The RCGP has produced this guidance for GP Trainees completing a Quality Improvement Project (QIP) as part of their training.
The purpose of this guide is to:
• maximise opportunities to learn from patient safety incidents in
your practice, and to share learning via organisational or national
• outline a process for learning from patient safety incidents in
Where appropriate, this guide will signpost existing well-written resources and does not seek to replicate their content.
This webinar hosted by the RCGP on 6 December 2016 gave clinicians a chance to learn about increasing capability using Quality Improvement, and share experiences of what works for them and the challenges they face.
This webinar followed ‘Sharing practical experiences of Quality Improvement’ and provided more information on the new self accreditation and online website, QI Ready, alongside sharing tips on motivating members of your practice in quality improvement.
Forcefield analysis is an improvement tool that helps you to list, discuss and evaluate the various forces for and against a proposed change.
The context checklist breaks down context into nine elements. Consider each in turn and decide whether they are applicable to your situation, and whether any action is required.
This RCGP Quick guide introduces the Plan-Do-Study-Act (PDSA) approach, a technique that allows you to test out improvements in a controlled way so that change can occur gradually, with an awareness of unintended consequences.
This RCGP Quick guide introduces Fishbone diagrams (also called cause and effect analysis) which are used to help to identify and display the root causes of a problem.
This RCGP Quick guide provides the standard headings for a clinical audit report and gives tips on how to define and fulfil each section. It attempts to keep the process simple and will satisfy the requirements of General Medical Council (GMC) revalidation.
This RCGP Quick guide introduces communication strategy an improvement tool that plans how to spread the news of your improvement project. It includes both who to inform, and how to do so.
This RCGP Quick guide introduces quality improvement collaboratives, groups of people meeting together to learn from and motivate one another.
This RCGP Quick guide introduces Statistical process control charts, a tool for displaying performance data to check if performance is continuing to be as expected.
This RCGP Quick guide introduces the theory of constraints and flow, a methodology for identifying the most significant limiting factor – the constraint – which stands in the way of the organisation’s goal being met.
This RCGP Quick guide explains that building networks of people with a common purpose and enthusiasm for positive change is a way of harnessing the power of ‘emergent change’.
This RCGP Quick guide explains how presenting an evaluation of any quality improvement activity undertaken can help share its results.
This RCGP Quick guide explains how visual displays can share your improvement data in an accessible format so that everyone involved knows if their improvement efforts are working.
This RCGP Quick guide introduces appreciative inquiry, a method that help groups of people working together to learn more from their success and to build on these to generate further improvements.
This RCGP Quick guide explains how measurement and analysis can tell us what we need to improve, then, once we’ve started to make changes, it can tell us if our efforts are making a difference.
This RCGP Quick guide introduces driver diagrams, a tool to help you to organise your improvements in a logical way, so that everyone involved can see how the planned changes will lead to the desired improvement.
This RCGP Quick guide introduces the communication matrix, a systematic way of identifying members of the team and the themes they need to know in carrying out your improvement work.
This RCGP Quick guide introduces Gantt charts, a tool that provides a visual representation of your project schedule which helps to identify a realistic timeframe for implementing a project.
This RCGP Quick guide introduces Run charts, a tool that allows practices to analyse data, with minimum use of statistical methods, and helps determine if an improvement has been made.
This RCGP Quick guide provides a comprehensive list of links to data sources that may be useful when undertaking quality improvement work.
The model for improvement ensures that you and your team are very clear and specific about what you want to improve and how you will know if you have been successful.
This RCGP Quick guide introduces improvement science, a relatively new academic field that aims to identify the best methods for improving the quality and safety of healthcare.
This RCGP Quick guide helps practitioners to think about creating the right conditions for all the individuals involved in improvement to be motivated and able to contribute to the best of their ability.
This RCGP Quick guide helps practitioners to ensure that quality improvement work is designed to improve patients’ experience of care as well as their outcomes.
This RCGP Quick guide helps practitioners to reflect on the context or environment in which a quality improvement intervention is to be introduced.
This RCGP Quick guide introduces process and value stream mapping, techniques that creates a visual representation of all the steps in a process.
This brief guide to safety netting for cancer diagnosis in primary care aims to support healthcare professionals to detect cancers earlier and minimise delayed diagnoses.
This collection of resources are designed to support general practices to deliver effective Cancer Significant Event Analysis training sessions.
These fictional example cancer singnificant event analyses (SEAs) demonstrate a varying range of quality. Each contains detailed notes showing both positive and negative examples of reflection, subsequent actions, and impacts following a cancer diagnosis.
This collection of resources have been developed with a ‘train the trainer’ approach as a guide to the process involved in completing an effective cancer significant event analysis (SEA).
This RCGP Quick guide introduces diagnostic survey, a frequently used method used to identify the needs of the target group for any improvement work.
This presentation can be used during a training session to introduce QI tools and methods to the teams who care for patients with diabetes.
These evaluation tools can be used to help you to evaluate your quality improvement work, learning what has gone well, what could be improved, and plan the next steps of your work.
This Excel spreadsheet tool will help you to plan and monitor the progress of your quality improvement project across several practices.
Do you want to introduce a change to improve diabetes care? If so, the model for improvement for diabetes allows you to plan and test the change.
Significant Event Audit – also called Significant Event Review or Analysis – is an increasingly routine part of general practice. It is a technique to reflect on and learn from individual cases to improve quality of care overall.
A reference sheet detailing using data sources of comparative data.
This process map offers a visual representation of all the steps in the process of caring for patients living with diabetes, from diagnosis of diabetes to annual review.
A number of Quality Improvement abstracts and posters were submitted to the 2016 RCGP Annual Conference. You can view them, and the posters and abstracts from other categories, here.
If you are trying to work out why patients don’t turn up for review or why the treatment target for blood pressure is not being met, then the Fishbone diagram for diabetes care can help you.
This RCGP Quick guide explains the Quality Improvement wheel for primary care, a simple visual representation that illustrates the the main elements to consider in design, delivery and evaluation of a QI project, acting as a guide to the stages involved.
This RCGP Quick guide introduces Significant Event Analysis a technique to reflect on and learn from individual cases to improve quality of care overall.
This joint initiative undertaken by the RCGP, the National Cancer Action Team and Macmillan Cancer Support, offered anonymised external peer assessment of Significant Event Audits of cancer diagnosis.