Posted on: 17 January 2020


Happy New Year 

We look forward to accompanying you all on your QI journeys throughout the year. As QI continues to spread throughout CNWL with more staff learning about the model for improvement, we have decided to embark on some improvements ourselves. This month’s newsletter is therefore the final QI newsletter in this format. Next month we will be launching a new and improved version. We welcome your feedback . If there is anything you’d like to see get in touch at      

Reducing waiting times for children in Milton Keynes using video counselling

A CNWL team working with young people with mental health difficulties in Milton Keynes has successfully run a QI project to reduce waiting times by increasing use of online appointments. An increase in demand for services meant that staff needed to consider new treatment options. They teamed up with a company called Healious, who use video calling technology, to provide patients with video appointments online.
Stacey Sharp, CNWL Milton Keynes CAMHS Team Manager, said “QI methodology helped us to identify which patients would benefit from video appointments.

“This was key; as it allowed patients to receive treatment quickly, and therefore patients not suitable for video counselling could be seen quicker in the clinic. It has other benefits too such as saving on travel time.”

Alongside new technology, the team also recruited a new clinical lead and additional staff to allow more patients to be seen. Since these changes were implemented there has been a 27% reduction in waiting times for treatment.

Involving patients in QI in Rehab Services


Patients at 2 Colham Green Road in Hillingdon are currently taking part in a ‘Big I’ Quality Improvement (QI) project. ‘Big I’ means the QI project has direct and meaningful patient involvement for the duration of the project.

The project at Colham Green Road encourages patients to exercise at least twice a week and supports patients to eat healthy foods through educational sessions and cooking classes. Patients are able to track their progress through a recording sheet they complete themselves.

The aims and methodology of this project were all decided by the patients with the support of staff. Bobby Mahabir, Ward Manager, said “Involving patients from the start was important because we wanted to make sure we undertook an improvement project that patients found helpful and engaging, after all this is their journey.”

Hannah Pell, Senior Occupational Therapist on the unit said, “I knew patient involvement was key for this project to be a successful, and so far it has been. It means patients take control of their own wellbeing and use what they’ve learnt to continue exercising and eating healthily.”

We look forward to hearing more from the team as their project develops.

Violence reduction learning workshop


Staff involved with violence reduction QI projects from 10 services across the Trust met this month to work collaboratively and address the challenges they face in reducing violent assaults on their wards. They also celebrated the successes their projects have achieved so far. On the day project teams fully embraced the QI principal of ‘shamelessly stealing’ good ideas from each other.

Steve Cook, Jameson Divisional Director of Nursing, who chaired the event, was delighted with how well attended the workshop was and how well engaged the teams are. Teams showed real commitment to achieving a reduction in violent incidents on their wards.

The workshop marked Steve Cook’s last direct involvement with the violence reduction project teams before he leaves for pastures new later this month. We wish him well. Steve will be replaced in the role of Divisional Director of Nursing (Jameson) by Kim Cox.


Staff Gem Awards: Now accepting nominations for outstanding quality improvement projects

You may have seen we have a gems category for “Outstanding Quality Improvement Project”. 

This award is for a Quality Improvement (QI) project that has demonstrated significant improvement with benefits for patients, staff, operational processes and/or the wider organisation.

Nominations should demonstrate the Trusts core values, aligning with strategic QI priority areas and bring added value to the organisation. 

The nominated project must be logged on Life QI with evidence of measurement for improvement and a score of 3.5 or more, indicating sustained improvement.

Complete the survey monkey form for Outstanding QI Project 

Deadline for submissions is: 14 February 2020.

We look forward to celebrating with you.

Life QI Tip of the month: Any CNWL staff member can register


Over 1400 staff have signed up to use Life QI with over 500 improvement projects registered since November 2017.

If you would like to sign up to Life QI you can do this without needing to fill out long forms. It’s a simple online process to sign up with your NHS email account. Once the form is completed it goes through a short verification process.

CNWL Quality Improvement Spring Learning Exchange
Safety and Quality - Booking now open!

Monday 23 March 2020, 8.30am to 5.00pm

Our fifth QI Learning Exchange is set to take place on Monday 23 March 2020 and we have an exciting programme, including a selection of masterclasses for different levels of QI learning.  Guest speakers from Kings College Hospital and The Health Foundation will get us thinking at the beginning of the day and there’ll be a session on understanding the human side of change.

The Learning Exchange is a great opportunity to start, continue or refine your QI knowledge and skills training with interactive masterclasses for all levels of the QI journey.

There will also be our world café poster displays, networking and showcasing of projects in CNWL’s Central QI Programmes on Falls and Violence Reduction.

The event is open to all staff, service users and carers from any divisional or corporate service.

Book your place now by logging onto LDZ and searching for ‘Learning Exchange.

Goodall QI Clinical Lead vacancy  

An exciting new opportunity available to you!
•    Do you have a track record of improving patient care/experience?
•    Can you motivate and inspire people?
•    Are you a systems thinker?
•    Do you have training in the Model for improvement?

If yes, this may be the job for you.

Please note: this role is open to staff members who work in Goodall Division or are be able to demonstrate a good knowledge of service within Goodall Division

An exciting opportunity has arisen to join the trust’s central QI support in the role as the Divisional Clinical QI Lead for Goodall. We are looking for a motivated person who has a good understanding of QI methodology and is willing and able to support frontline staff to design and deliver QI projects.

The post holder will work closely with the Trust Clinical QI Lead and Trustwide QI Programme Lead to oversee the development of our capacity and capability for continuous improvement within their division.

You can access the role description here. It is expected that the post holder will dedicate one day per week to these responsibilities and it is initially for a period of two years.

To apply, please send a brief outline why you think you are the right person to lead on this to Bridget Browne, QI Programme Manager ( by Friday 31 January 2020. For an informal discussion please contact Simon Edwards, Trustwide QI Clinical Lead on (

Interviews are to be held on 6 February 2020.

Anticipated start date: 1 March 2020.