Thursday 22 May 2025 | 13:15-14:30

Format: Workshop

Stream:

Content filters: Recommended for those working at system level in QI

Session chair: Aidan Fowler National Director for Patient Safety; England

PART ONE: Co-designing the future of Quality Management Systems, together

Many healthcare organisations are searching for the optimal quality management system (QMS) not as a transactional exercise but to deliver the highest possible health and care possible. This is happening in a rapidly changing context, with workforce shortages, and fewer financial resources; but we also have more available data, more informed communities, advancements in AI and an ever-growing evidence base on quality. Choices will have to be made by clinicians, managers, researchers and policy makers about the future of QMSs.

For instance, is the prevalent Juran trilogy (Design-Control-Improvement) alone enough moving forward?

Based on experiences from Jönköping, British Columbia and Flanders, we will share opportunities and pitfalls through these three case studies and international evidence. At the conclusion of the session, we will arrive hand in hand with active participants at a set of concrete recommendations that you can translate to your specific context.

In this session, participants will:

• Understand the basis of Quality Management Systems


• Know how 3 regions collaborate with healthcare organisations in designing QMS


• Understand the opportunities and pitfalls of each of the three case studies


• Contribute to and translate a set of recommendations on the future of QMS to their specific context

Kris Vanhaecht Leuven Institute for Healthcare Policy, KU Leuven; Belgium

Pedro Delgado Institute for Healthcare Improvement (IHI); Northern Ireland

PART TWO: Striving for Healthcare Excellence via Integrated Management Systems – A ten-year journey at East London Foundation Trust

East London Foundation Trust (ELFT) has developed an integrated management system over the last decade, integrating quality planning, control, assurance, and improvement.

This workshop will discuss the evolution of this management system, transitioning from a top-down approach to a decentralised model which empowers services to implement local improvement plans that matter to them, aligned with the trust’s strategic goals.

The session will highlight the initial steps to balance quality assurance (QA) and quality improvement (QI), reducing over-reliance on assurance processes and introducing QI across the organisation. ELFT’s current assurance processes focus on co-produced priorities with meaningful audit cycles to enhance learning. A unique, high-impact service user-led accreditation scheme will also be shared.

Additionally, the workshop will cover the development of tailored quality control processes using real-time data to identify and escalate issues. The creation of an integrated visual management system in Power BI has been crucial for better quality control, which will be showcased in this session.

ELFT has integrated quality planning into its management system, creating a coherent, standardised approach to organisation-wide planning. Plans are co-produced annually with staff, service users, and communities, with a deliberate effort to link plans to formal quality improvement work.

In this session we will share insights from a decade of building an improvement system with embedded capabilities at every level, showcasing patient safety improvement work which powerfully demonstrates each part of the QMS working in harmony to ensure sustained improvement for our populations.

https://qi.elft.nhs.uk/elfts-quality-management-system/

https://www.ingentaconnect.com/content/mcb/ijhg/2020/00000026/00000001/art00008

In this session, participants will:

• Understand principles of a management system: gain insights into the fundamental principles that underpin the development of a management system


• Understand the benefits of developing a management system: discover how implementing a management system positively impacts service users and staff outcomes


• Assess their current management system: take the opportunity to evaluate your existing management system


• Identify areas for improvement and align your processes with best practices


• Network with peers to share best practice and learning

Eleanor Parker East London NHS Foundation Trust; England

Joanna Moore East London NHS Foundation Trust; England