Lothian Quality January updates

QI Connect Series - Upcoming session on 21st of November 2017, 4pm - 5pm

QI Connect is provided in partnership with The Health Foundation as part of their Q Initiative which is supported and co-funded by NHS Improvement. Q is an initiative connecting people with improvement expertise across the UK.

QI Connect WebEx seriesHealthcare Improvement Scotland is currently hosting an exciting line up of monthly WebEx sessions presented by an exceptional global faculty.

Simply link in from your own desk to learn from national and international leaders in quality improvement.

Clinical Change Forum: 13th of September: An evening with Prof. Aziz Sheikh

Towards the Creation of a Learning Health and Care System

Digitised health and social care data offer numerous opportunities for enhancing population health and patient care. In this presentation, I will draw on examples of work I (and colleagues) have undertaken over the past 15 years using electronic health record derived data to better understand the epidemiology of diseases, evaluate the impact of clinical and public health interventions and increase the efficiency of clinical trials. I will then summarise the approaches we are currently pursuing to scale-up these efforts in order to facilitate the creation of a Learning Health and Care System and consider possible implications for Edinburgh/Lothian.


Edinburgh City CCF Invitation.jpg

What matters to you? Not, What's the matter with you? A reflection on what matters to you day 2017

‘What matters to you?’ – A simple and universally applicable question. It doesn’t matter whether you are a patient, a carer, a family member, a member of the public or a member of staff, it asks; what matters to you as a person? What is important for you? It highlights what the priorities are for people in their lives.

This is helpful for caring for people because it lets clinicians and other staff develop relationships and understand what people want to prioritise. This can inform medical treatment, and ensures staff can deliver high quality care.

What is high quality care? It should be safe, effective and person centred. High quality care is partly about the treatment people receive, how it is delivered and ensuring that it is in a safe, clean environment. The extent to which care is effective and person centred depends upon understanding what is important to people receiving care. One person’s idea of effective treatment may be another person’s nightmare, so it is incredibly important that we always ask.

Here are a few clips from Executive Medical Director, Tracey Gillies and Chief Quality Officer, Simon Watson, telling us what matters to them and highlighting the importance of this question:

What matters to our staff in NHS Lothian? – It is important as an employer that we understand what our employees value. We know that we have an incredible workforce that regularly goes above and beyond to deliver amazing care, so it is essential that we also look after their needs. One of the key aspects of delivering high quality services is that staff feel listened to and trusted; asking them what matters to them is one way of establishing this feeling of caring and trust. We want to value and nurture our workforce to develop the leaders of tomorrow, which is essential for steering NHS Lothian through future challenges. And there will be challenges… we need a workforce that is empowered, flexible and unafraid to try things and maybe sometimes get it wrong.

Here is a clip from some staff members telling us what matters to them on What Matters to You day at the Western General Hospital: 

Royal Edinburgh Hospital Clinical Change Forum 22nd June 2017

When:  22nd June 2017, 17:00 – 18:30

Location: Royal Edinburgh Hospital, Kennedy Tower, Small Lecture Theatre

Everybody is welcome to come along to hear about the way Quality Improvement processes are used in Mental Health, Psychology Services and CAMHS.


17:00 – 17:05 - Welcome and Introduction, Jane Cheeseman

17:05 – 17:25 - The ADHD Assessment Pathway in CAMHS – Beginning a QI project, Gwyneth Bruce and Margaret Monan

17:25 – 17:45 - The Works - Individual Placement and Support (IPS) model, Lynn Ritchie

17:45 – 18:05 - Improving access to adult mental health beds, Mike Reid

18:05 – 18:25 - Gaining a better understanding of patient experience in pain management and using PDSA Cycles, Linsay Brassington and Kate Hopkins

18:25 – 18:30- Thank you and close

To register for the event, email Lothian.Quality@nhslothian.scot.nhs.uk

QI in A&E and using App technology for allocating organs for transplant - 23rd May, RIE Clinical Change Forum

The Clinical Change Forum heard from a number of thought provoking speakers. Nikki Maran gives a reflective account of the presentations in this short video. 

Presentations can be found below:

- Quality Improvement in the Emergency Department - Ed James and Kate Easterford
- Using App Technology to Allocate Organs for Transplant - Mark Dunn
- Applying for Small Grants from Lothian Health Foundation - Owen Siddalls

A reminder that ‘What matters to you?’ day is on the 6th June, you can get more information on their website - http://www.whatmatterstoyou.scot/ If you want to join in activities in NHS Lothian, please contact Julie-Ann Farrer.

For anyone wanting more information on Small Grants in NHS Lothian, please see the Edinburgh and Lothian’s Health Foundation website, here.

 Discussions around innovation at the forum inspired interest in 'hackathons' and other innovation events. The next event is through Product Forge and the Cancer Innovation Challenge, who are running an open cancer "data dive" event at CodeBase in Edinburgh from Thursday 15th to Sunday 18th June 2017.

The Data Dive is a unique opportunity for clinicians to explore cancer data in collaboration with entrepreneurially minded data scientists, analysts and software engineers to improve cancer care in the NHS in Scotland.

Register at the Cancer Data Dive event page

Ed James and Kate Easterford kicked off the event with a presentation of the development of Quality Improvement in the Emergency Department. This was followed by Mark Dunn, who told an exciting story of innovation for allocating organs for transplant. The event closed with a summary from Owen Siddalls about how to apply for small grants from the Lothian Health Foundation.

We would appreciate your feedback on the forum. We want to continually make these events better and your feedback will enable us to do so -https://www.surveymonkey.co.uk/r/QYGJT7Z

Nikki Maran also mentioned at the CCF that we have licences for BMJ Quality, which is a tool that you can use to publish QI projects in a peer reviewed journal – you can find more information on how to do this, here.

NHS Lothian Quality Improvement Charting Tool now launched!


The NHS Lothian Analytical Services Team are delighted to launch the NHS Lothian Quality Improvement Charting Tool, a resource that staff across NHS Lothian can use to generate run charts and X charts in a consistent way, as well as helping them to identify 'signals' that merit further discussion. The tool and video tutorial which provides guidance about how to you can use the tool with different types of data can now be accessed under the resources page

Quality Cluster Leads in Primary Care

Cluster Quality Leads from GP practices across NHS Lothian met on Wednesday 26th April to discuss quality improvement in primary care.

The group discussed key themes for quality improvement, including pharmacy and anticipatory care planning. They also spoke about resources that would be required to complete this work and recognised the importance of sharing ideas and learning between clusters.

There was a recognition of both the challenges in primary care and the potential opportunities of quality improvement work.

Tracey Gillies, Executive Medical Director, spoke about the different definitions and dimensions of quality:

"Some of us think mainly about safety when we think about quality... for other people it's more about the triple aim, how we get population health gains, and better experience and value of care... others take it to the individual level... what matters to you?... getting that citizen voice about what they think good care looks like... the QOF description was more around effective care, what does good care look like? And how do we ensure we are working to that standard?"

Planning for Quality Cohort 3 Final Day

The final day of the third cohort of Planning for Quality was on Tuesday 25th April. The group were joined by the Chief Executive of NHS Lothian, alongside QI coaches and analysts to hear presentations from each of the quality improvement groups on the course.

There were a wide range of presentations from different specialities across health and social care. This ranged from projects focusing on making the most of administrative staff time in a GP practice to improving reported discharges at the morning huddle at Lothian's largest acute hospital site.

Some of the participants reflected on what they had gained from being part of the Academy:

'It has been an interesting new way of looking at improving the service' Sam Patton, Orthopaedic Consultant

'We are relieved to be invited to be a part of this process because that now gives us the opportunity to do some of the work that we know needs to be done' Nick Church, Endoscopy Consultant