Culture in Medicine and Healthcare
Quality and Service Improvement Resources
As well as providing health services, the NHS can use its resources and influence to maximise its social, economic and environmental impacts (social value) to improve the social determinants of health, health outcomes and reduce health inequalities. The NHS and wider health and care organisations, working in partnership with communities, local authorities and other public agencies, educational organisations, Voluntary, Community and Social Enterprise (VCSE) organisations and businesses, can make a difference in widening access to quality work, purchase for social benefit, use buildings and spaces to support communities, reduce environmental impact and improve close working relationships with local partners. HALN provides resources and ideas about how such developments can take place.
A resource to learn and explore further about patient safety. Patient safety is avoidance of unintended or unexpected harm to people during the provision of health care. The resources provided here support providers minimise patient safety incidents and drive improvements in safety and quality.
Getting It Right First Time (GIRFT) is a national programme designed to improve the treatment and care of patients through in-depth review of services, benchmarking, and presenting a data-driven evidence base to support change. It has more focus on hospital trusts but some parallels can be drawn for primary care. A section related to Learning from Litigation Claims: The Getting It Right First Time (GIRFT) and NHS Resolution best practice guide for clinicians and managers may be useful resource to visit. The guide gives a recommended structure for learning from clinical negligence claims that should be led by trust legal departments, supported by clinicians and managers. It outlines that claims learning should have the same parity as learning from clinical incidents. It is a rich resource to help improve patient safety in addition to learning from complaints, incidents and inquests.
Quality Improvement QI Projects
In 2019 the RCGP, in collaboration with NICE and the Health Foundation, RCGP was commissioned by NHS England and NHS Improvement to develop a series of quality improvement (QI) modules and guidance to form part of QOF. RCGP has continued to support general practice carry out this QOF activity by producing learning material for the QOF QI module topics supporting people with learning disability and early diagnosis of cancer. Additionally, guidance has been produced to support effective and sustainable QI within a primary care network (PCN). These resources are available on their website.