Build Capability

Build Capability and Organisational Systems for Improvement

We will work with you to co-create quality strategy and design the improvement infrastructure. Through a wide variety of programmes, we will equip individuals and teams to use proven quality improvement methods, implement best practice, share learning and spread innovation.

Applied Shared Decision Making for Teams

Our Applied Shared Decision Making for Teams programme will support participants to understand shared decision making (SDM) and the need for change in current practice. It will enable you to explore the benefits of practicing SDM and the key challenges to implementing it. This programme will support participants to: understand […]

Personalised Care Learning Collaborative

This mini Learning Collaborative is aimed at a small number of committed teams who want to improve their approaches to personalised care.    This 6-month programme will help your team:  Understand the need for change in current practice, consider the benefits and challenges of practicing Personalised Care and the tools […]

Measurement Masterclass

The Measurement Masterclass helps you create different types of charts and use them to support improvement. The course will cover: Which charts to use and when to use them Statistical Process Charts (SPC) charts Other types of charts, such as funnels plots, scatter plots and histograms Using and interpreting confidence […]

Human Factors Basics

Do you have an interest in improving safety, effectiveness, efficiency, or personal wellbeing? Human Factors is an approach that can help you understand how people, systems and processes can go wrong, then supporting the design of great solutions. It is already recognised as a fundamental aspect of strategies to reduce […]

QI Basics

QI Basics has been designed to allow participants to explore the fundamentals of Quality Improvement in an informative and interactive package. Each module is based on a theme, building on from the other, therefore the package has been designed to be carried out in numerical order. On successful completion of […]

Safety Culture Survey

This programme provides participants with the tools, skills and knowledge to oversee the successful implementation of a safety culture survey in organisations. Participants of this programme will develop a working knowledge of safety culture theory and the Agency for Healthcare Research and Quality (AHRQ) safety culture survey alongside the support […]

Medical Leaders in Practice

Medical Leaders in Practice is aimed at medical staff that have a basic understanding of Quality Improvement and are looking to develop their understanding of its application within their environment. This programme is designed by QI medical leaders for medical colleagues and will provide the key elements of Quality Improvement. […]

Measurement for Improvement

Measurement for Improvement provides an in-depth look at both the theory and practical analysis techniques to apply to your day to day work. Through an interactive workshop participants will understand and create Statistical Process Charts (SPC) charts, have confidence in identifying different types of measurement and when to use them, […]

Lived Experience Curation

Lived Experience Curation allows participants to use community reporting methodologies to explore how stories of lived experience can be used to enhance professional practice in health and social care settings. Aqua has worked in partnership with People’s Voice media to develop a programme for health and care professionals to gain […]

Introduction to Lean in Healthcare

Introduction to Lean in Healthcare is designed to help participants to understand the principles of Lean and how the methodology aligns with Quality Improvement. Lean thinking identifies the least wasteful way to provide better, safer healthcare to your patients – with no delays.* By attending this programme, participants will be […]

Introduction to Improvement

Introduction to Improvement is an entry level programme that is specifically designed to introduce the basic tools and theory that support delivery of quality improvements. Participants will have the opportunity to apply the tools to an improvement project in their own work environment. This is a foundation level programme.

Introduction to Appreciative Inquiry

Introduction to Appreciative Inquiry supports a process for facilitating positive change in human systems. This includes working from a positive, strength-based and asset-based standpoint to improve health and care. This programme aims to help participants understand and implement the principles and practices of Appreciative Inquiry (AI). Participants will also explore […]

AQ: Improving Care for Patients with Sepsis in an Acute Trust

Southport and Ormskirk Hospital NHS Trust provides acute hospital services to 258,000 people across Southport, Formby and West Lancashire. Acute care is provided at Southport and Formby District General Hospital and Ormskirk and District General Hospital. Sepsis accounts for around 1,200 acute admissions to the trust each year.

AQ: Aintree Improvement Journey for Patients with Alcohol Related Liver Disease

Aintree University Hospital NHS Foundation Trust joined the Advancing Quality (AQ) programme at its launch in 2008 and is currently participating in eight clinical focus areas (CFA), this includes Alcohol Related Liver Disease (ARLD).

AQ: Reducing Avoidable Harm through Patient Assessment & Escalation

In patients who are, or become acutely unwell in hospital, there is evidence that deterioration is not always recognised or it is not acted on rapidly enough (NICE, 2007). The Walton Centre NHS Foundation Trust wanted to improve observation recording, recognition and response to deteriorating patients using the NEWS assessment tool.

AQ: Reducing Mortality in Community Acquired Pneumonia (Liverpool University Hospitals NHS Foundation Trust)

The NICE (2014) guidance publication ‘Pneumonia in Adult: Diagnosis & Management’ covers diagnosing and managing Community Acquired Pneumonia (CAP) in adults. Its aim is to improve the accurate assessment and diagnosis of pneumonia to help guide antibiotic prescription and ensure that people receive the right care. It estimates a mortality rate between 5% and 14% for patients admitted to hospital with CAP.

AQ: Serum Lactate in the Treatment of Sepsis

he Royal Liverpool & Broadgreen University Hospitals NHS Trust (RLBUHT) identified an opportunity to improve the early diagnosis of patients with sepsis. Evidence suggests that the sickest sepsis patients have high levels of serum lactate. Timely measurement of serum lactate levels in patient pathways can improve early diagnosis which will lead to improved outcomes.

AQ: Embedding Early Assessment In Out of Hours Primary Care

Sepsis and deterioration is a huge clinical problem and 70% of sepsis cases originate in Primary Care. In the last five years we have experienced a culture shift in primary care; from seeing sepsis as an acute condition that is difficult to detect, to recognising the need to actively assess patients where infection could be causing significant illness or deterioration.

AQ: Effective Management of Frailty in Hip & Knee Replacement (Wrightington, Wigan and Leigh Teaching Hospitals NHS Foundation Trust)

NHS England defines frailty as ‘where someone is less able to cope with and recover from accidents, physical illness or other stressful events’1. As the population ages, so frailty rates increase, presenting challenges to care systems. Elective hip and knee replacement patients undergo pre-surgical checks to ensure they are able to cope with their procedure.

AQ: Improving the Management of Acute Kidney Injury (AKI)- Role of the AKI Pharmacist

The 2009 NCEPOD report, Adding Insult to Injury, reviewed outcomes for patients with acute kidney injury (AKI) in hospital. The report found that medication was the most common AKI risk factor not assessed and only 15% of patients had their medication altered to renal doses. The national AKI programme Think Kidneys advises that medicines optimisation is essential to reduce the risk of AKI and mitigate its severity if it occurs.

AQ: Improving Care for Patients with Sepsis in an Acute Trust

Sepsis is a life-threatening condition which has in recent years become a high priority for healthcare providers. Early recognition and prompt management of sepsis can improve outcomes for patients, reducing the risk of mortality and morbidity. This could potentially save 14,000 lives and result in 400,000 fewer days in hospital for patients every year, according to estimates by the Sepsis Trust.

AQ: A Collaborative Approach to the Management of Acute Kidney Injury (AKI)

Southport and Ormskirk Hospitals NHS Trust has established a steering group to improve care for patients with AKI. The group is using the care bundle data from the Advancing Quality Alliance (AQuA) Advancing Quality (AQ) AKI programme to monitor care delivery for patients with AKI and to provide a framework for improvement.

AQ: Improving the Ultrasound Scanning Process for Patients with Acute Kidney Injury

Acute kidney injury (AKI) may sometimes be caused by an obstruction in the urinary tract, which can require treatment with a nephrostomy. It is important that people with AKI who are suspected of having a urinary obstruction receive an ultrasound scan early in their management, as outlined in national guidance (NICE, 2019).

AQ Insight Reports: Case Study

More patients are admitted to hospital as a result of pneumonia in the north of England compared to the south. In the North West in 2019, the rate per 10,000 population was 58.5. To help reduce unwarranted clinical variation and health inequality, capture best practice and share evidence-based insights to AQ members across the North West, the AQ team created ‘Insight Reports’.

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