Happy New Year to everyone in the Respiratory community!
I am sure that many of us are happy to say goodbye to 2016, and are hopeful for something better in 2017. So, at a time when you may be making New Year resolutions and drawing up action plans to make your work-life run smoothly this year, we thought we’d suggest some QIPs you may wish to consider. Choose something you really care about, and which your department will get on board with, and get some help from junior doctors. QIP should be a collaborative effort, so don’t forget to involve specialist nurses, physios, pharmacists, managers and physiologists too if relevant to the project. The more people are invested, the more likely you will be successful in making a positive change to improve patient outcomes and experience.
BTS audits and QIP
- Adult Asthma Audit 2017 – there’s still time to enter data until 27th Jan (deadline extended in view of winter pressures). Covers admissions 1st Sep – 31st Oct 2016. You can then use the report comparing local to national practice as a basis for a focused QIP. You may wish to use the BTS care bundle for patients with asthma discharged from A&E (and/or MAU).
- Smoking Cessation Audit 2016. The 2016 national smoking cessation audit was unique in its scope and size: reviewing the smoking cessation & smoke-free policies and practices of 146 hospitals in April and May 2016 and including the analysis of 14,750 patient records. The report with recommendations for quality improvement is available to download from the Reports section of the BTS Audit Tools website and here. How do your local results stack up? You may also be interested in exploring the smoking cessation resources available on Respiratory Futures.
- Community Acquired Pneumonia – although not currently collecting audit data on a national scale, the BTS has produced a care bundle based on previous work. Is your trust implementing the components effectively? Now is the season to find out as there are plenty of cases!
- COPD – now is an exciting time in COPD data collection! The National COPD Audit Programme secondary care workstream of the RCP are moving to continuous data collection from February 2017. Is your Trust ready? How will you use the data locally? A number of resources have already been produced, showcased at an event in 2016, and now available for download. Don’t reinvent the wheel – use other people’s great ideas!
- At the Bronchoscopy training day for new ST3s we suggested a number of QIPs which we think are low effort, high impact. These are based on the latest BTS guidelines for diagnostic and flexible bronchoscopy. The associated quality standards are a great place to start thinking about where your focus should be. Is your department using a safety checklist? How safe is your safe sedation practice? Have you conducted a patient satisfaction survey lately? There is even a pre-written example Patient Satisfaction Survey. All you need to do is edit it based on local circumstances and give out at the next few lists you do. Simples!
- The Respiratory Futures website has a growing number of programmes with resources relevant to QIP. These currently include inhaler use, oxygen, OSA, breathlessness services, smoking cessation and Pulmonary Rehab.
- The NHS Academy of Fab Stuff hosts examples of QIPs done by groups across the country. Borrow their great ideas and implement locally. Time with Fab Change Day (which was in October last year) to maximise interest and energy in your Trust. There are even awards!
General QIP advice
- Consider joining the UCLP Leadership Development Programme (currently closed to applications but keep an eye out if you are interested in the future)., You might instead want to attend the 1 day Introduction to Quality Improvement course on 25th Jan or 22nd March, which will give you a grounding in PDSA and run-charts! These sound like you are joining a cult, but in fact they are tools to make sure your efforts are targeted, and importantly that you are able to measure change. Great skills to acquire pre-Consultant interviews. These are FREE.
- Don’t forget that you also need to do at least 1 GIM QIP before CCT so keep your eye out for opportunities. With services so stretched at the moment this may be challenging, but your QIP could be related to referral pathways, provision of pleural services, triage of inpatient referrals etc. Think about what would make your life easier, as this is likely to lead to you being able to provide better care. Talk to your Consultant or the Acute medical team about what they would consider ‘counts’ as GIM rather then Resp (since Resp is a lot of GIM!).
- Have a look at our QIP pages for more links to useful resources.