Issue 15: May 2011

Clinicians and Quality Improvement
You may find the following resources on clinician engagement useful :


Are clinicians engaged in quality improvement?
This update from the Health Foundation builds on their original review in 2006. It seeks to clarify what is already known about the views of UK healthcare professionals about quality improvement.

How do you get clinicians involved in quality improvement? An evaluation report from the Health Foundation.

Clinical Engagement from the NHS Institute for Innovation and Improvement.
Clinicians and managers may take different approaches to improvement, but they are both integral to achieving successful change. These tools will help when considering clinical engagement:
Stakeholder analysis; Bullet proofing ; Addressing uncertainty; The art of listening.

Clinical Engagement in an Acute Setting from No Delays Scotland


Whole Systems Approaches
Whole System Approach to Improving Emergency and Urgent Care for Children and Young People guide
This guide from the NHS Institute gives practical guidance and real examples of how teams have worked collaboratively, across organisational boundaries and as a whole system, to enhance the quality of children's and young people's emergency and urgent care.


No Delays Scotland’s
A Focus on the Whole Patient Journey and Improving healthcare systems by managing variation and patient flow may also prove useful.

See also the Institute for Healthcare Improvement’s
Whole System Measures.


eQIPP website
NHS Improvement’s website dedicated to QIPP. Featured this month: Lung

Read May’s
Lung Improvement Bulletin.

Home Oxygen Service - Assessment and Review: Good practice guide (April 2011)

How to involve Patients and Carers in Service Redesign

How Data Can Help When Improving Respiratory Diagnostic Services


This month’s tool: Bullet Proofing
Bullet Proofing is a tool to help identify and plan for potential obstacles by asking questions such as ‘what could possibly go wrong?’ and ‘what are some of the difficulties that could occur?’

See the NHS Institute’s bullet proofing tool. No Delays Scotland has a similar tool. You may also find the Institute for Healthcare Improvement’s mistake-proofing and error-proofing tools useful.



This bulletin is brought to you by Library and Knowledge Services. It aims to keep you up-to-date with clinical governance issues. At the beginning of each month, a librarian will update the bulletin with relevant information published in the preceding month. If there are areas you think we also need to cover,
please let us know.
This bulletin is brought to you by Library and Knowledge Services. It aims to keep you up-to-date with improvement and QIPP issues. At the beginning of each month, a librarian will update the bulletin with relevant information published in the preceding month. If there are areas you think we also need to cover, please let us know.