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Quality Improvement at NNUH

The NNUH Quality Improvement (Regulation and Governance) 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 web-based platform, Life QI ,  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: An agreed set of clearly defined key measures/indicators of high-quality care, which are aligned with what matters most to patients, families, and carers.  Wards and departments are audited against this framework, identifying best practice across the organisation. This consistent, robust process enables us to drive continuous improvement in care.

  • Accreditation of Excellence: Our Accreditation of Excellence framework is new to the organisation for 2024. It 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. NHS England defines accreditation as “The development of a set of standards so that areas for improvement can be identified and areas of excellence celebrated”. Trusts that have implemented successful accreditation programmes have shown continuous improvements in patient outcomes, increased patient satisfaction, and improved staff experience at ward and unit level.

  • Tendable: Tendable is clinical auditing software which provides real time inspection and reporting for our quality audits. The system provides an immediate snapshot of all elements of quality across the organisation, empowering staff to own quality in their clinical area.  Within the app, staff can create, monitor, and record progress on actions that result from any of our audits.

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.

Contact us: QIRegulationandGovernance@nnuh.nhs.uk