Things are really hotting up for the summer within the Lothian Primary Care QI support team!

We are currently running on a skeleton staff after Adeline, our full time band 6, secured a permanent position in the Acute branch of the Quality Improvement Support Team. Congratulations Adeline – we are delighted about your success but we miss you! Elouise and Robert have interviews scheduled for recruitment of the new member of our team. Lorraine has many different jobs but manages somehow to keep things tight on the admin front in her one session a week. Isobel Miller who works with us on a voluntary basis is worth her weight in gold, she is a cannie reviewer and supporter of all the work that we do and brings with her a wealth of experience in health-public partnership. And I am convinced Elouise actually has a clone who is in several places at once.

On Thursday 26th April we hosted the first clinical change forum for Primary Care in the Kennedy Tower lecture theatre at the Royal Edinburgh. It was well attended and the feedback has been excellent. Thank you very much to all our speakers – Jo Smail who spoke about her work as a Cluster Quality Lead and her involvement in the Practice Administration Collaborative, Jamie Megaw and Iain Morrison who presented their electronic Frailty Index work, and June Edwards, Gillian Brunton and Beth Lambie,  who presented their work within GP practices. Tracey Gillies as NHS Lothian Medical Director and Primary Care Executive Sponsor closed the event. We are grateful to all our speakers and our audience too! Thank you. The different presentations will be uploaded to our website shortly.

Lisa met with Tower Cluster in Edinburgh on 26th April to chat about current QI projects across the region in Primary Care and went out to meet with Pamela Anderson from Boroughloch to support her in case management work that she and her team have been working on. Thank you all for having me.

Elouise (and her clone) have been out and about visiting and supporting practices, organising our training events for May and June, attending the Healthcare Improvement Scotland CQL meeting yesterday and working with the East Lothian team in the National Practice Administration Staff Collaborative. We will add links to the slidesets and flash reports to our website as they are made available.

We’ve received interesting and innovative submissions from practices and clusters for the 2018/19 SESP (thank you) and we will be working with you on these during the training events scheduled below. Our aim is that by the end of the event you will be clear in what you need to do by when and will have a measurement plan for your quality work. Please don’t worry – we are here to help you!

Scheduled events:

1.       Wednesday 30th May pm East Lothian Training Event Eskmills Venue, Musselburgh

2.       Thursday 31st May pm West Lothian Training Event, Space 4, Howden Park, Livingston

3.       Thursday 7th June pm Edinburgh Training Event, Faith Mission Centre, 548 Gilmerton Road, Edinburgh

4.       Thursday 14th June pm Edinburgh Training Event, Boroughmuir Rugby Club, 2 Meggetland Wynd, Edinburgh

5.       Thursday 21st June pm Midlothian Training Event, McSense, Mayfield.

SESP 2017/18 is soon to draw to a close – bundle data collection needs to be collected and uploaded to QiDS up to and including June. If you need to check if anything else is outstanding, please email the team.

It's Raining at Waverly Gate..... but lots of good news on Quality in Lothian Primary Care!

Practice managers ‘Why QI?’ workshop

30+ practice managers attended a QI workshop at Gilmerton Faith Mission on Thursday 8th March. Numbers were slightly down on those who had registered because practices had gone from being snowed in during the height of ‘Beast from the East,’ to snowed under during the week of recovery. Elouise chose to work on an issue identified on the UK media last week: ‘patients in England are less satisfied with their GP care then they used to be.’ She guided the table teams, already experienced in QI via their involvement in the patient safety programme, through constructing a Fishbone diagram, using red dot voting, constructing a live Pareto to visualise the main causes of the problem, and then brain storming change ideas. The end point of the workshop was a constructed driver diagram, and the idea that from what seems like a huge and insolvable difficulty, through sequential QI tools use, there will be at least one idea for change that teams can work on. The practice managers were absolutely brilliant to work with – so keen and interested and clever.

Adeline delivered a really helpful summary of the pragmatics of the new SESP and how it would actually work in practice. This was also very well received by practice manager delegates.

Congratulations to Lammermuir and Tyne/Prestonpans/Leith!

Lammermuir (‘Reducing anxiolytic and hypnotic prescription in Primary Care’) and Tyne/Prestonpans/Leith (‘Improving document management in Primary Care General Practice’) have had their posters accepted for the NHS Scotland Event in June. This was a great achievement – with over 500 abstracts from across Scotland submitted. Well done and congratulations to all involved! (this is where I wish I had all the emojis that I have on my Iphone to add here....)

AHP workshop for East Lothian AHP team

Adeline and Elouise used the same practical framework as they used at the recent practice managers workshop to deliver another excellent and well received training afternoon on Wednesday 14th March, in collaboration with the NES AHP practice education lead Claire Ross. Well done Claire, Elouise and Adeline!

Sweden Jonkoping Microsystems Festival

Jo, Lisa and Elouise took lots of learning from their recent attendance at the Microsystems Quality Festival in Sweden on 28th February to 2nd March, as well as showcasing the Lothian Primary Care Network. Their presentation garnered lots of interest and Elouise has had 5 separate requests for copies of the slides so far. And we actually managed to get there despite the best efforts of ‘Beast from the East’.

Best wishes to all

Adeline, Elouise, Lisa               March 15th 2018

View from Waverley Gate today...

‘Why QI?’

March kicks off with Practice Managers ‘Why QI?’ afternoon workshop on Thursday 8th March at Gilmerton Faith Mission. There are 34 confirmed attendees and a further 28 who have provisionally confirmed. Everyone who works in Primary Care knows that the Practice Manager is central to the delivery of efficient, high quality care via robust understanding and management of systems and processes. We are delighted that there has been so much interest in this afternoon, which very much reflects the Practice Manager’s central role in Primary Care.

Lothian Quality Academy

Cohorts 7 and 8 of Lothian Quality Academy, Planning for Quality, are both now underway. Dr Sam Abushal (Whinpark), Dr Anthony Simon (Craigmillar), and Savoy Malcolm (Edinburgh HSCP) started their work with cohort 7 in January, and Dr Kath Robertson (Colinton) and Tammy Ruddock (Edinburgh HSCP) have just had their first Quality Academy session this week. Cohort 8 has also provided us with the opportunity to buddy Jen Evans in a new role as a QI coach and so increase the quality training resource within Lothian.

Please click on this link if you are interested in finding out more about the Quality Academy. or you can email Lisa, Elouise or Adeline if you would prefer.

HIS sepsis collaborative

Midlothian hospital at home team, Midlothian district nursing team and Lothian Unscheduled Care Service, within Midlothian, are using the National Early Warning Score (NEWS) as a communication tool for deteriorating patients with sepsis. LUCS had the highest use of NEWS as a communication tool for patients being admitted to hospital (75% of hospital referrals) in the National Sepsis Collaborative. LUCS clinicians have found this NEWS communication tool particularly useful when arranging ambulance transfer with non-clinically trained ambulance call handlers.

Electronic workflow project academic collaborative

We applied to be part of an academic collaborative with Dundee University on looking at the impact of spreading the electronic work flow project. They asked to resubmit, with more specifics on the precise academic question we were asking. So – we will try again and keep you posted (there is significant funding attached!) Closing date is 31st March.


Lisa, Elouise and Jo Bennett are presenting on their experience of building a Primary Care Quality Improvement Network in Jonkoping, Sweden, next Thursday. The key thing is the people in the Network – and that is YOU! Thank you for your continued interest, innovation, ideas and lead on change.

Best wishes, Lisa, Elouise and Adeline Thursday 22nd February

Week of success

Well done East Lothian HSCP!

News just in: Congratulations to East Lothian HSCP, who have been successful in their application to participate in the Healthcare Improvement Scotland Practice Administrative Staff Collaborative. The collaborative will focus on Document Management, Care Navigation and building Quality Improvement knowledge and confidence. This is an exciting opportunity that will involve all members of the administrative team, across both clusters in East Lothian. We will keep you updated with progress – watch this space...

Health Improvement Sepsis Film for Primary Care Teams across Scotland

Script for short film on using NEWS in Sepsis as a communication tool is now written and ready to go. Sadly too late for this year’s Oscars, but keep checking your mailbox for casting invitations...

NHS Scotland Event June 2018

We are proud and delighted that 11 quality improvement work abstracts are in process for submission from Lothian Primary Care to the NHS Scotland 2018 event being held on 18-19 June at SECC, Glasgow. The internal deadline for Lothian is 31st January 2018. Please contact if you have a project that you would like the opportunity to showcase across Scotland.

Clinical change forum

Date for clinical change forum is Thursday March 22nd March 2018, 1700-1900, in Edinburgh Academy Science Lecture Theatre. Adeline and Elouise will be in touch with more details shortly.

And that’s it for this week!

Lisa, Adeline and Elouise

25th January 2018


Showcasing your quality work, the Primary Care Team and who not to ask for help in a pub quiz......

Practice Managers’ Quality Improvement Workshop

Our bit of the Lothian Quality website is called ‘Primary Care Network’ for a very good reason. It is a network for all professionals who work in Primary Care. We are therefore really delighted to be hosting a Quality Improvement workshop for Lothian practice managers, provisional date Thursday 8th March 2018. The training delivered will look completely different to previous training workshops, and will be very much tailored to the specific needs of the practice management team. If you haven’t heard about it yet, and would like to come please email

Practice nursing teams

Elouise, Adeline and Jacqui Pringle delivered a training workshop on QI methodology for the East Lothian Practice nurses in March 2017, focussing on operational definitions of measurement. Lisa has presented on the QI network to the South West Edinburgh locality Practice Nurses group towards the end of last year. We are keen to do more. Please email if you would like more info.

NHS Scotland Event 2018

The NHS Scotland Event 2018 will take place on the 18 - 19 June at the SEC, Glasgow. Information on the Event Programme will be available in April 2018. More info can be found here:

The event is an opportunity to showcase primary care quality work – and there is lots of it in Lothian! Please contact if you are interested in submitting a poster abstract for your quality work. The internal Lothian deadline for abstracts is 31st January 2018.

March 2018 clinical change forum

We will firm up a date for this next week. We are really keen that as many people as time allows present their quality work. Adeline and Elouise will be in touch next week.

That’s it for now. Email us if you have a question, need some help or have some feedback. Needs to be quality related. We are no good for ‘phone a friend’ from a pub quiz....

Best wishes and THANK YOU for doing all the work that you do and of course for clicking on the website J

Lisa, Elouise, Adeline

CQL meeting, SESP, thinking about next year’s Clinical Change forum and more.....

CQL meeting Thursday 14th December

Lots of stuff going in QI central this and last week. Very full pan Lothian CQL meeting on Thursday 14th December.  There is SO MUCH high quality improvement work going on in Lothian Primary Care.  Most common feedback was how useful the meeting was in terms of hearing what other teams are doing and learning from each other. The meeting was very much an ‘I love my job’ moment for me. And all the work priorities and ideas have been set and devised locally by clinicians, to reflect what is actually needed within practice. Brilliant. Thank you all.

All the projects mentioned during the course of the afternoon are stored in the members section of the Lothian Quality website Please email or for the password to this area.

SESP 2018/19

Elouise is submitting this year’s SESP contract just now, for the 31st December PCCO deadline. In a nutshell, the 2018-19 SESP enables practices to submit bespoke Quality Improvement projects which reflect work needed at individual practice or cluster level. This is a progression from previous years, based on the cumulative QI learning from the Patient Safety Programme and the QI workbooks.

Clinical change forum

An opportunity for clusters to show case their improvement work to the wider NHS Lothian community, including exec and non exec board members, as well as building on what was achieved in last week’s CQL meeting in terms of exchange of practical ideas. We are looking at dates in March (prior to the next CQL meeting which will hopefully take place in April) where you decide what you want to present. There is a lot to show and be proud of.

Microsystems Festival, Jonkoping, Sweden

We have been invited to present on Setting up a Primary Care Quality Improvement Network in Jonkoping  - we will post our presentation on the quality website before we go, so please let us know what you think of the content.

And finally Merry Christmas and looking forward to working with you all in 2018!

 Lisa, Elouise, Adeline.


Welcome to the Primary Care Network team's blog "New Tricks"

Welcome to the Primary Care Network team’s blog ‘New Tricks’. We want to show you what we do on a daily basis and thereby what we can do to help you, which is why we exist! Lisa usually works on a Thursday at Waverley Gate but came in on Tuesday this week because she got the opportunity to present on the Primary Care Network to the Edinburgh South East Locality Practice Nurses Forum Meeting. She was very grateful of the opportunity to do this, and it was really good of Edinburgh practice nursing colleagues to give her a platform. Practice nurses are very much a key player in quality improvement work, both in the clinical work they do and are expert at, and the way their training and ongoing development is so much attuned to thinking about process and how to do things better. It was also a good opportunity to raise awareness within the practice nurses’ wider clinical teams. Lisa looks forward to those present coming forward with QI ideas, supporting them getting involved with the Quality Academy and is particularly excited about seeing how the QI network could work with a QI focussed dissertation for a nursing MSC.