Improvement Resolutions: Little Adjustments for Big Impact

Back to News/Insights

Jan 17 2020 Blogs

Sometimes, making small adjustments in the way we do things can lead to big impacts and achievements. This week, we’ve been focusing on how we can put our resolutions into practice and the steps we can take to do this.

Our third blog in the series is from Rebecca Ajibola, Programme Facilitator. Rebecca works on our Whole System Flow programme which supports systems and staff to explore Quality Improvement opportunities in their chosen pathway.

Having worked in AQuA for just over a year, I have broadened my knowledge of the NHS and I am now working more comfortably at regional level. With these come the demands and challenges for more effective daily operations, to this effect, I intend to make some changes in my daily admin tasks and I am going to do this the Quality Improvement (QI) way, specifically Plan DStudy Act.

My top tips? I have outlined my ideas below and hope that you find something useful that will get you going for your improvement resolution too.


Don’t dismiss the power of planning, even for the small changes! The same principles apply, ask those key questions. Why am I doing this? What do I want to achieve? Am I being realistic? Am I trying to do too much?

Have I answered these questions totally honestly – or am I being over ambitious? The point here is that the “WHY” plays a big part in how far you go. If the reason is compelling enough, then you have a good driver to break those barriers you might come up against as you progress.

Don’t go it alone, the journey is harder when there is no support, so it’s good to have people to check in with and get the motivation when you are losing steam.


Go ahead and start your change in “bite size”, maybe the quick wins. For instance, I now have a separate book for extracting my actions from my meeting notes, actions are noted on the dates I expected to have them completed (ahead of the actual deadline). I have a process around this which I am still testing out.  Daily personal planning! I’m reviewing the previous day’s work to ensure that I have all actions extracted and adequately allocated, this avoids those smaller things slipping away.


Observe as you go, don’t wait until after weeks of testing. It is highly likely that you will forget stuff along the way because life happens and being busy is the nature of what we do. Discuss your observation(s) with colleagues, other participants or your recruited support. Take note of what impact your change is having on others.


Make adjustments as necessary – depending on the nature of your test, you might be able to change some things quickly. If a number of people are involved, you should still be able to do so provided you have had the discussion and the tweak is agreed.

If you are happy with your achievements (achieved the aim), take it to the next level by applying the same process – PDSA!

I guess for me, I am on the row with my quick wins before focusing on the next big thing – you should see my driver diagram!

Next week, we’ll be focusing on how we can measure the results of our resolutions.

Keep up to date with all our improvement resolutions blogs, Tweets and get involved by tagging us @AQuA_NHS and using #improvementresolutions.

Sign Up For Updates

  • This field is for validation purposes and should be left unchanged.