the great catalysts to achieve qualityservice redesign and improvement programmesis through having the appropriate tools andtechniques that are shared consistently acrossall organisations. I see QSIR as a greatopportunity to achieve this.

“

”



I applied for QSIR College as I was previouslyundertaking QI work within my trust but hadreceived no formal training. I was thereforealways wondering if I was doing it right. QSIRCollege provided me with the skills andknowledge to undertake this work confidently,and lead others through the QI journey in myorganisation.


My personal highlight has been meeting otherQI enthusiasts from other NHS organisations.Although stressful, I enjoyed the practicalassessment days and found my colleagues to bevery supportive. I enjoyed the practical elementsof the programme including paper planes anddice games!


I am teaching as part of a collaborative withKent Community NHS Trust. I also chair a QIgroup within my care group and am involved inmany local projects including therapeuticengagement and reduction of violence andaggression. I now feel I have the knowledge andskills to do this.

Head of Nursing – AcuteKent and Medway NHS and Social Care PartnershipTrust

Executive sponsor: Vincent Badu, Deputy Director/Director of Transformation


Guy Powell

My personal highlight has beenmeeting other QI enthusiasts fromother NHS organisations. “”



To refresh and consolidate my knowledge in QIand work on the particular skill of teaching it toothers.

To expand the pool of QSIR associates in ourorganisation so that we can teach thismethodology to more cohorts more quickly.


Highlights were meeting like-minded peoplefrom other organisations and sharing learning,anecdotes, and big ideas!


To build a culture where staff feel confidentcoming together to problem solve using aconsistent methodology and common languagefor improvement and then to be able todemonstrate the impact of this work and sharelearning.

QSIR is a vital tool to help us to achieve this andfor this reason we are expanding our team whodeliver it as well as thinking about other thingswe can do in parallel to effect cultural change.

Consultant Psychiatrist West London NHS Trust

Executive sponsor: Sarah Rushton, Executive Director LocalServices


Blake Pritchard

Highlights were meeting like-mindedpeople from other organisations andsharing learning, anecdotes, and big ideas! “”



After joining my trust's improvement team oneday per week I undertook a Clinical LeadershipFellowship at Moorfields Eye Hospital in2017–18. This gave me a good grounding inproject management and quality improvementand allowed me to undertake the QSIRPractitioner programme with a financecolleague, hosted by the HFMA. I really enjoyedthe course and was keen to support mycolleagues in being able to deliver theprogramme in-house, so joined the QSIR Collegeprogramme in late 2018.


As strange as it sounds, I actually really quiteenjoyed the three days I spent in Leeds for theQSIR College examination process. There was areal sense of camaraderie within the team ofcandidates and it was great to get to knowothers preparing to deliver the course all aroundthe country.


I have recently moved from service improvementto an operational management role; I amlooking forward to continuing to deliver QSIRtraining at Moorfields and engaging moreoperational colleagues in quality and serviceimprovement initiatives.

Assistant Divisional ManagerMoorfields Eye Hospital NHS Foundation Trust



Kirsten Pulley

There was a real sense of camaraderiewithin the team of candidates and it wasgreat to get to know others preparing todeliver the course all around the country.

“”



We have been working on enabling andempowering our staff in Morecambe Bay to beable to deliver improvements and wanted tofurther develop our capacity and capability inline with national guidance in Developing PeopleImproving Care. We saw QSIR as a great way bywhich we could offer the ability to train anumber of staff to help build that capacity andcapability across the Bay.


I have worked in an Improvement role for quitea few years now and my personal highlights ofjoining QSIR has been the opportunity to workwith like-minded, enthusiastic staff from acrosshealth and social care who are committed toimproving patient and staff experiences. A greatchance to consolidate my learning and keep me

on my toes! I enjoying coaching and supportingour QSIR practitioners and being part of theirlearning journey. We have lots of fun whilst welearn on our cohorts – which is also reallyimportant.


Our aim is to make this widely available to ourhealth economy in the Bay. We are keen to getparticipants from across the health economyattending collectively so we foster relationshipsand culture change helping to create thatclimate for transformation. We are encouragingstaff to become QSIR associates so that we havea team of people within all disciplines thatencourages sharing of experiences and fostercollaborative working relationships.

Improvement LeadUniversity Hospitals of Morecambe Bay NHS FoundationTrust

Executive sponsor: David Wilkinson, Director of People andOrganisational Development


Helen Pye

A great chance to consolidate mylearning and keep me on my toes!“”



I have always had an interest in qualityimprovement. QSIR gave me an opportunity todevelop my knowledge and skills and alsosupport our trust in developing a successful QIfaculty.


I was fortunate to be able to study QSIRalongside some of my colleagues. Being able tocomplete this journey together and focus ourenthusiasm, ideas and share a passion to makean impact at our trust was a personal highlight.


Developing QSIR across our trust – deliveringtraining to our staff and embedding a QI culturethat is inclusive of all staff.

Divisional Governance Lead Blackpool Teaching Hospitals NHS Foundation Trust



Dean Quinn

Being able to complete this journeytogether and focus our enthusiasm, ideasand share a passion to make an impact atour trust was a personal highlight.

“”



I am fortunate to work in an organisation whereQSIR training is well established and supportedby the executive team. As a senior nurse Iundertook QSIR Practitioner training and wasasked if I would be interested in becoming atrainer to enable the organisation to increase thenumber of QSIR training places.


Attending QSIR College refreshed some trainingfrom the distant past and taught me lots of newskills and tips that I now use in my day to daywork, not just in relation to specific QI projects.The whole QSIR journey has allowed me to meetand work with different colleagues from withinmy own organisation and beyond, sharingexperiences, learning and ideas forimprovement.


As an organisation QSIR is embedded in thetraining programme and we have alreadytrained over 100 members of staff. Increasingthe trust QSIR faculty will allow us to furtherincrease capacity for training and ease theburden on our “QSIR hero” who has beenteaching single handed for quite some time!

Associate Director of NursingBedford Hospital NHS Trust

Executive sponsor: Eileen Doyle, Deputy Chief Executive


Paul Raynor

The whole QSIR journey has allowed me to meetand work with different colleagues from withinmy own organisation and beyond, sharingexperiences, learning and ideas for improvement.

“”



I was fortunate enough to work with NHSInstitute of Innovation and Improvement in thepast and develop my quality improvement skills.I applied to QSIR College as part of a team fromour organisation to develop quality improvementcapacity in our trust. We have developed astrategy to train more staff and involve serviceusers in quality improvement.


I thoroughly enjoyed being a student againalong with a group of colleagues from my trust.We got to know each other and think aboutusing quality improvement to improve ourservices. I had a memorable three days ofteaching assessments where we made goodfriends and had a lot of fun. I was introduced tothe “Pink Socks” movement within the NHS!


We have already started our first cohort oftraining and we have developed a strong teamof QSIR associates. We are planning to roll outtraining to as many staff and service users aspossible. I am looking forward to combining myQSIR skills with the skills I gained through theTransformational Change through SystemLeadership programme to affect servicetransformation in our health and care system.

Consultant Developmental PaediatricianCambridgeshire and Peterborough NHS FoundationTrust

Executive sponsor: Sarah Warner, Director of Transformation


Venkat Reddy

We have developed a strategy to trainmore staff and involve service users inquality improvement.“”



To consolidate my knowledge of qualityimprovement tools and to be given a frameworkto pass this knowledge on, specifically in thecontext of improving perioperative care.


It was great to create a network of colleagueswith quality improvement experience that I cantap into.


We are rolling out a specific perioperative QSIRcourse for anaesthetists and perioperativeteams. Our first sitting begins in January 2019 inBath.

Consultant in Anaesthesia and ICM Royal College of Anaesthetists

Executive sponsor: Lesley Jordan, Consultant Anaesthetist


Adam Revill

It was great to create a network ofcolleagues with quality improvementexperience that I can tap into.“”



As leader of our newly founded Royal Academyof Improvement it was important for me tobecome one of the first QSIR associates withinthe trust and be visible in launching the QSIRprogramme of training with a shared purposeand clear vision for the future. Our intention,through QSIR, is to establish a holisticimprovement approach and common languageof change, equipping staff with the tools andresources to deliver improvement they are proudof – whatever their role is within the trust.


Delivering the first cohort of QSIR training withinthe trust has been a fantastic experience. Thefeedback from staff exceeded all of myexpectations and has created a real buzz acrossthe organisation. Our programme is accessibleto all, and seeing people come together andlearn without the barriers of hierarchy or their

current role was amazing. We added day six toour internal QSIR programme as a forum forsharing and celebrating the improvement workour graduates have been delivering. It was aninspirational day, hearing how staff are using theQSIR tools and learning to bring theirimprovement ideas to life.


We have established ambitious targets in termsof the number of QSIR Practitioners andassociates we plan to develop internally over thenext two years. We ask our QSIR Practitioners tobecome ambassadors for our Royal Academy ofImprovement when they complete theprogramme, championing and actively engagingwith improvement work across the trust.Through our ambassadors we intend to nurturean improvement culture where everyone has theconfidence, freedom and resources to deliverimprovement. Exciting times ahead!

Associate Director of Strategy and ImprovementChesterfield Royal Hospital NHS Foundation Trust



Maria Riley

Our programme is accessible to all, andseeing people come together and learnwithout the barriers of hierarchy or theircurrent role was amazing.

“”



To implement a quality improvement approachwithin our organisation and support meaningful,service driven change to improve the quality ofcare for our patients. I feel passionate about thechange in shift and a move away from qualityassurance. The tools that the QSIR programmeuses are extremely helpful and the programmegives colleagues permission to give an idea a try.


I have loved seeing the teams embrace the skillsthat QSIR teaches and using them to implementreal change. In our organisation we have held aQuality Conference to share all the amazingwork that has been undertaken as part of ourQSIR programme. The day was packed withinspirational examples of what we have beenable to achieve.


To continue to build on the success and roll outfurther QSIR Practitioner training courses. Wewant QI to be part of 'business as usual' acrossthe trust and the momentum is gathering forthis to become a reality, we need to continuewith this.

Head of Quality, Governance and Professional StandardsKent Community Health NHS Foundation Trust



Katie Ring

In our organisation we have held aQuality Conference to share all theamazing work that has been undertakenas part of our QSIR programme.

“”



I felt it was important in my role to support theimprovement journey of the organisation andespecially to drive forward the learning toimprovement agenda.


A particular highlight was the realisation that Iknow more than I thought, and passing the verystressful practical exam!


Working with my fellow QSIR associates to sharethe knowledge and watching everything beingput into practice to improve our services.

Learning LeadUniversity Hospitals of Morecambe Bay NHSFoundation Trust

Executive sponsor: David Wilkinson, Director of Peopleand OD


Tracey Roberts-Cuffin

A particular highlight was the realisationthat I know more than I thought“”



Having been inspired by attending the five dayQSIR course offered by our Gloucestershire STP, Ifelt compelled to take my learning to the nextlevel. I have been involved with qualityimprovement for many years and now beingpart of the faculty and teaching the course hasincreased my ability to influence how we deliverpatient care through quality improvement on amuch bigger scale.


It was a great opportunity to work withcolleagues from different professions andorganisations across the dementia pathway. Wecould all see the many areas we might workdifferently to improve care for people withdementia and their carers. With our newlylearned skills, we were able to reframe some ofour challenges and apply the QSIR techniques tosystematise our improvements to patient care.


There are so many areas that we could improvepatient care, so apart from my practical skills, Iam looking at using my Q Convenor influencingrole to engage with STP level leadership in theWest of England. This will allow us to connectup the STP strategic challenges with the systemsolutions and thinking that QSIR givespractitioners.

GP, NHS Gloucestershire CCG Deputy Chair, OneGloucestershire STPWEAHSN Associate Specialist Patient Safety, PrimaryCare; Q Convenor West of England

Executive sponsor: Paul Roberts, Joint Chief Executive2gether NHS Foundation Trust and Gloucestershire CareServices NHS Trust


Hein le Roux

With our newly learned skills, we were ableto reframe some of our challenges and applythe QSIR techniques to systematise ourimprovements to patient care.

“”



I have been fortunate to have had theopportunity to work with clinical teams on theirquality improvements and welcomed the chanceto formalise my skills. My role enables me toshare my learning with others who wish tomake improvements in their area of work, and Isaw the opportunity to apply for QSIR College asa chance to further build on this.


I really appreciated the chance to meetcolleagues from other organisations, to developour QSIR skills collectively and support eachother through the assessment process. Ourgroup had great support through theassessment process – we were motivated andsupported at every step. Putting QSIR traininginto practice at Chesterfield has been a personalhighlight. I am proud to be able to supportcolleagues with their improvement journey andsee their confidence build by using tools andtechniques from the QSIR toolkit.


This is a really exciting time for qualityimprovement focus at our trust. We havelaunched the Chesterfield Royal Academy ofImprovement and are just starting to deliverQSIR cohort three at Chesterfield Royal Hospital,with over 70 staff QSIR already accredited andsix future cohorts planned for 2020. We aredelighted by the interest generated in QSIR fromdelegates who have already attended and thosebooked onto future cohorts. We have initiatedImprovement Forums to share some of thefantastic improvement work underway andsupport colleagues with an open networkingsession for asking questions, seeking support, orjust having a conversation and getting to knowtheir improvement colleagues.

Macmillan Cancer Improvement LeadChesterfield Royal Hospital NHS Foundation Trust



Pamela Rumbell

Putting QSIR training into practice at Chesterfieldhas been a personal highlight. I am proud to beable to support colleagues with their improvementjourney and see their confidence build by usingtools and techniques from the QSIR toolkit.

“”



As a personal commitment to practically takeforward the trust’s QI strategy.


Delivering quality improvement methodologyand teaching to front line has been hugelyrewarding and it is fantastic to see staff deepentheir understanding and go on to deliverimprovement projects.


The trust is committed to fully embedding the QImethodology throughout all its work, so ourongoing plan is to train more coaches andcontinue to run a rolling programme to ensurethat more cohorts of staff can benefit from thelearning and use their own projects as a way tomake tangible and positive change happen fromthe ground up.

Executive Director Local ServicesWest London NHS Trust

Executive sponsor: Carolyn Regan, Chief Executive Officer


Sarah Rushton

The trust is committed to fully embeddingthe QI methodology throughout all its work,so our ongoing plan is to train more coachesand continue to run a rolling programme.

“”



Running a large-scale transformationprogramme, I know how hard making changehappen and stick can be. Having spent most ofmy career in hospital operational management,I’ve had lots of experience striving to makethings better for patients and staff and notunderstanding why change didn’t happen. QSIRoffers answers to some of the questions Istruggled with over the years and I know othersare struggling with now. By becoming a QSIRtrainer, I can share a structured set of tools,methodologies and language with colleaguesand help them achieve their aims of improvingcare for patients and staff.


It’s been great connecting with like-mindedcolleagues across the country through QSIRCollege, and really reinvigorating to see andhear how the quality improvement approach isbeing adopted in different environments andcultures, positively affecting so many patients,service users and staff.

Teaching the QSIR Practitioner programme hasbeen great fun and challenging in equal

measure – delegates keep our team on our toeswith their questions, thirst to develop their ownskills and passion for improving care for ourcommunities. It’s wonderful and a huge privilegeto be able to contribute to colleagues’ learningand growth and the improvement in care theywill deliver.


The scale of change we need to deliver acrosshealth and the wider care landscape isenormous; to achieve this we need to have ashared vision, structured plans, robust changetools and a joint understanding of how we aregoing to deliver. QSIR provides this and we havemade a decision within our Health and CarePartnership that this will be ‘the way we dothings around here’. The QSIR approach isfiltering through our programmes and projectsand we are hearing fantastic feedback fromteams on their experience using the tools.

In 2019/20, we hope to expand our QSIRdelivery team and will continue to offer QSIRpractitioner training to all health and careorganisations across north west London.

Assistant Director, Strategy and Transformation,NW London Health and Care Partnership, NHS NorthWest London Collaboration of CCGs

Executive sponsor: Juliet Brown, Health and Care PartnershipDirector


Liz Rutherford

It’s wonderful and a huge privilege to be ableto contribute to colleagues’ learning andgrowth and the improvement in care theywill deliver.

“”



As a member of the service improvement teamwithin the trust, it was a great opportunity bothto keep myself up to date with currentapproaches to managing change andimprovement, and also to help deliver the courseacross the trust. The QSIR Practitioner and QSIRFundamentals courses are well designed andapplicable to all staff members.


The highlight has been the interaction betweenthe students attending our first cohort – theexperience and energy in the room definitelyenhanced the learning environment. Givingstudents the opportunity to meet and todevelop a greater understanding of the QSIRmethodology enables them to go on to delivertheir improvement projects with confidence.


Having recently delivered our first cohort, QSIR isstill in its infancy at Portsmouth. Our intention isto promote a culture of improvement across thetrust, utilising the QSIR methodology and tools,and we have another four cohorts planned forthe next 12 months. We aim to ensure that allstaff members have both the support andconfidence to continue spreading improvementacross the trust.

Service Improvement Manager, Portsmouth HospitalsNHS Trust



Gillian Ryan

The highlight has been the interactionbetween the students attending ourfirst cohort – the experience andenergy in the room definitelyenhanced the learning environment.

“”



I have undertaken quite a few courses duringmy career but QSIR was the first one that mademe think ‘yes, I get it!’. It has so many practicaltools and tips that really help. Teaching wassomething that I hadn't done before but wasinterested in so this seemed like a really goodopportunity to share something of real benefitto the Dorset ICS.


Hearing from people that have completed thetraining that they have used the tools andtechniques we have taught them to the benefitof the improvement work they are doing.


We really want to spread the learning across thewhole of the Dorset ICS. There is a realopportunity to have a co-ordinated approach toquality improvement across the system and tosee real benefits from improving the services wedeliver.

Senior Programme LeadNHS Dorset CCG

Executive sponsor: Alan Betts, Deputy Director Transformation– Merger


Viv Ryan

There is a real opportunity to have aco-ordinated approach to qualityimprovement across the system and tosee real benefits from improving theservices we deliver.

“”



As an organisation we have identified QSIR asour standardised approach to qualityimprovement. I, and a number of our staff,attended both QSIR Practitioner and QSIRCollege and we are committed to delivering thisright across our organisation. This is core to ourRDaSHWay – improving both quality and culturein all we do.


My QSIR highlight has to be meeting so manyother like-minded people and learning about allthe amazing work that people do across ourNHS. So much passion, wisdom and experiencein the room was really inspiring, and gave memore than one idea to pinch with pride!


As an improvement and culture team ourbusiness is helping individuals, teams and theorganisation to support changes which bringimprovements in both quality and culture –namely what we do, and the way we do things.As a trust, our focus is both process andpeople... quality and culture...this is theRDaSHWay. We align our focus on qualityimprovement, project management, andorganisation development, and our widercultural development agendas which shape whowe are; including our safety culture, equality,diversity and inclusion, spiritual care, and ourfreedom to speak up. Together, we aim to createcompassionate and inclusive cultures whereimprovement is everyone’s business. The QSIRprogramme is integral to the RDaSHWay, andwe will train and support Practitioners andchampions across our organisation using theQSIR framework.

Head of Improvement and Culture Rotherham Doncaster and South Humber NHSFoundation Trust

Executive sponsor: Kathryn Singh, Chief Executive Officer


Paula Rylatt

So much passion, wisdom and experience inthe room was really inspiring, and gave memore than one idea to pinch with pride!“”



I had heard about QSIR from other colleaguesand wanted to attend to refresh and consolidatemy QI knowledge and skills. QSIR provides arobust framework and a common language thatcan be applied across the NHS. I have never hadany formal training in how to teach others, sofor me this was a great opportunity to developmy facilitation skills and receive feedback andaccreditation.


It was great to meet with like-minded peoplefrom other organisations to share learning andexperiences. I was apprehensive about theteaching assessment but, although it was hardgoing, I found this to be the best part of theprogramme – it was very rewarding. I found thepeer support and feedback from the assessors tobe extremely valuable and feel proud to be aQSIR teaching faculty associate.


We are currently developing our continuousimprovement strategy which aims to build aculture where staff feel confident to not only dotheir work but to improve it! To achieve thissuccessfully we need to give our staff theknowledge of, and access to, QI tools andtechniques. The QSIR training materials andhandbooks are a great resource to support thedissemination of learning.

Transformation Programme Manager Countess of Chester Hospital NHS Foundation Trust

Executive sponsor: Ian Bett, Transformation Director


Hollie Salisbury

I found the peer support and feedbackfrom the assessors to be extremelyvaluable and feel proud to be a QSIRteaching faculty associate.

“”



I've worked as a mental health nurse for over 20years and wanted to develop my knowledge ofquality improvement. I am now working in a roleto implement and spread quality improvementwithin the trust. QSIR College has provided mewith the tools to help begin this journey.


Sharing knowledge within and between teams,embracing enthusiasm for QI.


• The launch of the trust’s quality improvement strategy.

• To nurture and support staff from across all areas of the trust to develop the skills through QSIR.

• Embed QI in all aspects of the trust business aligned with the establishment of a QI faculty.

Interim Transformation Programme ManagerCoventry and Warwickshire Partnership NHS Trust

Executive sponsor: Dominic Cox, Director of Strategy andDevelopment


Cath Sandhu

I am now working in a role to implement andspread quality improvement within the trust.QSIR College has provided me with the toolsto help begin this journey.

“”



To improve my ability to manage issues that areconstantly thrown up in the NHS.


We want to introduce quality and improvementto all branches of the trust through QSIRtraining.

Deputy Medical Director/Consultant Child PsychiatristNorthamptonshire Healthcare NHS Foundation Trust

Executive sponsor: Julie Shepherd, Director Nursing AHPsand Quality


Sachin Sankar

We want to introduce quality andimprovement to all branches of the trustthrough QSIR training.“”



I didn’t know anything about QSIR until I joinedthe transformation team in KGH and mymanager suggested I apply. Suddenly QI madeso much more sense!


My personal highlights were passing the onlineassessment and being accredited to deliver QSIRin my organisation. QSIR equipped me with theskills and knowledge to successfully deliverquality improvement projects, and helped tobuild my own confidence. To my surprise, I reallyenjoyed the teaching assessment days and thechallenge to teach my colleagues.


Plans are already in place to spread QSIR acrossour organisation. I'm very excited to help mycolleagues to successfully deliver their ownimprovement projects, no matter how big orsmall.

Transformation Projects ManagerKettering General Hospital NHS Foundation Trust

Executive sponsor: Polly Grimmett, Director of Strategy andTransformation

Accreditation date:

Santa Sargautiene

QSIR equipped me with the skills andknowledge to successfully deliver qualityimprovement projects, and helped to buildmy own confidence.

“”



To assist with the delivery of QSIR across theregion, empowering all staff to promote anddevelop service improvements.


My highlights were the camaraderie among allon the course and the support from myassessment cohort, which was overwhelminglypositive. I also appreciated the opportunity togain insights into different sectors of the NHS,the potential to learn from the work of othersand the opportunities to network.


The delivery of QSIR to staff at all levels toenhance their development and to embed theQSIR principles into business as usual.

Safeguarding Specialist Practitioner for Adults East of England Ambulance Service NHS Trust



Caroline Sexby

My highlights were the camaraderieamong all on the course and the supportfrom my assessment cohort, which wasoverwhelmingly positive.

“”



I had previous experience of using QImethodology, and knew the value of using theseapproaches in service redesign, so when theopportunity arose to be part of a group trainingothers in these tools, and thereby supportingbroad system redesign, I was very keen to beinvolved.


I enjoyed a very fulfilling 2019 with theGloucestershire QSIR team. We deliveredtraining to a wide range of colleagues fromacross the system. We worked with applicants tothe course to ensure they attended with aparticular project in mind and with at least oneother person from their project team, leading tosome excellent break-out sessions wheretangible progress was made on some thornyissues, and teams had real ‘light-bulb’ momentsabout how the methodology could supportthem with complex system change.


I am excited to be working with a new QSIRdelivery team, growing the numbers of QSIRtrainers across the STP to deliver training to evenmore colleagues across two counties. I hope tobring learning from the Gloucestershire systemto support the Herefordshire and Worcestershireprogramme, and am keen to continue to use themethodology to help tackle the system-wideissues and promote QI as an approach tosupport sustainable transformational change.

Head of PMO and Transformation at WorcestershireAcute Hospitals NHS TrustHerefordshire and Worcestershire STP

Executive sponsor: Sarah Smith, Director of Strategy andPlanning, Worcestershire Acute Hospitals NHS Trust


Zoe Scott-Lewis

...tangible progress was made on some thornyissues, and teams had real ‘light-bulb’moments about how the methodology couldsupport them with complex system change.

“”



My medical director suggested that I attendQSIR College. I must admit to being a reluctantstarter, but I have thoroughly enjoyed thelearning process and assessments.


Highlights were learning what a lot of wordsand graphs mean in real life (!) and meetinggreat people with similar enthusiasm for QI.


My ambition is to bring the concept, philosophyand tools to as many different departments andpeople as possible.

Consultant in Trauma and OrthopaedicsBlackpool Teaching Hospitals NHS Foundation Trust

Executive sponsor: Graham Goode, Medical Director


Amit Shah

My ambition is to bring the concept,philosophy and tools to as many differentdepartments and people as possible. “”



The qualification has given me the opportunityto consolidate my skills and knowledge inchange management and service improvementfrom my current role and over 13 yearsexperience as an operational manager in theNHS. It also gave focus and structure to thework that my joint postholder and I are doing todeliver a culture of change and improvement inour organisation.


• Meeting and sharing knowledge with colleagues from across the NHS.

• Teaching others – the excitement that they get from it is so rewarding.

• The teaching assessment group I was in were a joy to be with – so much knowledge in one room and everyone was so supportive of each other.


As part of establishing a culture and capability todeliver improvement and change we are nowstarting a teaching programme within our trust.We have members of our team who haveapplied for QSIR College so that they cansupport that ambition. So far, we haveincorporated the one day QSIR Fundamentalscourse into the staff development programmesand expect to start the QSIR Practitionerprogramme in 2019. It's great to be able to havesuch a clear curriculum to follow but also tohave the flexibility to pull out more detail forsome modules for specific groups of our staff.

Joint Director of Service Improvement and SustainabilityMoorfields Eye Hospital NHS Foundation Trust



Naomi Sheeter

The teaching assessment group I wasin were a joy to be with – so muchknowledge in one room and everyonewas so supportive of each other.

“”



As an acute trust service improvement team, wewant to develop a wider faculty based approachto our training and improvement support and Iwas keen to be part of the first wave team. TheQSIR programme offered us a comprehensiveprogramme with excellent resources to help usachieve this.


I liked the fresh approach that QSIR offers:delivering bite sized chunks of learning in clearlydefined sessions with plenty of opportunity totest the teaching in break-out sessions anddiscussions. Whilst daunting, the teachingassessment process provides attendees with anexcellent opportunity to deliver QSIR in asupportive environment that thoroughly, butfairly helps you shape your approach to futuredelivery of training.


This year (2017/18): to run our initial threecohorts of five day QSIR Practitioner training;supported by one day sessions and ad-hocworkshops to ensure attendees get the mostfrom their training and are able to deliver ontheir associated projects, effecting realimprovements in patient care and having theconfidence to continue. At the same time wewill be training further members of our ownteam in order to increase our faculty as planned.

Service Improvement Programme ManagerUniversity Hospital Southampton NHS Foundation Trust

Executive sponsor: Jane Hayward, Director of OrganisationalDevelopment


Sara Shelton

I liked the fresh approach that QSIR offers:delivering bite sized chunks of learning inclearly defined sessions with plenty ofopportunity to test the teaching

“”



I applied for QSIR College as I lead qualityimprovement across the organisation. AtNorthamptonshire Healthcare NHS FoundationTrust we pride ourselves that qualityimprovement takes place across the organisationusing a co-production approach with staff,service users, carers and with other partnerorganisations where relevant, but we don't havea formal framework with tools available to staff.My aim was to understand QSIR, refresh myskills and knowledge and bring the training intothe organisation, which I have done with mycolleagues.


My personal highlights of QSIR College werecompleting the programme, becoming anassociate member, but most of all seeing thefirst cohort complete their five days of QSIR

within my trust. The enthusiasm andcommitment to the programme from staff,especially my two colleagues, who I deliveredthe programme with, was fantastic.


We will continue to deliver QSIR atNorthamptonshire Healthcare NHS FoundationTrust. We already offer this training to others inthe county and beyond, delivering training tostaff from local CCGs and a neighbouringmental health and community trust. Via the STPwe are agreeing a MOU for quality improvementacross the NHS partners which includes QSIR.

Director Nursing AHPs and QualityNorthamptonshire Healthcare NHS Foundation Trust


Julie Shepherd

The enthusiasm and commitment to theprogramme from staff, especially my twocolleagues, who I delivered theprogramme with, was fantastic.

“”



There is a growing desire for serviceimprovement to play a key role in deliveringexcellent patient outcomes within our trust. Byundertaking QSIR I hope to play a key role in thisby delivering the course and seeing ourimprovement capabilities grow.


The overwhelming support received from boththe teaching faculty and fellow practitioners wasa major highlight of the QSIR experience. It alsoafforded me the opportunity to study alongsidecolleagues from across the country who areequally as passionate about improving ourservices for our patients.


Until now we've been running QSIR trainingevents with other local organisations as part of acollaborative STP-wide approach. As anorganisation we are committed to growing ourimprovement networks across the trust, so beingable to deliver QSIR locally will support us inaccelerating our ability to build our improvementcapability and capacity.

Quality Improvement Officer Sherwood Forest Hospitals NHS Foundation Trust

Executive sponsor: Ceri Feltbower, Associate Director ofService Improvement


Craig Short

The overwhelming support received from boththe teaching faculty and fellow practitionerswas a major highlight of the QSIR experience.“”



My role as a service improvement support leadrequires me to train and support colleagues inundertaking service improvement within theirareas. I wanted to build on my currentknowledge and skills to ensure that I had themost up to date training of the currentimprovement tools and techniques. The QSIRprogramme seemed the most logical way for meto do this as it provides a structured andconsistent approach to service improvement/redesign.


QSIR has really helped me to develop myknowledge and understanding of the variousservice improvement tools and techniques.Although I was incredibly nervous about theteaching assessment, I found it to be reallyrewarding on the whole.

Both the written and classroom assessmentshelped me to embed the learning and skills thatI gained from the course.

QSIR has given me the confidence to be able tosupport colleagues when undertaking serviceimprovement projects and when deliveringquality improvement training in the future.


I am one of a group of five QSIR associates thatqualified together from our organisation. Wehad already formed a QI Academy and weredeveloping the programme for deliveringtraining to delegates. Now that we are allconfirmed as QSIR associates, we can offer theQSIR programmes through our QI Academyenhancing our ability to help staff identify, plan,deliver and sustain QI across the trust.

Walsall Together Programme ManagerWalsall Healthcare NHS Trust



Jane Sillitoe

QSIR has given me the confidence to beable to support colleagues whenundertaking service improvement projects“”



I have always been interested in improvingaspects of services for both patients and staff.Having been involved in project work that lackeddefined methodology and had resistance tochange, I was eager to join the QSIR programmeto develop skills to provide a frameworksupporting QI. I also love to learn and have apassion for developing others too, so QSIRprovided the opportunity to do just that.

I have welcomed the ability to network andbuild connections with so many colleaguesnationwide, who remain a point of contact.


My journey to becoming a QSIR associate hasbeen action packed to say the least. It has beenone of the most valuable courses I’ve embarkedon since qualifying. The support by from theQSIR teaching faculty and the cohesionexperienced during the assessment process hasreally impressed me. I am delighted to haverecently delivered my first QSIR Fundamentalsand QSIR Practitioner; observing colleaguesenthused by the topics and experiencing ‘light

bulb’ moments has been really rewarding.Additionally, being able to utilise themethodology during a recent tender processreally reinforced the successful impact of thetools, particularly where time constraintsapplied!


Since embarking on my QSIR journey I amthrilled to have been appointed as the DeputyGeneral Manager for Quality Improvementacross the Children and Young People’s Servicesat Hertfordshire Community NHS Trust (HCT). Iplan to collaborate with our partners, voluntarysector and patients to share the quality visionand establish methods to communicate anddisplay our sector wide successes. At HCT wenow have three associates with whom I lookforward to delivering further QSIR training tostaff at all levels, together investingenthusiastically in the growth of a qualityimprovement culture and in rolling out ourquality strategy at HCT.

Clinical Quality Lead for Children's Specialist ServicesHertfordshire Community NHS Trust

Executive sponsor: Marion Dunstone, Director of Operations


Kirstie Simpson

The support given by the QSIR teachingfaculty and the cohesion experiencedduring the assessment process has reallyimpressed me.

“”



I have always had a keen interest inimprovement and project management. I do notaccept standing still, doing the same thing andexpecting a different result! I heard about theQSIR methodology and thought that it reallyfitted with my working ethos so I had to applyand see what it was all about. I consider myselfa good leader within the NHS and would bemore than happy to share any learning I receivewith colleagues to help them develop their skills.I am excited to be helping shape thedevelopment of the organisation.


Meeting like-minded individuals who share myaspirations to help shape the future of the NHShas been fantastic. The tools provided in the

QSIR programme were very good and easy toapply with good results. I particularly enjoyedthe practical elements of the training andproducing data in an easy to read format.


Maidstone and Tunbridge Wells NHS Trust haveambitions to roll out the QSIR methodology toas many staff as possible including, the trustboard. We are keen to empower all staff tomake changes within their working areas for thebenefit of patients and the organisation. It is thisgrass roots empowerment that we are keen todevelop in order to realise significantimprovements.

Head of Digital Operations and General ManagerEmergency Care and Acute Assessment, Maidstone andTunbridge Wells NHS Trust

Executive sponsor: Steve Orpin, Finance Director


Nick Sinclair

Meeting like-minded individuals whoshare my aspirations to help shape thefuture of the NHS has been fantastic.“”



I was asked to look at the QI agenda to formpart of our change remit. I was looking for away to bring together all of our improvementapproaches in the trust that would be engagingfor our staff, volunteers, patients and partners atall levels. One phone call to the QSIR Collegeteam provided the solution. The Practitionerprogramme was excellent. It was delivered withinfectious enthusiasm and expertise and is anexcellent platform for us to bring in a systematicapproach to improvement and buildingconfidence to continuously improve our servicesto our patients.


The people were the highlight for me – meetingother NHS professionals who were passionateabout change, innovations and generating new

ideas and ways of working, and meetinginspirational people from such a variety ofbackgrounds with the same purpose andenthusiasm. It is a true family of learners whowant to make a difference to secure a legacy ofimprovement for the NHS.


• Embedding our Continuous Quality Improvement Strategy, which has QSIR at its heart, inspired by the experience.

• To develop more QSIR associates to sustain the delivery of training across our trust and in the county, which I truly believe will lead to a culture of working together to make improvements that will deliver our vision for patients.

Head of 2021 Change ProgrammeUnited Lincolnshire Hospitals NHS Trust

Executive sponsor: Martin Rayson, Director of HumanResources and Organisational Development


Karen Sleigh

It is a true family of learners who wantto make a difference to secure a legacyof improvement for the NHS. “”



I wanted to develop my knowledge, skills andcapability in relation to quality improvement inorder to share and enthuse others across theorganisation to raise the profile of qualityimprovement and support staff to take theirideas forward.

Becoming a member of the QSIR Collegesupports having access to expertise, support andguidance, training materials and a group oflike-minded peers to help steer and shape thetrusts quality improvement journey and improvestaff and patient experience.


It has been wonderful to meet so manyinspirational colleagues from across sectors andprofessions. The support they have offered andthe additional value that sharing our experienceshas had on my own learning has beensignificant – the value that laughter brings tothe learning experience can’t be underestimated!

The faculty have been wonderful, always thereto offer encouragement and guidance with asmile, providing 1:1 support with patience,kindness and humour.

The experience has been extremely positive and Iwould recommend to anyone who wants todevelop themselves, help develop theircolleagues and the services we provide to patients.


We are introducing a new quality and learningstrategy with the full support of our executivewhich includes specific detail in relation to ourapproach to quality improvement methodology,building capacity within the workforce,supporting and developing staff within a robustgovernance framework.

We will be training staff across a range ofdifferent levels within the QSIR programmedelivering Fundamentals training to interestedstaff and Practitioner courses for those staff thathave identified themselves as passionate aboutchange and service improvement. This will allowus to create teams within each of our fivesectors who can support individuals to takeforward their ideas, measure effectively andimplement tangible improvements that make adifference to the way we are able to deliver care.We will also be supporting others to becomeQSIR teaching faculty associates to buildresilience and sustainability.

Deputy Director of Nursing and Quality London Ambulance Service NHS Trust

Executive sponsor: Trisha Bain, Chief Quality Officer


Briony Sloper

The faculty have been wonderful, alwaysthere to offer encouragement and guidancewith a smile, providing 1:1 support withpatience, kindness and humour.

“”



I work in a transformation role across the NorthWest London STP and there is so muchopportunity to work across the entire system todrive improvement. My day to day jobencompasses so many of the individual parts ofthe QSIR programme so the chance to bring it alltogether and help to spread the tools andtechniques throughout North West London wasa fantastic opportunity.


The creativity module: I would think of myself asa non-creative type. Understanding how you canuse techniques to work towards creativesolutions was an exciting part of the wholeexperience. I also really enjoyed getting lost inthe weeds of SPC charts and engaging withlike-minded folk.


I want the QSIR approach to underpin the workwe are doing across North West London. Wehave the chance to reach a wide range ofpartners including in primary care and socialcare. I think this is a great chance to support ourSTP.

Workforce Information Manager NHS North West London Collaboration of CCGs

Executive sponsor: Juliet Brown, Programme Director LocalServices


Andy Small

Understanding how you can use techniques towork towards creative solutions was an excitingpart of the whole experience. I also reallyenjoyed getting lost in the weeds of SPC chartsand engaging with like-minded folk.

“”



I was appointed as a quality improvement officerin 2016 and the East of England AmbulanceService NHS Trust was keen to adopt and embedquality improvement into all levels of theorganisation. The team I am part of wereintroduced to QSIR and were fortunate enoughto be able to attend the five day training coursein London. This was an excellent course andfollowing this we went on to QSIR College. Inow plan to share my learning and experienceby training others in the organisation.


Understanding that we often do things withoutany QI methodology. QSIR has taught me therelevance and importance of applying QImethodology and principles into everything we do.


We are a small team but we have a plan for allstaff within the organisation to have anunderstanding of QI by 2020. This will includeus having early contact with staff when they jointhe organisation and also plan to run courses forstaff with an interest in QI.

Quality Improvement Officer East of England Ambulance Service NHS Trust

Executive sponsor: Lewis Andrews, Head of QualityImprovement


Carl Smith

QSIR has taught me the relevance andimportance of applying QImethodology and principles intoeverything we do.

“”



It was a real opportunity to work with a widevariety of staff across our locality and help themmake real change, both in our service and ourpartner services. Having the chance to workwith colleagues and deliver a high quality,national training programme was a realopportunity. QSIR College also helps me keep upto date with developments in best practice,gives me a national network of improvementleads, and gives me support from the nationalteam.


A month after each cohort we hold a showcasewhere all QSIR participants come back and givea presentation on the work they have done ontheir project so far. I am always overwhelmed bythe amount of good quality work that peopleshare that is as a result of their hard work andthe guidance given on the course.


At UHDB we are working towards earlyinvolvement of our patients in the QSIR course.We would like to ensure that patients influenceour transformational work right from the verybeginning of any project. We are alsoencouraging our non-executive directors andgovernors to come onto the QSIR course.

Head of PMOUniversity Hospitals of Derby and Burton NHSFoundation Trust (UHDB)

Executive sponsor: Magnus Harrison, Executive MedicalDirector


Fran Smith

QSIR College also helps me keep up to datewith developments in best practice, gives mea national network of improvement leads,and gives me support from the national team.

“”



The course was able to provide me with QImethodologies and practical usage as well ashow to actually teach QI.


QSIR was a very interactive programme whichgave me the opportunity to learn fromcolleagues from across the country. The supportfrom the assessment group was brilliant andenhanced my learning even further.


We are looking to embed QI firmly within theorganisation and are looking to train more staffin the next few years. We have established ateam that can fully support and promote thework being undertaken in the trust at all levels.It also gives us the opportunity to work withcolleagues and stakeholders across otherorganisations in our STP footprints.

Quality Improvement and Professional StandardsOfficerEast of England Ambulance Service NHS Trust



Nicki Smith

The support from the assessment groupwas brilliant and enhanced my learningeven further. “”



Having completed the QSIR in-house training Ibecame increasingly interested in qualityimprovement and the QSIR programme. Theprogramme has motivated me to explore qualityimprovement in more depth in order to improvethe quality of care in my workplace. I applied forQSIR College with a view of developing my skillsand knowledge in quality improvement. I alsowanted to gain a deeper understanding of theprogramme and gain more confidence inplanning for quality improvement changes. I alsowished to spread the programme across myorganisation.


I feel that I have consolidated my existing skillsand knowledge in quality improvement. I reallyvalued the experience which has given me a lotof confidence in terms of spreading the QSIRprogramme across my organisation. I thoroughly

enjoyed exchanging experiences and learningfrom other participants on the course. I feel thatI can contribute to improving quality of care inmy organisation and in the wider NHS.


Our vision is to be an outstanding healthcareprovider, committed to improving quality, andcaring with compassion. We are working to raisestandards and improve the quality of the carewe provide. The QSIR programme is an integralpart of our quality improvement strategies and ithas been embedded in the business plans acrossour organisation. We use the QSIR programmeto build improvement capability in a sustainable,cost effective way across our services. We arebuilding on the enthusiasm, experiences andsuccesses of our graduates which all helps topromote the QSIR programme.

Exercise SpecialistWest London NHS Trust

Executive sponsor: Sarah Rushton, Executive Director ofLocal Services


Barbara Sowa

I thoroughly enjoyed exchangingexperiences and learning from otherparticipants on the course.“”



I am a change and improvement enthusiast andadvocate. I see the QSIR programme as a meansof embedding a professional and systematicapproach to improvement across my trust and assuch I just had to be involved.


Sharing and learning with colleagues from myown and other trusts has been really valuableand inspiring. I enjoyed the new learning fromsome of the modules, especially themeasurement, capacity and demand modules.


I have started to integrate tools and principlesfrom QSIR into many aspects of my work and Iam looking forward to sharing my knowledgeand supporting colleagues to deliverimprovements for patients and staff in their ownwork areas. My ambition is that QSIR becomes anormal part of our culture and how we dothings around here.

Leadership and OD FacilitatorRotherham Doncaster and South Humber NHSFoundation Trust

Executive sponsor: Kathryn Singh, Chief Executive Officer


Sue Statter

Sharing and learning with colleaguesfrom my own and other trusts has beenreally valuable and inspiring.“”



I learned so much by becoming a QSIRPractitioner and wanted to be able to share thatlearning with others. Improvement is at theheart of what we do as healthcare providers andunderstanding the best ways to go about that isextremely valuable.


I really enjoyed demand and capacity. Before Istudied QSIR I had assumed that increasing thecapacity of part of a pathway would increase theoverall activity but now I know better. This hasenabled me to create more realistic plans,targets and trajectories as I'm better equippedto step back and evaluate the likely true impact.I also enjoyed measurement as it's really usefulto be able to statistically prove that we've made

a difference. Stakeholder analysis was anothersection that I particularly enjoyed as I havepreviously made the mistake of forgetting a vitalstakeholder and there were consequences to thedelivery of the project.


I would be really keen to see all staff groupsengage with QSIR at some level, as we all have arole within improvement. Small, in-houseimprovement projects can really make adifference and equipping the staff with the skillsand knowledge to effectively run theirimprovement project can only lead to greatersuccess for us as an organisation.

Improvement and Change Management Specialist msb group



Beverley Steele

I really enjoyed demand and capacity...This has enabled me to create morerealistic plans, targets and trajectories asI'm better equipped to step back andevaluate the likely true impact.

“”



I have worked in quality and serviceimprovement for many years and wanted toimprove my skills in this area. The QSIRprogramme uses tried and tested methodologyspecifically developed for use in health and caresettings. Other members of the team hadalready attended the course and it came highlyrecommended.


I enjoyed the teaching sessions and thecomprehensive handbook that supported these,as well as the fantastic online resources that Ican now access. Networking with others fromaround the country gave me an insight to thevarious challenges we all face and I enjoyedhaving an opportunity to share our experiencesof implementing change. Adopting a nationallyled standardised approach to improvement willimprove consistency and have a positive effecton quality and patient outcomes.


I co-facilitate the Quality Improvement Caféswithin the trust that support staff with theirproject ideas. I will now join the QSIR teachingfaculty at the trust and start delivering the QSIRPractitioner and QSIR Fundamentalsprogrammes to staff across the organisation.This will enable us to grow the skills of ourworkforce, building our improvement capability,to ensure they have the knowledge required toshape the health service of the future.

Macmillan Project Manager Portsmouth Hospitals NHS Trust



Amanda Stewart

I enjoyed the teaching sessions and thecomprehensive Handbook that supportedthese, as well as the fantastic onlineresources that I can now access.

“”



I believe that we can continually improve whatwe do and wanted to learn more about how todo this in a systematic way. I have alongstanding interest in quality improvementand this was a wonderful opportunity to furtherdevelop this.


It was fantastic to meet with delegates fromacross the country and different trusts to learntogether.


To embed quality improvement across the trustand inspire our staff to approach serviceimprovement in a systematic and curious way.

Consultant Clinical PsychologistSouth West London and St George’s NHS MentalHealth Trust

Executive sponsor: Michael Holland, Medical Director, SLAM


Jane Street

It was fantastic to meet with delegatesfrom across the country and differenttrusts to learn together. “”



I have been involved in and led on many qualityimprovement projects over the years within theNHS without having undertaken any relevantqualifications. I wanted to learn how to use andimplement recognised QI methodology and QSIRCollege seemed a perfect fit as it was tailored tothe NHS. I wanted to make a positive differencewithin the NHS and being able to deliver andutilise these tools will enable me to achieve thatgoal.


The demand and capacity element of the QSIRprogramme resonated strongly with me as wedidn’t have a standardised approach or greatunderstanding of how to manage this aspectwithin our trust. Gaining an understanding ofSPC charts and the importance of measuringimprovement was the most eye-opening portion

of the programme for me. We have started toconvert our performance measure graphs to SPCcharts and move away from a RAG ratingmodel. This is a giant step forward as colleaguesunderstand how to interpret them.


We are on a mission to spread the word,implement QI methodology and deliver the QSIRprogramme to as many staff within ChesterfieldRoyal Hospital and Primary Care as possible. OurRoyal Academy of Improvement is still in itsinfancy, but with more and more staff goingthrough the QSIR programme we are building asustainable culture for making positive change.The future for quality improvement within theNHS is looking bright.

Cancer Pathway Improvement LeadChesterfield Royal Hospital NHS Foundation Trust



Sian Sumner

Gaining an understanding of SPC chartsand the importance of measuringimprovement was the most eye-openingportion of the programme for me.

“”



I’m passionate about learning and developingothers to achieve the best possible service forour patients. QSIR is a vehicle to achieve thisthrough a common language and easy to usetools.


For me, understanding measurement forimprovement is essential to evidencing changeand celebrating real successes.


I am keen to see QSIR become part of every daywork and job roles and to use the tools toempower staff to solve and improve their areasof work to create a QI social movement.

Senior Improvement Project Manager, NorthernLincolnshire and Goole NHS Foundation Trust

Executive sponsor: Jayne Adamson, Director of People andOrganisational Effectiveness


Ryan Sutton

I am keen to see QSIR become part ofevery day work and job roles“”



Following some experience with facilitatingseveral service improvement collaboratives at thetrust, I discussed with my sponsor the value inspreading service improvement skills toempower staff in taking some ownership ofsome of the issues that they came across in theireveryday practice and making changes. I hadused some of the tools from the handbook andfelt that this was an ideal opportunity to expandmy knowledge and use of the tools, enablingme to present and encourage the use of themmore formally in practice settings.


A personal highlight was completing my firstcohort with collaboration and support fromcolleagues at UCHL. Learning and developingmy knowledge from their experience wasinvaluable. The support continued into thesecond cohort and enabled me to grow inconfidence to be able to support our two new

colleagues about to join the teaching team.Now two years down the line we have moretrainers locally and we are working withcolleagues across our STP to build on thenumber of staff we offer the programme to.


I have been working with other seniorcolleagues to consult on the trust’s qualityimprovement strategy. We have outlined ourimplementation plan which includes a teachingstrategy for service improvement techniques,from a basic introduction to all new starters atthe trust, bite size sessions during opportuneforums, conferences or relevant trainingprogrammes. We have used the one day QSIRFundamentals programme as part of our Stopthe Pressure initiative this year whilst continuingto deliver the five day QSIR Practitionerprogramme and building the faculty with QSIRCollege applicants.

Deputy Chief Nurse Luton and Dunstable University Hospital NHSFoundation Trust

Executive sponsor: Liz Lees, Chief Nurse


Carmel Synan-Jones

A personal highlight was completing my firstcohort with collaboration and support fromcolleagues at UCHL. Learning and developing myknowledge from their experience was invaluable.

“”



Like others, I applied for QSIR College toimprove my knowledge and broaden myunderstanding of quality improvement tools buton a personal level I felt it was a greatopportunity to network with like-mindedimprovement professionals across the UK andlearn from their experience.

My various roles within the NHS have alwaysincluded an element of service redesign andquality improvement. QSIR was a greatopportunity for me to acquire new QI tools thatwould enable me to engage others and make adifference to people working within the NHS.


QSIR has equipped me with the necessary skillset, knowledge and confidence to lead onquality improvement both within my

organisation and with my STP colleagues. Apersonal highlight for me was the learning I wasable to gain from others, sharing theirchallenges and experiences of qualityimprovement and redesign within theirorganisations.


Our intention with QSIR is to initially deliverquality and service improvement training to ourspecialist services within HertfordshireCommunity Trust and we are also hoping toshare our QSIR skills with our STP colleaguesacross Hertfordshire.

Transformation Programme ManagerHertfordshire Community NHS Trust, Hertfordshire andWest Essex STP

Executive sponsor: Julie Hoare, Director of ServiceDevelopment and Partnerships


Sabina Tai

It was a great opportunity to network withlike-minded improvement professionalsacross the UK and learn from their experience.“”



Quality improvement is a cornerstone toimproving services and providing better servicesto the patients. QSIR Practitioner equips youwith the essential concepts needed for qualityimprovement. With QSIR College, I saw theability to take this further, being able to facilitateon the programme and connect with colleaguesfrom the wider NHS.


QSIR brings together a wide range of NHSemployees and instils confidence that qualityimprovement and project management ispossible with team work. It enables people toconnect by using similar tools and terminology,thus enhancing the standards of the variousprojects.


I will be teaching the QSIR programme withinmy organisation and look forward to using thetools and concepts not only in my immediateclinical areas, but also in service developmentacross the trust.

Consultant AnaesthetistBedford Hospital NHS Trust

Executive sponsor: Stephen Conroy, Chief Executive Officer


Anagha Tambe

QSIR brings together a wide range ofNHS employees and instils confidencethat quality improvement and projectmanagement is possible with team work.

“”



This was a fantastic opportunity to have formaltraining as a clinical leader. Being equipped withthe knowledge and skills to understand services,identify potential improvements, implementchange and then critically appraise outcomes isinvaluable.


QSIR has covered a great deal of ground andinspired me with every teaching session to tryout what I have learned. I think the presentationassessment was my highlight because throughthe adversity of the situation we understood thekey messages clearly and learnt a great dealfrom one another.


The skills we have learnt should be shared aswidely as possible to drive improvement.

For me the two key points are: 1) gatheringappropriate and robust data that reflects thechallenge and 2) understanding that we aredealing with adaptive and not technicalchallenges. If we do that we will have a solidfoundation for change.

Associate Medical Director and Consultant inAnaesthesia, Critical Care and Pain ManagementBradford Teaching Hospitals NHS Foundation Trust

Executive sponsor: Sandra Shannon, Chief Operating Officer


James Taylor

QSIR has covered a great deal of groundand inspired me with every teachingsession“”



I applied for QSIR College to ensure I had up todate, relevant training and understanding oncurrent methods for approaching and managingchange and transformation in order to be thebest I could be in my role and to be in a positionto establish a training programme for the trustthat delivered tools and skills for staff toapproach improvement in a structured way.


I have gained more than professionaldevelopment from my experiences with QSIR todate. I found the taught sessions very helpfulbut the shared learning experience withcolleagues from all over the UK was anabsolutely fantastic opportunity. While themoderated presentations were exacting thelearning from reviewing the content in anintimate group environment was equally asuseful and developmental.


I am looking forward to supporting the trust’sambition to embed a continuous learningculture through the deployment of QSIR as ouragreed approach to improvement. In addition Iam proud to be a founding member of theDorset QSIR team and to support my colleagueson their QSIR journey. Together we can ensureoutcomes, learning and support forimprovement projects spans all providers inDorset and achieves improvements for staff andpatients throughout the county.

Head of Transformation and PerformanceImprovementDorset County Hospital NHS Foundation Trust/DorsetSTP

Executive sponsor: Julie Pearce, Chief Operating Officer


Anita Thomas

I am proud to be a founding member of theDorset QSIR team and to support mycolleagues on their QSIR journey.“”



My roles so far within the NHS have been largelyclinical and operational. I have seenwell-intentioned efforts at improvement fall flatfor the lack of a few relatively simple steps, so Ijumped at the opportunity to develop my skillsand knowledge around teaching and steeringimprovement – and thus hopefully help spreadthe word so that others can have success in theirefforts.


It has been a genuine joy to meet such a widerange of enthusiastic health and social careprofessionals who are keen to do things better!The course material itself is excellent but thediscussions and the contacts made around iteven more fun.


Nottingham University Hospitals NHS Trust haslaunched an ambitious programme of trainingincluding local deliveries of QSIR Fundamentalsand, in partnership with other members of theICS, QSIR Practitioner. I will be joining the localfaculty of both and hope to make it my personalmission to get more doctors trained inimprovement methodologies.

Consultant Radiologist and Clinical Lead, Improvementand Transformation Team Nottingham University Hospitals NHS Trust



James Thomas

It has been a genuine joy to meet such awide range of enthusiastic health andsocial care professionals who are keen todo things better!

“”



I applied for QSIR College to have theopportunity to support the rollout of the QSIRprogramme and methodology across ourorganisation, sharing the learning of astandardised approach for quality and serviceimprovement alongside my colleagues. Inaddition, I wanted to build my confidence to usethe QSIR methodology in my own role and havethe opportunity to learn from a network of somany experienced associates.


A personal highlight was being part of such aninspirational group of individuals. Thisparticularly stood out for me in the assessmentcentres; I learnt so much from the experiencesshared by colleagues and their passion for

improving services. Further to this, QSIR hasembedded the importance of applying amethodology and the results that are possiblewhen this is applied across the health and caresector.


I’m excited to be part of the QSIR delivery teamwithin SCW and to be supporting the rollout ofa standardised, best practice approach to theorganisation, supporting the culture of learning,knowledge sharing and continuousimprovement. I also look forward to working onprojects within the systems we support who areusing the QSIR methodology, working inpartnership using the same approach to delivertransformational change.

Project ManagerNHS South, Central and West Commissioning SupportUnit (CSU)



Amy Tidyman

I learnt so much from the experiencesshared by colleagues and their passionfor improving services.“”



I am passionate about supporting serviceimprovement and helping secure the long termsustainability of the NHS through improving ourefficiency and productivity, at the same time asimproving service delivery, patient and serviceuser experience and outcomes. QSIR provides anopportunity for colleagues across the NHS todevelop a shared understanding, commonnarrative and toolset that can make a difference.I want to be part of that and help others to betoo.


I really enjoyed meeting fantastic people fromacross the NHS, listening to their experiences,sharing in their learning and having fun; beingpart of the group for the teaching assessmentshas been a highlight of my working year.


QSIR will be key to improving the quality of theservices we provide and accelerating our internalimprovement programmes. It will provide staffwith an opportunity for personal developmentthrough learning new skills and it is ourambition to develop SCW into a trulyknowledge based organisation where new ideasand innovation flourish.

Director of Transformation NHS South, Central and West Commissioning SupportUnit (CSU)



Louise Tranmer

QSIR provides an opportunity forcolleagues across the NHS to develop ashared understanding, common narrativeand toolset that can make a difference.

“”



I work with and support a wide range of clinicaland non clinical NHS staff to find solutions toeveryday problems and I wanted to learn andthen share a sound methodology for supportingchange in the NHS.


Going through the robust process of learning asa student and then as a trainer andconsolidating my skills and knowledge has beena rewarding experience. The team work as partof the process has been particularly useful,sharing ideas and learning from othersexperience has supported us all in growingtogether and gaining confidence in using theQSIR methodology.


Forming a core team of associate members ofthe QSIR teaching faculty and spreading thelearning over the next three years to the widerorganisation is something I am looking forwardto.

Making links with 'system' QSIR associates hasalready begun and along with serviceimprovement leads from STP organisations nowmeeting regularly to share good ideas, QSIR isgoing to gain momentum and make a huge andpositive impact for us over the next few years.

Associate Director Service Improvement and BusinessDevelopment Essex Partnership University NHS Foundation Trust

Executive sponsor: Nigel Leonard, Executive Director ofCorporate Governance and Strategy


Mark Travella

The team work as part of the process hasbeen particularly useful, sharing ideasand learning from others experience“”



I wanted to consolidate the various pieces oftraining and the experience I had managingchange into an accredited framework. I alsowanted to meet other NHS professionals whohad a passion for improvement and change so Icould extend my professional network andexpose myself to new ideas and opportunities.


Whilst some of the programme felt dauntingbecause there is a lot to learn in a relatively shortspace of time, it is very rewarding. I havedeveloped new skills and it has challenged meto step outside of my comfort zone. The best bitwas the group support and sense of teamwork.Everyone was in the same boat and everyonewas willing each other to succeed.


I am part of a group of four QSIR associates whoqualified together from different organisationsin the same STP footprint, so we are workingtogether to deliver the programmecross-organisationally to managers and frontlineworkers involved in change.

More locally we have embedded the QSIR toolkitand methodology into our organisationalprogramme management office, which I lead.The single most important lesson I learnt fromQSIR was to democratise improvement skillswithin an organisation. By making a commonapproach and methodology accessible andunderstandable, the chances of successfulchange are significantly increased. I am alreadyseeing a positive impact from this way ofworking and feedback from my workplacecolleagues has confirm this.

Sustainability and Transformation LeadNottingham CityCare Partnership/Nottinghamshire STP –Greater Nottingham Health and Care Partners

Executive sponsor: Lyn Bacon, Chief Executive


Stephen Upton

The best bit was the group support and sense ofteamwork. Everyone was in the same boat andeveryone was willing each other to succeed.“”



To support the training across the organisationalpatch, to develop my understanding and in turnensure that QSIR is the improvementmethodology in the trust. To help me to deliverprojects and service improvement initiatives to ahigher, more consistant standard.


Highlights were getting positive feedback fromthe course participants, utilising the tools to helpdrive local initiatives and to see the take up ofthe methodologies across the trust, andembedding QSIR as the strategic driver of arevised improvement culture.


We plan to utilise the QSIR methodologiesacross the patch and to develop the skill base.We are setting up a local network that works tosupport champions, and a continuous learningset.

Service Improvement FacilitatorBuckinghamshire Healthcare Trust

Executive sponsor: Jo Hockley, Associate Director for ServiceImprovement


Alison Wakeford

Highlights were getting positive feedbackfrom the course participants, utilising thetools to help drive local initiatives and tosee the take up of the methodologiesacross the trust

“”



I have always aimed at implementing constantimprovement and growth, both professionallyand personally. After being part of a changemanagement programme, joining QSIR Collegewas a natural step to develop my skills forquality improvement. Thankfully this wasrecognised by my manager, who nominated mefor QSIR College and to be part of the trust'sendeavour to develop and roll out QI strategy ina more comprehensive manner.


Gaining the confidence to step out of mycomfort zone has been a personal victory. Theteaching assessment part of the programmegave me a new area to explore and venture into.PDSA and SPC are two other aspects I personallyenjoyed and I look forward to utilising themfurther. Evidence based practice is something Ipersonally believe in, and these two toolsperfectly fit that slot.


By the end of this year, two cohorts will havecompleted QSIR Practitioner training and wehave a further four cohorts planned for nextyear. We are also organising events for eachcohort to celebrate their success and give theman opportunity to showcase their QI projects andthe results achieved. We are also planning to rollout QSIR Fundamentals training in 2020. We areencouraging more staff to train as QSIR Collegeassociates and are hoping three more associateswill join our QSIR team next year and support usin embedding QSIR methodology across thetrust.

Service Improvement Project ManagerCoventry and Warwickshire Partnership NHS Trust

Executive sponsor: Dominic Cox, Director of Strategy andDevelopment


Preet Walia

Gaining the confidence to step out of mycomfort zone has been a personal victory.“”



I have a passion for change and within my role Iam dedicated to supporting transformationwithin the system. Having used QImethodologies in my role as a district nurse Iwas really keen to learn more. Through QSIRCollege I have so many new tools andtechniques that I can adopt and share with mycolleagues to support them in taking forwardideas and projects to improve our services andthe care we provide for people in ourcommunities.


QSIR College was an amazing opportunity tonetwork, to meet fellow people passionateabout QI and it has given me a real sense thatchange can be influenced by everyone. I amloving delivering the programme back in myorganisation, seeing projects develop locally toimprove the care we deliver.


Quality improvement is an area that I amdedicated to and having the opportunity todevelop and deliver QSIR programmes here inCornwall is fantastic. It is enabling me to ensurethat value is disseminated within my ownorganisation and beyond, creating a strongnetwork of service improvement and redesigncapability.

Workforce Transformation Clinical Lead Cornwall Partnership NHS Foundation Trust



Estelle Ward

I am loving delivering the programme backin my organisation, seeing projects developlocally to improve the care we deliver.“”



To lead and drive improvements acrossboundaries by strengthening partnershipsfocused around a shared purpose – to improvethe health and care of the communities weserve.


The teach backs (seriously I loved them) and theaward ceremony plus being around such positivepeople all eager and ready to make a realdifference.


To create a strong delivery pool of QSIRassociates who together make a real differenceto the citizens, patients and staff who workacross our STP.

Previously Interim Programme Director Better for YouNottingham University Hospitals NHS Trust/Nottinghamshire STP now working as OrganisationalDevelopment Director at Sheffield Teaching HospitalsNHS Foundation Trust


Paula Ward

being around such positive people all eagerand ready to make a real difference.“”



I believe that using QI methodology and QI toolsreally makes a difference to patients, carers andemployees. The five day course had remindedme how important QI was and I wanted to beinvolved in spreading QI knowledge and skillsthroughout the organisation. QSIR College wasrecommended by the Head of Improvement,who was already a faculty associate. I alreadyshared her passion and the course gave me theskills, knowledge, confidence and qualificationto educate others.


The course helps you to understand that youneed a range of QI tools and techniques to doyour day job well to ensure that there iscontinuous improvement. People talk of the

‘light bulb’ moment but, for me, it was more ofa deeper realisation that investing time in QImethods will help you to do the right thing, inthe right way, with the right people so that youalways get the right results.


I am proud to say that I am now a member ofthe QSIR teaching faculty and teaching sessionson the STP QSIR five day course. In addition, Iam responsible for the development and deliveryof trust wide internal quality improvementeducation. This involves Bronze level awarenesstraining (open to all), Silver level QI projecttraining and development of a QI website.

Improvement LeadWorcestershire Acute Hospitals NHS Trust

Executive sponsor: Sarah Smith, Director of Strategy andPlanning


Heather Warner

The course helps you to understand thatyou need a range of QI tools and techniquesto do your day job well to ensure that thereis continuous improvement.

“”



I want to be able to support the development ofQI understanding and usage of QImethodologies across my organisation andbeyond.


I have gained a much better understanding ofthe range of tools available to help support QI.I've also had a lot of fun!


To develop a mature QI environment within theorganisation.

Consultant in Palliative Medicine, Director ofPostgraduate Medical EducationWalsall Healthcare NHS Trust

Executive sponsor: Karen Dunderdale, Director of Nursing


Esther Waterhouse

I have gained a much better understandingof the range of tools available to helpsupport QI. I've also had a lot of fun!“”



I had recently been appointed to an audit leadrole and wanted to develop my QI expertise toreally get the best out of the role and try andpush quality improvement in our directorate andtrust. I was made aware of QSIR College by acolleague but never thought I'd get in! I'm verygrateful that I did.


My knowledge of QI theory and practice hasgrown enormously and this was furthercemented by the teaching assessments. Themain highlight has been meeting people fromdifferent backgrounds who have shared their QIexperience from different points of view. It hasbeen great to be involved in the ‘improvementmovement’ and I feel thoroughly enthused tobring this to my trust.


I am excited about embedding QI within ourorganisation and using QSIR programmes to doso. We have already started rolling QSIR outamongst our anaesthetic trainees and I plan tobring this to the remainder of our directorateand trust in due course.

I have a special interest in ensuring our doctorsin training are well equipped to carry out QIwork by the time they reach consultant level.We have seen real enthusiasm in them so farand I'm hoping these ripples will turn into awave of improvement.

Consultant AnaesthetistUniversity Hospitals of Leicester NHS Trust

Executive sponsor: Moira Durbridge, Director of Safety and Risk


Elinor Wighton

It has been great to be involved in the‘improvement movement’ and I feelthoroughly enthused to bring this tomy trust.

“”



QSIR College offered me the opportunity torefresh my improvement experience and developmy knowledge of improvement tools andtechniques. It also enabled us to establish a localfaculty, providing the opportunity to introduceservice improvement science into ULHT andacross partner organisations. Being part of QSIRCollege provided access to a well-establishednetwork of QSIR associates and practitionerswhich is invaluable.


It was therapeutic to consolidate my previousimprovement experience and to realise that itwas a burning platform that started myimprovement journey. QSIR reignited myambition and passion to demonstrateimprovement by using evidence based tools andtechniques. That said, there was a memorable

moment when I realised that I am, in fact,creative! There was also a personal sense ofachievement in passing the online exam and theteaching assessments to become a QSIRassociate – I wear my badge with pride.


We plan to build our service improvementcapability and capacity by embedding QSIRacross ULHT and our partner organisations. Ibelieve that bringing together like-mindedindividuals with a common purpose will create aweb of QSIR associates and practitioners acrossLincolnshire, with the courage to spread learningand the energy to create momentum forimprovement.

Programme Delivery ManagerUnited Lincolnshire Hospitals NHS Trust

Executive sponsor: Martin Rayson, Director of HumanResources and Organisational Development


Maria Wilde

...there was a memorablemoment when I realised thatI am, in fact, creative!“”



I have a longstanding interest in qualityimprovement so when my trust announced its QIvision and asked for expressions of interest toattend the QSIR Practitioner programme, Ijumped at the chance to be involved. I wasfortunate enough to be successful, attended theprogramme and caught the QSIR bug! Soapplying for QSIR College was the natural nextstep. I have also become part of CPFT's QIsupport team and am now sharing the QSIR loveacross the trust.


My personal highlights of QSIR have beenmeeting so many like-minded, fabulous peopleand, of course, passing the online and teachingassessments. The thought of the assessmentswas daunting, and the reality was still a bit scary,

but it was a really supportive environment and Ilearnt so much from the assessors and the otherattendees.


We have already started to deliver QSIRPractitioner in-house and have three othercohorts planned for 2020. We have developedour own QI Express session, an interactive, fun,two hour introduction to QI that we are takingto teams across the trust, including patientforums. Our next step is ensure QSIRFundamentals is available and to network withpartner trusts and organisations to ensure astrategic and collaborative approach to thedevelopment of local heath services.

Quality Improvement Development LeadCambridgeshire and Peterborough NHS Foundation Trust



Isobel Wilkerson

My personal highlights of QSIR have beenmeeting so many like-minded, fabulouspeople and, of course, passing the onlineand teaching assessments.

“”



I feel passionately that staff should be able toactively lead and drive improvement to ensurethat improvement becomes the culture atPortsmouth and not another fad or buzzword.It’s easy for a central team to swoop in andmake improvements, but for this to besustainable we need to ensure staff in theorganisation have the skills to makeimprovements in their workplace themselves.Therefore I applied for QSIR College so that I,together with a small group of colleagues,could roll out some training to staff to start tobuild an improvement culture.


A personal highlight has been getting involvedwith staff making changes that directly benefitpatients and supporting, mentoring and

engaging staff working through theirimprovement projects. Being able to deliverhighly educational material in a fun andinteractive way has meant that even thetoughest of subject areas are made accessiblefor staff at many different levels.


Over the next five years we will be continuing toroll out quality improvement training across theorganisation, with particular focus on areas withsignificant challenges as indicated in ourorganisational strategy. We have opened upplaces on the programmes to our partnerorganisations so that we can workcollaboratively and hope this will developfurther.

Organisational Development Manager, PortsmouthHospitals NHS Trust



Abi Williams

Being able to deliver highly educationalmaterial in a fun and interactive way hasmeant that even the toughest of subjectareas are made accessible for staff at manydifferent levels.

“”



I saw QSIR as a great opportunity to strengthenmy own improvement knowledge, skills andconfidence. I wanted to support others indeveloping their own approach, including withinand across organisations.


The highlight was meeting a great bunch oflike-minded people who have been a continuedsource of support for improvement in andaround my own practice.


Although moving to a new role since completionof the course, the knowledge, skills andcompetence around improvement remains withme and is utilised regularly throughout mypractice.

Senior Improvement ManagerFormerly Liverpool CCG, now Alder Hey Children’s NHSFoundation Trust


Jennie Williams

The highlight was meeting a great bunch oflike-minded people who have been acontinued source of support for improvementin and around my own practice.

“”



I applied for QSIR College to support structuredimprovement and shared learning across theNHS. I enjoy learning from participants, gainingnew insights and sharing with others to benefitservice users and staff. This may sound trite, butit is what drives my motivation.


Working with others and having a commonunderstanding to share our experience andideas.


As QSIR Practitioners qualify in London they willbe sharing their expertise across the regionthrough the improvement work they do in theirday jobs with our providers and systems. There is

scope through our London Improvement andTransformation Architecture (LITA) programmeto coordinate QSIR associates moresystematically via a central hub across the capitaland develop a London QSIR network.

Locally our graduates will join a regional registerwhich will be shared with their sponsoringexecutives. A training pipeline will support andrecommend staff to develop their knowledge tothe next qualification level as they qualify.

As we grow our alumni base we will use it tosupport programme engagement by sharingtheir posters and successful projects via aLondon QSIR network and at the beginning ofeach course. There is scope through our LITAprogramme to collect and share successful QSIRprojects more systematically via a central hubacross the capital supporting the developmentof a London QSIR network.

Delivery and Improvement LeadNHS England and NHS Improvement (London)

Executive sponsor: Martin Machray, Quality Director LondonRegion


Timothy Windsor-Shaw

I enjoy learning from participants,gaining new insights and sharing withothers to benefit service users and staff.“”



I have always had a passion for continuousimprovement and believe there is alwayssomething to learn from and ways to develop.As part of my role of Clinical Improvement Lead,I wanted to be able to empower others in theirquality improvement journey – QSIR Collegeticked all the boxes.


Being part of our trust’s QI faculty and deliveringQSIR to colleagues has been so rewarding.Seeing the enthusiasm and engagement thatpeople have with QSIR is a really proud moment.


At our trust, QSIR is our chosen methodology toenable us to deliver continuous improvements.Our QI faculty is continuing to grow and we arebusy delivering the QSIR programme – both theFundamentals and Practitioner courses are highlysuccessful.

Clinical Improvement Lead Blackpool Teaching Hospitals NHS Foundation Trust



Emma Wiper

Seeing the enthusiasm and engagementthat people have with QSIR is a reallyproud moment.“”



I applied for QSIR College as I saw it as essentialto anyone practicing quality improvement withinthe NHS.


My personal highlights have been aroundmeeting other colleagues practicing QI andsharing our experiences.


We have a QSIR associate team working acrossthe Nottinghamshire STP and a comprehensiverollout plan to train groups of 30+ staff at atime in the full five day programme. We haveplanned several waves of training throughout2019.

Quality Improvement Lead Nottinghamshire Healthcare NHS Foundation Trust

Executive sponsor: Julian Eve, Associate Director Learning andDevelopment


Charlotte Wood

My personal highlights have beenaround meeting other colleaguespracticing QI and sharing ourexperiences.

“”



Having only joined the NHS in 2016, I was keento utilise my experience from a previousnon-health related organisation whilst alsodeveloping my knowledge of continuousimprovement within the health service. Thepractical aspects of delivering the QSIRprogramme, including both teaching andcoaching others, is both appealing andrewarding in equal measure.


Passion and teaching go ‘hand in hand’. I'mreally passionate about continuousimprovement, and being able to convey thishelps to bring the subject to life. Seeing theactive participation of delegates who are keen tolearn, and subsequently take this knowledgeback into the workplace, is very satisfying.


Having only qualified in May 2019, I lookforward to integrating within the existing QSIRteam across Herefordshire and Worcestershire,with a view to not only supporting the range ofQSIR training initiatives, but also gettinginvolved in continuous improvement coachingsessions as and when the opportunity arises.

Electronic Patient Records – Workstream Lead Wye Valley NHS Trust

Executive sponsor: Wendy Davies, EPR Business SolutionArchitect


Ian Woodman

Seeing the active participation of delegateswho are keen to learn, and subsequentlytake this knowledge back into theworkplace, is very satisfying.

“”



With a small number of Cornwall PartnershipNHS Foundation Trust staff recently becomingnewly accredited QSIR College associates, I wasinspired by their enthusiasm for QSIR and Ijumped at the opportunity to be a part of thispositive movement!

The QSIR programme provides a uniqueopportunity to bring together clinical andnon-clinical staff from across a wide range ofdisciplines and organisations and promoteworking across barriers and the formation oflocal networks.

QSIR provides a kit bag of tools and techniques.I am excited to be a part of delivering this andsharing this skillset with colleagues across oursystem here in Cornwall.


The highlight of my QSIR journey has been theopportunity to work alongside and buildrelationships with like-minded, enthusiastic staff,

from across my own organisation and wider,who are committed to improving patient andstaff experiences.

The teaching assessments were a real joy – thecomradery and support among the candidateswas inspiring and I felt really proud to be a partof it.


I am now a part of a growing QSIR faculty inCornwall which is moving into its second year ofdelivery. The QSIR programme is an integral partof our quality improvement strategy and it hasbeen embedded in the business plans across ourorganisation. We aim to use the QSIRprogramme to build improvement capabilityacross our services, upskilling and empoweringstaff to venture into the world of qualityimprovement.

Programme ManagerCornwall Partnership NHS Foundation Trust



Rosanna Wotherspoon

The teaching assessments were a real joy –the comradery and support among thecandidates was inspiring and I felt reallyproud to be a part of it.

“”



I am passionate about organisational learningand development and QSIR provided me withthe tools to make changes. With the help ofQSIR the changes are evidenced and are moremeaningful, something which I did notappreciate prior to joining the QSIR programme.


Since becoming a QSIR practitioner I have usedQSIR methodologies in my day to day work. Thishas made my work smarter and more efficientand has set out clearer objectives whenembarking on quality improvement.


To continue to promote quality improvementthrough QSIR methodologies and promote theimportance of evidencing change!

Senior Quality Governance ManagerLondon Ambulance Service NHS Trust

Executive sponsor: Trisha Bain, Chief Quality Officer


April Wrangles

This has made my work smarter and moreefficient and has set out clearer objectiveswhen embarking on quality improvement.“”


Other associate members of the QSIR teaching faculty

Phil AdamsBusiness Manager Portsmouth Hospitals NHS Trust

Amanda AndrewsQuality and Service Improvement Lead,Maternity ServicesUniversity Hospitals of Morecambe BayNHS Foundation Trust

Hannah BaileyHead of Quality ImprovementAvon and Wiltshire Mental HealthPartnership NHS Trust

Man-Kuen BakerService Redesign Programme PartnerThe Royal Wolverhampton NHS Trust

Martin BlackQuality Improvement InformationDevelopment LeadSouth London and Maudsley NHSFoundation NHS Trust

Gillian BriceAssociate Director of PlanningEssex Partnership University NHSFoundation Trust

Emma BrownSafety Huddle Project ManagerWest London NHS Trust

Rachael BrownProgramme Manager CommunityTransformationThe Royal Wolverhampton NHS Trust

John ButterworthProgramme ManagerUniversity Hospitals of Morecambe BayNHS Foundation Trust

Roderick ChapmanConsultant AnaesthetistRoyal College of Anaesthetists

Sarah Chessell Head of Research, Innovation, NICE andClinical AuditPoole Hospital NHS Foundation Trust

Puja ChudasamaGeneral PractitionerEpsom Health and Care

Sara-Catrin CookConsultant AnaesthetistRoyal College of Anaesthetists

Justin CookeConsultant CardiologistChesterfield Royal Hospitals NHS Trust

Colin CuttingConsultant Urological SurgeonUniversity Hospitals of Morecambe BayNHS Foundation Trust

Lee DowsonAssociate Medical DirectorThe Royal Wolverhampton NHS Trust

Jayne EvansWard ManagerSouth West London and St George’s MentalHealth NHS Trust

Joel FiddyTheatre Governance and Risk ManagementFacilitatorNorfolk and Norwich University HospitalsNHS Foundation Trust

Robert FreundSenior Organisational DevelopmentFacilitatorNorthamptonshire Healthcare NHS Trust

Sarah GallowayQuality Improvement Programme ManagerSouth West London and St George’s MentalHealth NHS Trust


Rebecca GoughService Improvement ManagerUniversity Hospital Southampton NHSFoundation Trust

Louise HobsonProgramme Delivery ManagerUnited Lincolnshire Hospitals NHS Trust

Kate HowardDeputy Director of Nursing and QualityNorthamptonshire Healthcare NHSFoundation Trust

Catherine HunterSenior Project ManagerHumber Teaching NHS Foundation Trust

Sarah KnightHead of Transformation and PerformanceImprovementDorset County Hospital NHS FoundationTrust

Louise LanducciService Redesign Programme PartnerThe Royal Wolverhampton NHS Trust

Dawn McCulloughService Redesign Programme PartnerThe Royal Wolverhampton NHS Trust

Sian McPheeService Improvement LeadCornwall Partnership NHS Trust

Tanya MoonSenior Matron, MedicineNorfolk and Norwich University HospitalsNHS Foundation Trust

Suzanne MortonHead of Nursing for Local ServicesWest London NHS Trust

Jonathan NewnesAssociate Director, Business Developmentand ContractingCornwall Partnership NHS Foundation Trust

Tammy OsgathorpQuality Improvement and InnovationAdministratorSouth West London and St George’s MentalHealth NHS Trust

James OwenSenior Business AnalystThe Royal Wolverhampton NHS Trust

Ian PerryConsultant GastroenterologistThe Royal Wolverhampton NHS Trust

Bradley PlattEIS Service ManagerWest London NHS Trust

Suzy-Indygo PlowmanProject Manager in Maternity ServicesSouth Warwickshire NHS Foundation Trust

Sarah RussellClinical Placement and Practice EducationLeadCambridgeshire and Peterborough NHSFoundation Trust

Kim SandersonRadiotherapy Services ManagerPortsmouth Hospitals NHS Trust

Richard SmaleDirector of TransformationNHS South, Central and West CSU

Mollie SnellingBusiness Information Support ManagerNorfolk and Norwich University HospitalsNHS Foundation Trust

Neil StokellHead of PMOCoventry and Warwickshire PartnershipNHS Trust

Abbe SwainImprovement ManagerNorfolk and Norwich University HospitalsNHS Foundation Trust


Fliss SwiftPatient Experience ManagerUniversity Hospitals of Morecambe BayNHS Foundation Trust

Emma TateHead of Clinical ImprovementEast Sussex Healthcare NHS Trust

Louise TerryConsultant AnaesthetistChesterfield Royal Hospitals NHS Trust

Sharon TyrellAssociate Director of FinanceCornwall Partnership NHS Foundation Trust

Emma WelchConsultant HaematologistChesterfield Royal Hospitals NHS Trust

Stephen WiggansConsultant AnaesthetistBlackpool Teaching Hospitals NHS Trust

Debbie WolfeHead of Therapy ProfessionsCalderdale and Huddersfield NHSFoundation Trust

Hannah WoodSenior Therapist for Central OperationsCalderdale and Huddersfield NHSFoundation Trust

Carol WoodsProgramme PartnerCoventry and Warwickshire PartnershipNHS Trust

Helen WoolfordHead of Quality, Intelligence and RiskLondon Ambulance Service NHS Trust

Katherine WorlleyConsultant Forensic PyschiatristWest London NHS Trust

Alicia WyerGraduate TraineeNHS South, Central and West CSU


Directory of associates by organisation/STP area

East of England

Bedford Hospital NHS Trust

Chloe Allen, Graduate Management TrainingProgramme Trainee (General Management) .......7

Nia Davies, Transformation Manager................45

Paul Raynor, Associate Director of Nursing .....166

Anagha Tambe, Consultant Anaesthetist .......208

Cambridgeshire and Peterborough NHSFoundation Trust

Elena Baker-Glenn, Clinical Lead for QualityImprovement ...................................................15

Charlotte Dorer, Clinical Manager Stroke andNeuro Rehabilitation ........................................52

Olawale Olanrewaju, Clinical Team Lead and QIAdvanced Practitioner....................................141

Venkat Reddy, Consultant DevelopmentalPaediatrician ..................................................167

Sarah Russell, Clinical Placement and PracticeEducation Lead ..............................................234

Isobel Wilkerson, Quality ImprovementDevelopment Lead.........................................224

Luton and Dunstable University HospitalNHS Foundation Trust

Micah Matore, Quality Improvement Nurse....124

Carmel Synan-Jones, Deputy Director of Nursing (Acting) ............................................206

Hertfordshire Community NHS Trust

Kirstie Simpson, Clinical Quality Lead forChildren's Specialist Services ..........................191

Sabina Tai, Transformation Programme Manager .......................................................207

msb group:

Basildon and Thurrock University HospitalNHS Foundation Trust

Mid Essex Hospital Services NHS Trust

Southend University Hospital NHSFoundation Trust

Faisal Bin-Reza, Director of Pathology MSB Group......................................................19

Becky Carter, Improvement and ChangeManagement Specialist ....................................31

Jenny Davis, Programme Director ClinicalRedesign and Reconfiguration .........................47

Emma Johnson, Head of Change Management.................................................102

Aroon Lal, Consultant Renal Physician andAssociate Clinical Director for Improvement ...116

Kelly Miles-Gale, Improvement and ChangeManagement Specialist ..................................132

Beverley Steele, Improvement and ChangeManagement Specialist ..................................201

Norfolk and Norwich University HospitalsNHS Foundation Trust

Joel Fiddy, Theatre Governance and RiskManagement Facilitator .................................233

Tracey Fleming, Clinical Support ServicesDivisional Director and Trust AHP Lead .............64

Barbara Hercliffe, Head of Patient SafetyImprovement ...................................................85

Tanya Moon, Senior Matron, Medicine...........234

Suzanne Nurse, Senior Matron.......................139

Mollie Snelling, Business Information SupportManager........................................................234

Abbe Swain, Improvement Manager..............234

Essex Partnership University NHSFoundation Trust

Gillian Brice, Associate Director of Planning ...233

Scott Huckle, Service Development andAssurance Lead................................................92

Mark Travella, Associate Director, ServiceImprovement and Business Development ......214

East of England Ambulance Service NHSTrust

David Allen, Head of Operations ........................8

Lewis Andrews, Head of Quality Improvement.. 11

Janice Boreham, Leading Operations Manager..........................................................23

Caroline Sexby, Safeguarding SpecialistPractitioner for Adults ....................................183


Carl Smith, Quality Improvement Officer........196

Nicki Smith, Quality Improvement andProfessional Standards Officer........................198

London

NHS Hammersmith and Fulham CCG

Chad Hockey, GP, Hammersmith and Fulham GPFederation .......................................................88

Matt Mead, Integrated Care ProgrammeManager, North West London STP .................130

Homerton University Hospital NHSFoundation Trust

Deirdre Anderson, Transformation Manager.....10

NHS North West London Collaboration ofCCGs

Xiao Cai, Senior Implementation Lead, OlderPeople’s Care and Seven-Day Services ..............30

Helen Maric, Maternity TransformationProgramme Implementation Lead ..................123

Aran Porter, Self-Care Programme Lead .........160

Liz Rutherford, Assistant Director, Strategy andTransformation ..............................................175

Andy Small, Workforce Information Manager .......................................................195

Moorfields Eye Hospital NHS FoundationTrust

Sarah Haspel, Joint Director of ServiceImprovement and Sustainability .......................79

Benjamin Oxford, PMO Manager ...................146

Kirsten Pulley, Assistant Divisional Manager ...163

Naomi Sheeter, Joint Director of ServiceImprovement and Sustainability .....................186

South London and Maudsley NHSFoundation Trust

Martin Black, Quality Improvement InformationDevelopment Lead.........................................233

Sasha Persaud, Quality Improvement Lead .....151

Cassie Philpin, Quality Improvement Lead ......154

South West London and St George’s MentalHealth NHS Trust

Justin Earl, Associate Medical Director for QualityImprovement and Innovation ...........................56

Jayne Evans, Ward Manager ..........................233

Sarah Galloway, Quality ImprovementProgramme Manager.....................................233

Tammy Osgathorp, Quality Improvement andInnovation Administrator ...............................234

Jane Street, Consultant Clinical Psychologist ...................................................203

University College London Hospitals NHSFoundation Trust

Vicky Dunne, Improvement Lead......................55

Dave Grewcock, Head of Improvement............72

West London NHS Trust

Niraj Arora, Consultant Psychiatrist ..................12

Deborah Baidoo, Chief Pharmacist (Interim) .....14

Emma Brown, Safety Huddle Project Manager........................................................233

Maria de Gracia Dominguez Barrera,Consultant Child and Adolescent Psychiatrist ...50

Ian Merrick, Professional Lead for OccupationalTherapy and Head of VRS ..............................131

Suzanne Morton, Head of Nursing for LocalServices..........................................................234

Bradley Platt, EIS Service Manager..................234

Blake Pritchard, Consultant Psychiatrist ..........162

Sarah Rushton, Executive Director Local Services..........................................................174

Barbara Sowa, Exercise Specialist ...................199

Katherine Worlley, Consultant ForensicPsychiatrist.....................................................235

London Ambulance Service NHS Trust

Briony Sloper, Deputy Director of Nursing and Quality....................................................194

Helen Woolford, Head of Quality, Intelligenceand Risk.........................................................235

April Wrangles, Senior Quality GovernanceManager........................................................232

Midlands

Birmingham Community Healthcare NHSFoundation Trust

Diane Bradbury, Transformation ProgrammePartner.............................................................25


Rebecca Coghlan, Quality and StandardsAssurance Manager .........................................36

Carol Herbert, Clinical Quality AssuranceProgramme Manager .......................................84

Chesterfield Royal Hospital NHS FoundationTrust

Justin Cooke, Consultant Cardiologist............233

Gemma Cort, Matron Clinical Education andTraining............................................................37

Sara-Lea Goodwin, Commercial Contracts andTransformational Delivery Lead.........................70

Ruth Heafield, Out-patient Programme Manager..........................................................82

Luke Jenkinson, Senior Physiotherapist/Improvement Facilitator .................................100

Maria Riley, Associate Director of Strategy and Improvement ..........................................169

Pamela Rumbell, Macmillan Cancer ImprovementLead ..............................................................173

Sian Sumner, Cancer Pathway Improvement Lead ..............................................................204

Louise Terry, Consultant Anaesthetist .............235

Emma Welch, Consultant Haematologist .......235

Coventry and Warwickshire Partnership NHSTrust

Lisa Cummins, Deputy Director – Governance ...40

Cath Sandhu, Interim Transformation Programme Manager........................................................180

Neil Stokell, Head of PMO..............................234

Preet Walia, Service Improvement ProjectManager........................................................217

Carol Woods, Programme Partner..................235

Kettering General Hospital NHS FoundationTrust

Natasha Chare, Transformation Programme Lead ................................................................33

Cath Chisholm, Transformation Programme Manager..........................................................34

Melanie Griffiths, Head of Transformation andPMO................................................................73

Kate Hepton, Transformation Programme Lead ................................................................83

Santa Sargautiene, Transformation ProjectsManager........................................................182

University Hospitals of Leicester NHS Trust

Janette Gross, Consultant Anaesthetist ............75

Vittalrao Jadhav, Consultant Physician..............97

Elinor Wighton, Consultant Anaesthetist .......222

University Hospitals of Derby and BurtonNHS Foundation Trust

Jane Docksey, Head of PMO.............................49

David Hodgson, Emergency Medicine Consultant.......................................................90

Fran Smith, Head of PMO ..............................197

Northamptonshire Healthcare NHSFoundation Trust

Robert Freund, Senior OrganisationalDevelopment Facilitator .................................233

Kate Howard, Deputy Director of Nursing and Quality ....................................................234

Gemma Hunt, Quality Improvement and CQUIN Lead.....................................................93

Daisy Maradzika, Quality Improvement and CQUIN Lead...................................................122

Sachin Sankar, Deputy Medical Director/Consultant Child Psychiatrist ..........................181

Julie Shepherd, Director Nursing AHPs andQuality...........................................................188

Nottingham and Nottinghamshire ICS

– Nottingham University Hospitals NHSTrust

Andrew Barraclough, Assistant Director ofInsight...........................................................16

Joe Faruqi, Improvement Lead.......................60

Linda Pitchford, Deputy Programme Director.......................................................156

Helen Mancini, Assistant Director of Learningand Organisational Development ................121

James Thomas, Consultant Radiologist andClinical Lead, Improvement and TransformationLead ...........................................................211


– Nottinghamshire Healthcare NHSFoundation Trust

Luke Baumber, Trust Head of Improvement ...17

Steve Daykin, Quality Improvement Facilitator ......................................................48

Julian Eve, Associate Director of Learning andOrganisational Development .........................58

Elizabeth Gethings, Quality Improvement Facilitator ......................................................68

Martin Jones, Training Manager ..................105

Karen Hurst, Quality Improvement Facilitator ......................................................94

Angela Pemberton, Tutor ............................149

Charlotte Wood, Quality Improvement Lead ...........................................................229

– Nottingham CityCare

Stephen Upton, Sustainability andTransformation Lead ...................................215

– Sherwood Forest Hospitals NHSFoundation Trust

Ceri Feltbower, Associate Director of ServiceImprovement.................................................61

Ann Fewtrell, Service Improvement Lead .......62

Craig Short, Quality Improvement Officer....189

The Royal Orthopaedic Hospital NHSFoundation Trust

Amanda Gaston, Assistant Director of Finance........................................................67

The Royal Wolverhampton NHS Trust

Man-Kuen Baker, Service Redesign ProgrammePartner...........................................................233

Rachael Brown, Programme ManagerCommunity....................................................233

Lee Dowson, Associate Medical Director ........233

Katie Haywood, Practice Educator for Quality ....81

Louise Landucci, Service Redesign ProgrammePartner...........................................................234

Dawn McCullough, Service Redesign ProgrammePartner...........................................................234

James Owen, Senior Business Analyst ............234

Ian Perry, Consultant Gastroenterologist ........234

United Lincolnshire Hospitals NHS Trust

Louise Hobson, Programme Delivery Manager........................................................234

Karen Sleigh, Head of 2021 Change Programme....................................................193

Maria Wilde, Programme Delivery Manager....223

Walsall Healthcare NHS Trust

Joyce Bradley, Service Improvement ProgrammeManager..........................................................26

Angie Davies, Deputy Director of Nursing ........44

Andrew Griggs, Head of Digital TechnologyServices............................................................74

Chris Harris, Care Group Manager – Long TermConditions .......................................................78

Tom Johnson, Quality Improvement ProgrammeLead ..............................................................103

Jane Sillitoe, Walsall Together Programme Manager .......................................................190

Esther Waterhouse, Consultant in PalliativeMedicine, Director of Postgraduate MedicalEducation ......................................................221

South Warwickshire NHS Foundation Trust

Nicki Buckley, Service Improvement Lead..........28

Rachel Kirkwood, Strategic Lead for AHPs......113

Jo Jennings, ACP Simulation and Clinical SkillsLead ..............................................................101

Jiten Parmar, Business Development Manager .......................................................148

Suzy-Indygo Plowman, Project Manager inMaternity Services..........................................234

Herefordshire and Worcestershire STP

– NHS Redditch and Bromsgrove CCG

Jack Lyons-Wainwright, Delivery ProgrammeManager .....................................................119

– Worcestershire Acute Hospitals NHS Trust

William Davies, Senior Biomedical Scientist ........................................................46

Jennifer Garside, Clinical Service ImprovementLead Frailty....................................................66

Zoe Scott-Lewis, Head of PMO andTransformation............................................184

Heather Warner, Improvement Lead............220


– Worcestershire Health and Care NHSTrust

Deborah Hipkins, Senior Planning and ProjectManager.......................................................87

– Wye Valley NHS Trust

Alison Bolton*, Service Transformation Lead..22

Nick Exon, Strategic Analyst ..........................59

Ian Woodman, Electronic Patient Records –Workstream Lead........................................230

North East and Yorkshire

Bradford Teaching Hospitals NHSFoundation Trust

Sue Bramley, PMO Lead...................................27

Sarah Buckley, Service Improvement Matron....29

Chris Danson, Transformation Director ............43

Sonia Nosheen, Transformation Manager ......138

Chioma Obasi, Quality and Safety Manager...140

James Taylor, Associate Medical Director andConsultant in Anaesthesia, Critical Care and PainManagement ................................................209

Calderdale and Huddersfield NHSFoundation Trust

Gemma Pickup, Clinic Governance SupportManager .......................................................155

Debbie Wolfe, Head of Therapy Professions...235

Hannah Wood, Senior Therapist for CentralOperations ....................................................235

Humber Teaching NHS Foundation Trust

Catherine Hunter, Senior Project Manager .....234

Tom Nicklin, Service Adviser...........................136

Northern Lincolnshire and Goole NHSFoundation Trust

Simon Dunn, Head of OrganisationalDevelopment, Equality and Diversity and Quality Improvement .......................................54

Paul Holmes, Improvement Project Manager .........................................................89

Lucy Kent, Improvement and Delivery Manager .......................................................110

Ryan Sutton, Senior Improvement ProjectManager .......................................................205

Rotherham Doncaster and South HumberNHS Foundation Trust

Judith Graham, Deputy Director forOrganisational Learning and Development ......71

Paula Rylatt, Head of Improvement and Culture ..........................................................178

Sue Statter, Leadership and OD Facilitator......200

North West

Blackpool Teaching Hospitals NHSFoundation Trust

Tracy Crumbleholme, Director of QualityImprovement ..................................................39

Anna Dallow, Clinical Improvement andEffectiveness Manager.....................................42

Victoria Drake, Unscheduled Care Matron .......53

Anneka Edmondson, Deputy Head of Therapies.........................................................57

Sarah Keighley, Team Leader Health Visiting/School Nursing ..............................................109

Dean Quinn, Divisional Governance Lead ......165

Amit Shah, Consultant in Trauma andOrthopaedics.................................................185

Stephen Wiggans, Consultant Anaesthetist ...235

Emma Wiper, Clinical Improvement Lead.......228

Countess of Chester Hospital NHSFoundation Trust

Hollie Salisbury, Transformation ProgrammeManager .......................................................179

University Hospitals of Morecambe Bay NHSFoundation Trust

Amanda Andrews, Quality and ServiceImprovement Lead, Maternity Services...........233

Manal Atwan, Consultant – Histopathology andCytopathology.................................................13

John Butterworth, Programme Manager........233

Colin Cutting, Consultant Urological Surgeon ........................................................233

* leads the team of current and developing associates acrossWye Valley NHS Trust, South Warwickshire Hospitals NHSFoundation Trust and The George Eliot NHS Trust.


Jo Knight, Quality Service ImprovementFacilitator.......................................................114

Elizabeth McDougall, Associate Director of Engagement and Improvement......................126

Claire Mounsey, Service Improvement Lead,Core Clinical Services .....................................134

Helen Pye, Improvement Lead........................164

Tracey Roberts-Cuffin, Learning Lead .............171

Fliss Swift, Patient Experience Manager..........235

South East region

Buckinghamshire, Oxfordshire and BerkshireWest (BOB) ICS

Belinda Boulton, Programme Director for theBOB ICS Acute Collaboration Workstream......24

Matan Czaczkes, ICS Programme Manager .......................................................41

– NHS Buckinghamshire

Asela Ali, Quality and Patient Safety Manager.....6

– NHS Oxfordshire

Sonja Janeva, Senior Commissioning Manager .......................................................98

– Oxford University Hospitals NHS Trust

Tanya Hamilton, Transformation ProgrammeManager .......................................................77

Jo McMahon, Deputy Director ofTransformation............................................128

Ruth McNamara, Senior Programme Manager,Transformation Team...................................129

– Buckinghamshire Healthcare NHS Trust

Debbie Begent, SLT Service Manager andService Improvement Facilitator .....................18

Donella Irvin, Engagement and Events Officer...........................................................96

Vicky Perkins, Head of Service Transformation– Children and Young People ......................150

Julia Phillips, Nurse Lead – Mortality Reviewand Sepsis ...................................................152

Alison Wakeford, Service ImprovementFacilitator ....................................................216

NHS Fareham and Gosport

Mandy Mugridge, Planned Care TransformationOfficer ...........................................................135

East Sussex Healthcare NHS Trust

Adam Finnie, Quality Improvement Practitioner ......................................................63

Emma Jones-Davies, Senior Clinical and QualityImprovement Practitioner...............................106

Katey Ma, Head of Clinical and QualityImprovement .................................................120

Emma Tate, Head of Clinical Improvement .....235

Epsom Health and Care

Puja Chudasama, General Practitioner ...........233

Isle of Wight NHS Trust

Jo Case, Head of Service Improvement.............32

Cathy Frost, Quality Improvement Lead............65

Maidstone and Tunbridge Wells NHS Trust

Oliver Blightman, Consultant in Anaesthesia andIntensive Care Medicine ...................................20

Patrick McGinley, Head of Costing .................127

Suzanne O’Neil, Head of ProgrammeManagement Office.......................................142

Nick Sinclair, Head of Digital Operations andGeneral Manager Emergency Care and AcuteAssessment....................................................192

Portsmouth Hospitals NHS Trust

Phil Adams, Business Manager.......................233

Nicola Gibbons, Consultant Radiographer/Radiology Clinical Director ...............................69

Gillian Ryan, Service Improvement Manager ....176

Amanda Stewart, Macmillan Project Manager........................................................202

Abi Williams, Organisational DevelopmentManager........................................................225

Kim Sanderson, Radiotherapy Services Manager........................................................234

University Hospital Southampton NHSFoundation Trust

Rebecca Gough, Service Improvement Manager........................................................234


Victoria Kearney, Cost Improvement andTransformation Project Manager ....................108

Hollie Jeffery, Service Improvement Manager ....99

Lucinda King, Lead Cost Improvement andTransformation Programme Manager.............112

Sara Shelton, Service Improvement ProgrammeManager........................................................187

Kent Community Health NHS FoundationTrust

Sarah Donovan, Head of Service Improvement ...................................................51

Karen Kessack, Head of Quality Governance andProfessional Standards ...................................111

Dawn Nortman, Head of Clinical Audit andResearch ........................................................137

Amanda O’Neill, Head of Quality, Governanceand Professional Standards ............................143

Natalie Parkinson, Assistant Director, BusinessDevelopment and Service Improvement .........147

Sarah Phillips, Medical Director ......................153

Sarajane Poole, Head of Quality Governance andProfessional Standards, Public Health, Children’sSpecialist and Learning Disabilities Services..........................................................158

Katie Ring, Head of Quality, Governance and Professional Standards ...................................170

Kent and Medway NHS and Social CarePartnership Trust

Martine Mccahon, Acting Assistant DirectorTransformation and Improvement ..................125

Guy Powell, Head of Nursing – Acute ............161

South West

Avon and Wiltshire Mental HealthPartnership NHS Trust

Hannah Bailey, Head of Quality Improvement .................................................233

Becca Porteous, Quality Improvement Lead....159

Cornwall Partnership NHS Foundation Trust

Nicola Bliss, Head of Business Planning ............21

Angela Hawke, Quality Lead – Mental healthInpatient and Targeted Services........................80

Sian McPhee, Service Improvement Lead........234

Jonathan Newnes, Associate Director, BusinessDevelopment and Contracting .......................234

Sharon Tyrell, Associate Director of Finance....235

Estelle Ward, Workforce Transformation Clinical Lead ..................................................218

Rosanna Wotherspoon, Programme Manager........................................................231

NHS Dorset CCG

Viv Ryan, Senior Programme Lead..................177

Gloucestershire Health and Care NHSFoundation Trust

Clare Lait, Service Development Manager ......115

One Gloucestershire STP

– NHS Gloucestershire CCG

Kathryn Hall, Associate Director ServiceImprovement and Redesign (STP) ..................76

Hein le Roux, GP .........................................172

Dorset County Hospital NHS FoundationTrust

Catherine Abery-Williams, Service ImprovementManager............................................................4

Christina Hynch, Transformation Project Officer .............................................................95

Sarah Knight, Head of Transformation andPerformance Improvement.............................234

Kirsty Owen, Service Improvement DeliveryManager........................................................144

Anita Thomas, Head of Transformation andPerformance Improvement ............................210

Royal United Hospital Bath NHS FoundationTrust

Lesley Jordan, Consultant Anaesthetist and TrustPatient Safety Lead ........................................107

Anne Plaskitt, Senior Nurse Quality Improvement .................................................157


Adele Coulthard, Head of System Improvement (North East and Yorkshire andNorth West regions).........................................38

Ann Hill, Lean Transformation Consultant ........86

John Lodge, Head of Quality Improvement(London) ........................................................117


Carl Owusu, Senior Delivery and ImprovementLead (London)................................................145

Timothy Windsor-Shaw, Delivery andImprovement Lead (London) ..........................227

NHS South, Central and WestCommissioning Support Unit

Andrew Alli, Programme Manager.....................9

Charlie Howorth, Associate Director of Planningand Programmes..............................................91

Richard Smale, Director of Transformation .....234

Amy Tidyman, Project Manager .....................212

Louise Tranmer, Director of Transformation ....213

Alicia Wyer, Graduate Trainee ........................235

Royal College of Anaesthetists

Roderick Chapman, Consultant Anaesthetist,NHS Lanarkshire.............................................233

Sam Clark, Consultant in Intensive Care Medicineand Anaesthesia ..............................................35

Sara-Catrin Cook, Consultant Anaesthetist ....233

Harri Jones, Consultant in Anaesthesia,Abertawe Bro Morgannwg University HealthBoard.............................................................104

Lesley Jordan*, Consultant Anaesthetist andTrust Patient Safety Lead, Royal United HospitalBath NHS Foundation Trust ............................107

Adam Revill, Consultant in Anaesthesia and ICM,Torbay and South Devon NHS Foundation Trust ..............................................................168

* Lead for the QSIR perioperative-themed programmeon behalf of the Royal College of Anaesthetists

Contact us:


[email protected]

@ACT2improve

This publication can be made available in a number of other formats on request.

© NHS England and NHS Improvement, December 2019


Quality, Service Improvement and Redesign YEARBOOK 2019/20€¦ · Quality, Service Improvement and...

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