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South East Essex Quality Improvement Collaborative
Castle Point & Rochford CCG and Southend CCG are working with UCLPartners in 2019 to increase Quality Improvement (QI) capacity and capability across the South East Essex footprint in the ‘South East Essex Quality Improvement Collaborative’.
Quality Improvement is a commitment to continuously improving the quality of healthcare by focusing on the preferences and needs of the people who use the services. It is an evidence-based approach that helps primary care free up time to deliver initiatives and embed new approaches more effectively and efficiently into practice. QI helps GPs, clinicians and other health care staff to make the most of their systems, organisations, talents and expertise to deliver better outcomes for patients.
UCLPartners Primary Care Programme
This programme aims to support partners to develop and implement local initiatives that harness the opportunities presented by the Five-Year Forward View, General Practice Forward View and development of new care models.
UCLPartners runs Quality Improvement Collaboratives (QIC) in partnership with localities, with an aim to support GP practices to improve the quality and safety of the care for their patients by using the philosophy and methods of the science of improvement and in doing so help build a culture of shared learning in the community.
The collaboratives are based on the Institute for Healthcare Improvement’s Breakthrough Series collaborative model, the key elements of which are joint learning events and practice-level action periods.
Each collaborative is supported by two local QI leads who undergo training in Quality Improvement methodology and tools and will be supported to run QI collaboratives in the future to ensure sustainability of local QI resource.
Opportunities for those working within member practices of Castle Point & Rochford CCG or Southend CCG
Castle Point & Rochford CCG and Southend CCG are looking for localities within their area to participate in the Quality Improvement Collaboratives. The collaboratives will provide GP Practices the opportunity to increase their knowledge and use of quality improvement, so they can in turn improve the quality and safety of care for their patients.
What is the aim of the collaboratives?
The aim of the collaboratives is to support staff working in GP practices to increase their knowledge and use of quality improvement, so they can in turn improve the quality and safety of care for their patients in the long term. This is done by using the philosophy and methods of the science of improvement and, in doing so, helping to build a culture of shared learning in the community. The collaboratives will be based on localities and may be a good opportunity to make progress on shared priorities.
What is the idea for these collaboratives based on?
The collaboratives are an adaptation of the Institute for Healthcare Improvement’s Breakthrough Series collaborative model, the key elements of which are joint learning events and practice-level action periods.
Is this the first time this model has been implemented?
No, during 2017, UCLPartners delivered seven collaboratives across four CCG areas. This work covered 90 practices which serve a population of 1.5m people. The majority of these practices deemed the changes they made to be an improvement, resulting in measurable changes in either process or outcome measures. Through participating, many participants benefitted from developing trustful relationships, informal networks and some gained leadership roles. Find out more about these collaboratives and how they changed their practice.
What do GP practices need to consider before applying?
Each GP practice will need two team members to attend each Learning Session, of which there will be 6 running between May and November. GP Practices apply alongside the practices within their locality, rather than as an individual practice.
The collaborative aims to support you and your colleagues in a local Quality Improvement project through these sessions, with the Local QI Lead visiting your practice and through contact with the GP Lead for the programme. It may be that a Local QI Lead already works in your practice or locality, in which case they will likely lead your local project alongside one other named participant.
What if our GP Practice is small and we cannot release two staff to attend?
We would strongly suggest that if possible two representatives from each GP Practice should attend the Learning Sessions. Ideally, these would be the same two each time. This will mean that you are able to make greater progress with your local project and these individuals will get more out of the sessions. However, any Primary Care staff from your GP Practice can attend. If for some of the Learning Sessions this is not possible, one of the two named participants should attend, as the more sessions they attend, the more useful the sessions will be for them and your local project.
What is the difference between a collaborative and a locality?
A locality is a group of GP Practices within your CCG’s network. Each GP Practice belongs to a locality. If you are not sure which locality your practice belongs to, visit your CCG website or ask a colleague in your practice.
For the purpose of this programme, localities will be grouped to form ‘collaboratives’. For larger localities, they may be the only locality within a collaborative. For smaller localities of only a few GP Practices, their locality will be paired with others to form a collaborative. Which collaborative your locality is assigned to will be decided following the application process and based on geographical area, priorities and numbers.
Does the whole locality need to take part?
GP Practices apply alongside all the practices within their locality, rather than as an individual practice. The locality can still apply, even if not all practices are keen to be involved.
Will we be working with other practices?
Localities will apply as a group, rather than individual practices applying. Collaborative working within localities and within your collaborative is expected throughout. Sharing learning, information and any appropriate data relating to your practice’s project.
What will my practice get out of taking part?
The aim is to increase you and your colleagues’ capability and skills in quality improvement so that you can continue to use and apply it to improve the service and care you deliver. Through support from your CCG and UCLPartners, two people in your practice will receive training and professional development opportunities to enable them to plan, initiate and measure a project locally. You will receive support throughout the year to put these skills into action and make the work sustainable.
What kind of projects would we work on?
This will be up to your locality to focus on. It may be that you choose to focus on something different for your project once the collaborative has started, however we suggest that you start to think about what you might like to concentrate on prior to this.
We suggest that you think about systems and processes, rather than only clinical priorities, for your project over the course of the programme as you will likely see results and improvements more quickly, and therefore build your team’s confidence and knowledge to move on to clinical topics in future. There are priorities for service delivery within your CCG which you may like to consider as the collaborative could support and underpin these. The Local QI Leads and Learning Sessions will help you to plan and formulate the aim of your project in detail.
Will everyone in the practices receive training?
Each collaborative will have two Local QI Leads who will receive extensive training in QI methodology and tools at the start of the programme. They will support all the practices in their collaborative to set up and undertake their local projects with the support of the GP Lead.
The named participants in each practice will attend the Learning Sessions, along with the Primary Contact for the locality, during which they will be trained in QI methodology and tools to enable them to carry out their local projects. Projects will involve all members of your team in your practice, although likely to varying extents, and the hope is that all team members will be familiar with Quality Improvement work by the end of the year.
How many GP Practices will there be in each of the four collaboratives?
Each collaborative will be made up of localities. For larger localities, it may just be their locality within the collaborative. For smaller localities, there may be more than one locality within a collaborative. The aim is to have between 8-12 practices within each collaborative. Rather than individual practices registering interest to take part, localities will apply as a group of practices.
What role will the Local QI Leads play?
There will be eight Local QI Leads across the region to support the collaboratives. These individuals will undergo training in Quality Improvement methodology, as well as coaching skills, over six days. Throughout the collaborative, they will have dedicated time to provide hands-on support to practices to run QI projects and will help with the delivery of the six learning sessions.
What role will the GP Lead for the South East Essex Quality Improvement Collaborative play?
The GP Lead will be the clinical lead of all four of the collaboratives, supported by a UCLPartners Improvement Advisor, and working closely with the Head of Quality and Capability Development Programmes, and Professor Martin Marshall, Programme Director for Primary Care Development.
They will oversee the operational delivery of the collaboratives, including creating content and delivering training during the Learning Sessions to team members from the GP practices taking part. They will also be responsible for continuing to develop the skills of the eight Local QI Leads for the collaboratives through coaching and hands on support.
I am from a practice and would like to take part. How do I know if my locality is participating?
Prior to applying, the Primary Contact for the locality should get in touch with all GP Practices within the locality. If you do not know if your locality is looking to take part, contact other GP Practices within your locality who should be able to either direct you to the Primary Contact or, if they are not currently applying, you can discuss getting involved.
How can my locality register interest in taking part?
If your locality would like to register their interest in taking part in the programme. A nominated team Lead can fill in a form. Please see ‘Guidance on completing application form below’.
Stories from previous collaboratives
Watch a team from Newham talk about their experiences:
The sessions below are integral to the programme and it would be ideal for the named participants from each practice to attend all sessions. However, we recognise that this is not always feasible, and so would look for a them to attend the majority and for someone else from the team to attend in their place when they are not able to.
The named participants from each practice should attend at least the first and last sessions, plus one in the middle of the programme. Those sessions which they are not able to attend, colleagues from their practice should attend in their place.
• If your local QI Lead works in a practice, they will be included within the two/three team members attending.
• Each session will be one session long (3-4 hours), held within your locality or a neighbouring locality between 9am and 5pm.
• There will also be a summit event during the third week of November details about which will be shared nearer the time.
Please share the dates of the Learning Sessions below with the practices in your locality to ensure that the relevant named participants can attend.
Programme contents Dates
• Session 1 May
• Session 2 Jane
• Session 3 July
• Session 4 September
• Session 5 October
• Session 6 November
Site visits by the GP Lead and Local QI Lead will be agreed in partnership with your Practice
Guidance on completing the application form
We recommend you save the application form to your own computer before completing it. The application should be submitted using the following format: ‘Locality’, and ‘Primary Contact’ eg: ‘North West Locality – Jane Smith.docx’ submitted to email@example.com
The deadline for registering interest is midnight on Sunday 17th March 2019.
Please note that a nominated Primary Contact will need to sign the application before submission, so you will either need to use an electronic signature or scan section 4 of your application.
The sections of the form marked with an asterisk (*) will be used to populate a directory of participants, which will be shared with other participants if your organisation is successful for the programme. Please ensure these sections are accurate and don’t forget to let us know if any of these details change.
As part of the application process UCLPartners will need to collect and store some personal data about applicants. Download our Local Privacy Notice to find out more.
If you have any questions, please contact alexandra.hellyer@UCLPartners.com in the first instance. If you would like to get in touch about the programme with Castle Point & Rochford or Southend CCGs, please contact ryano’firstname.lastname@example.org
For correspondence purposes, we will liaise with the Primary Contact from each locality.