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Quality improvement

Quality improvement processes and techniques

Highlighting developments in quality improvement.

Learn more about developments in quality improvement through content giving practice examples, describing tools, learning through innovation and case studies, commentary and statistics.

Audit, reviews, legislation, inspections and regulation

Care Inspectorate

Prevention and Management of Pressure Ulcers Standards September 2016

In 2015, the Scottish Government commissioned Healthcare Improvement Scotland to develop standards for the prevention and management of pressure ulcers as part of a review of tissue viability services. The new NHS Scotland Prevention and Management of Pressure Ulcers Standards will apply to any person at risk of, or identified with, pressure ulcers regardless of age (including babies and children) and apply to services and organisations responsible for pressure ulcer care across health and social care.

Care and Social Services Inspectorate Wales (CSSIW)

New adult and children’s home inspection framework launched

The CSSIW has launched a revised inspection framework that focuses on people’s well-being outcomes and brings changes to inspection reports, making them more accessible and providing clearer conclusions about the quality of care people received.

Health Committee

NHS finances examined with stakeholders

The Health Committee hears evidence from NHS stakeholders on the current state of NHS finances.

Healthcare Inspectorate Wales (HIW)

NHS Hospital Inspections Annual Report 2015-16 published

HIW completed 8 unannounced NHS hospital inspections during 2015-16 across six health boards in Wales. A total of 44 NHS wards were visited across a diverse range of departments. During those inspections HIW also took the opportunity to check on the progress made by health boards in relation to the recommendations made following their inspections in 2014-15

Medicines and Healthcare products Regulatory Agency

Dodgy dental equipment could come back to bite you

The internet provides easy access to a wide and diverse range of medical products and there has been rapid growth in sites offering cheaper alternatives but some of those being sold have not been properly tested and are not authorised for use in the dental sector in the UK.

Public Health England (PHE)

Review of the Nutrient Profiling Model

The NPM was originally developed by the Food Standards Agency to provide Ofcom, the broadcast regulator, with a tool to differentiate foods and drinks on the basis of their nutritional composition. The model aims to restrict TV advertising for products that are high in fat, salt or sugar to children.

Public Health Wales

Environmental Public Health in Wales Annual Review published

Public Health Wales’ Environmental Public Health Team has published their fourth annual review. The review highlights the range of work undertaken by the Environmental Public Health Service* during 2015/2016.

Guidance, innovation and tools

Department of Health (DH)

Take part in DH website survey

The DH are keen to know what you think of the DH website and how you use the range of content that they publish. Your views will help them to improve our content and ensure it continues to meet your needs.


Fab Change Day 2016

NHS Fab Change Day returns for 2016. NHS Change Day started in 2013 and was the biggest day of collective action for improvement in the history of the NHS. A countrywide event in England, NHS Change Day was a grassroots initiative devised and driven by a small group of emerging clinicians and improvement leaders. Their idea was to create a mass movement of National Health Service (NHS) staff demonstrating the difference they can make by one simple act, proving that large-scale improvement is possible.

NHS Employers

New guidance developed to help you integrate social media in your organisation

Covering three key areas: recruitment, staff engagement and HR policy, the guide aims to to help you integrate social media in your organisation.

NHS London Clinical Networks

Diabetes commissioning pack

This comprehensive commissioning pack aims to ensure excellent type 1 diabetes services for all Londoners. It consists of three parts: service specification, clinical management: optimal pathway, and implementation guide.

NHS National Institute for Health Research

HIV cure hope thanks to collaboration

Researchers are hopeful of a cure for HIV after treating the first patient with a promising new treatment that could kill all traces of the virus. A partnership sparked by the National Institute for Health Research (NIHR) is behind this collaborative UK effort for the new treatment, which is a first-of-its-kind. Six years ago this month, a meeting took place between five leading UK research establishments which resulted in a shared commitment to find a cure for HIV

NHS Networks

Guidance on commissioning medicines optimisation services from community pharmacy

The University of Manchester and PCC have launched a toolkit to support commissioners to plan, design and evaluate services provided by community pharmacies for patients requiring medicines.

NHS Right Care

Cardiovascular disease prevention optimal value pathway

NHS RightCare has published an optimal value pathway on cardiovascular disease prevention which commissioners are asked to consider during the “what to change” phase of their RightCare work. This is the first in a series of evidence-based pathways which are being developed.

NHS Wales Information Quality Improvement

New delivery plan to improve mental health and well-being in Wales, launched by Vaughan Gething

On World Mental Health Day, Health Secretary Vaughan Gething has today launched the Welsh Government's new delivery plan to improve mental health and well-being in Wales. Together for Mental Health is a ten year, cross government strategy designed to improve the mental well-being of all residents in Wales. It covers all ages and contains a range of actions to support people with severe and enduring mental illness.

Public Health England (PHE)

Homelessness: applying All Our Health

Evidence and guidance to enable healthcare professionals make improvements against wider factors that affect health and wellbeing.

Royal Pharmaceutical Society

The Royal Pharmaceutical Society launches guidance on the additional monitoring of medicines

Working with the APBI Pharmacovigilance Expert Network, the society has produced a ‘Quick Reference Guide’ and a more detailed ‘Advice for Pharmacists’ document on the EU wide scheme for the additional monitoring of medicines, commonly known as the black triangle scheme.

Welsh Government

Protect tomorrow by helping today: people encouraged to sign up to innovative research project

People in Swansea and the surrounding areas are being encouraged to find out more about an innovative research project designed to better understand the health of the nation.


Dragons' Den rejected me but my invention is saving lives across the NHS

Nurses describe their innovations, from a deep vein thrombosis preventative aid to a telehealth service for MS patients

Reports, commentary and statistics

BBC News

Type 2 diabetes: Data reveals hotspots for cases

Prescriptions for type 2 diabetes have risen by a third in England in the last five years from 26 million to 35 million a year, according to NHS data. The analysis of the data also shows there are hotspots for the disease in London and Lincolnshire, with the London borough of Newham having twice the national average of prescriptions.

Care Quality Commission (CQC)

CQC inspectors highlight outstanding and good care as reports are published on 113 more GP practices

In the past week, CQC has published a further 113 reports on the quality of care provided by GP practices that have been inspected by specialist teams of inspectors. Under CQC’s new programme of inspections, all of England’s GP practices are being given a rating according to whether they are safe, effective, caring, responsive and well led.

King’s Fund

New care models

This report looks at the different approaches being taken by MCP and PACS vanguards to contracting, governance and other organisational infrastructure. It focuses on developments at five sites: Dudley; Sandwell and West Birmingham (Modality Partnership); Salford; Northumberland; and South Somerset (Symphony Project).

King’s Fund

The evolving NHS

The NHS is evolving. Following the publication of the NHS five year forward view, a number of ‘vanguard’ sites are developing new models of care in which commissioners and providers are working together in different ways to achieve closer integration of services. This page pulls together related reports, blogs and commentaries.

NHS Digital

Survey shows one in three adults with common mental disorders report using treatment services.

One in three adults (37 per cent) aged 16-74, with conditions such as anxiety or depression, surveyed in England, were accessing mental health treatment in 2014. The results of the Survey of Mental Health and Wellbeing4, published today by NHS Digital, show that this figure has increased from one in four people (24 per cent) since the last survey was carried out in 2007.

NHS England

New cancer ratings published

NHS England has published new ratings providing a snapshot of how well different areas of the country are diagnosing and treating cancer and supporting patients. Based on data published over the course of the last two years, the Clinical Commissioning Group Improvement and Assessment Framework provides an initial baseline rating for six clinical priority areas, including cancer.

NHS England

Developing mental health services for veterans in England engagement report

Towards the end of 2015, NHS England began a programme of pre-engagement to prepare for and shape the launch of a formal engagement on NHS veterans’ mental health services to help inform future service provision and improve care. This document provides an analysis of the responses to the engagement on developing mental health services for veterans in England.

NHS England

Consultation on the clinical commissioning policy proposition: commissioning medicines in children

NHS England has launched a public consultation on a clinical commissioning policy proposition for commissioning medicines in children. There has already been extensive engagement on this national policy, it has been developed with the support and input of lead clinicians and patient and public representatives. The closing date for comments is 4 November 2016.

NHS Scotland Quality Improvement Hub

Report praises "innovative approaches" to improving care of people with dementia in Scotland

A new report from Healthcare Improvement Scotland has praised the wide range of "innovative approaches" that NHS boards across Scotland have been developing to improve the care and experience of people with dementia, their families and carers within acute hospitals.

NHS Wales Information Quality Improvement

Ambulance target met for almost a year

The Welsh Ambulance Service responded to almost 80 per cent of the most life-threatening calls in eight minutes or less in August, meeting the target for the eleventh successive month and achieving the best ambulance performance since the introduction of the clinical response model pilot last October.

Public Health England (PHE)

Sustainability in Public Health England

These reports outline the sustainable development activities in PHE, regarding its carbon footprint and its impact on the environment.

Public Health England

Increase in the number of people dying with dementia

Public Health England has launched a range of products which examine the deaths of people recorded with dementia between 2012 and 2014. Figures show the number of deaths with a mention of dementia was: 6.6% of all deaths in 2001 15.8% of deaths in 2014. This is most likely due to an increase in awareness and recording of dementia.

University of Manchester

National confidential inquiry into suicide and homicide by people with mental illness

This report presents findings relating to people who died by suicide in 2004-2014. It found that over 200 suicide deaths per year now occur in patients under mental health crisis teams, three times as many as in in-patients.

Welsh Government

Together for mental health

This is a ten year, cross government strategy designed to improve the mental well-being of all residents in Wales. It covers all ages and contains a range of actions to support people with severe and enduring mental illness. The first delivery plan covered the period 2012-15; today's strategy covers 2016-19.

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