Quality Improvement at NNUH
The NNUH Quality Improvement and Clinical Excellence team is made up of clinicians and non-clinicians working together to improve quality for our patients, staff, carers, and organisation.
Quality Improvement training and support
Our team provides bespoke support to various Quality Improvement (QI) projects across the Trust, as well as delivery of local and national training packages.
We offer guidance on using QI methodologies and provide a selection of training opportunities including a 30-minute awareness session for all staff to access. For those who are considering leading a QI project we recommend our Quality, Service Improvement and Redesign (QSIR) course. This is offered at two levels: our fundamental session is delivered in one day and gives an introduction to QI, and our practitioner course is delivered over five days and delves deeper into QI tools and how to apply them to your project. We also support staff in using our InPhase platform to record and monitor their projects.
Nursing, Midwifery and Clinical Professionals Excellence
Our team contributes to Nursing, Midwifery and Clinical Professionals Excellence across the organisation, including:
Shared Decision-Making:
Creating opportunities for our clinical teams to network, collaborate, share ideas, and be involved in decision-making. It aims to ensure that decisions are reached in an inclusive and collaborative way.
Care Assurance:
Care Assurance is an unannounced peer led inspection that allows us to measure the performance of clinics and departments against local and national standards for best practice across the organisation. This consistent robust process ensures we’re delivering safe, effective, patient-centred care which helps drive continuous quality improvement.
It is one means by which we support our promise to deliver the ‘best care for every patient’. Outpatient Care Assurance visits are carried out by teams of nurses, midwives, and clinical professionals, with support from our Integrated Care Board colleagues, Patient Panel members and Public Governors. The visiting teams complete one Outpatient visit each week.
Accreditation of Excellence:
Our Accreditation of Excellence framework brings together key standards of nursing, midwifery and clinical excellence into one overarching framework. The framework allows us to comprehensively assess, improve and celebrate the quality of care at ward, unit or department level.
As a Trust we are implementing our Accreditation of Excellence Framework and by year end, plan to have all inpatient ward baselines completed. We will then build on this to demonstrate continuous improvements in patient outcomes, increased patient satisfaction, and improved staff experience at ward and unit level.
Quality Assurance and InPhase:
Audit Oversight, the audit management system from InPhase, hosts the NMCP Excellence Quality Assurance audits. This supports wards and departments within the Norfolk and Norwich University Hospitals Foundation Trust (NNUHFT), to have consistent and robust process for measuring, assuring and reporting on the quality of their care and practice and to drive target quality improvement.
This asserts the organisation’s commitment to deliver nationally recognised, clinically-led services that are high quality, safe and based on evidence and research.
Regulation and Governance
The Care Quality Commission (CQC) regulatory compliance programmes are supported by the QI (Regulation and Governance) team and include:
-
-
- Supporting CQC inspections and enquiries.
- Overseeing the Trust’s improvement plans associated with CQC recommendations and other standards.
- Supporting colleagues with CQC and other regulatory compliance monitoring.
-