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.
Safety Culture Survey
Safety Culture Survey provides participants with the tools, skills and knowledge to oversee the successful implementation of safety culture surveys in organisations. Participants of this programme will develop a working knowledge of the Agency for Healthcare Research and Quality (AHRQ) safety culture survey and the support that Aqua provides to enable deployment and analysis of […]
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. Working with our team of […]
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, interpretation and analysis of data […]
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 skills in digital curation. Community […]
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. By attending this programme, participants will be able to utilise their learning to demonstrate skills and knowledge development by planning and implementing improvements utilising basic Lean methodology and tools.
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 the opportunities for using AI […]
Improvement Practitioner has been designed to support participants leading services and directorates in delivering and evidencing a local QI piece. The programme will help develop improvement projects from start to finish; from identifying issues requiring change, planning and engaging others in the improvement process, delivering changes across complex environments and effective evaluation to embed and […]
Improvement Coaching and Engagement
Our Improvement Coaching and Engagement programme is designed to support people who want to develop their skills as an improvement coach and gain better engagement for their improvement activities. During the programme participants will have opportunities to explore their own challenges through: using coaching techniques to a better understanding of processes and people developing ways […]
Improvement by Design
Aqua’s bespoke programmes will be co-produced to support the delivery of your specific quality improvement priorities. Our bespoke programmes aim to build participants improvement capability. The programmes offer opportunities to align and draw on expertise to help deliver against specific operational challenges that maintain organisational learning and enable service development. Our expert team will work […]
Anchored in Place
Anchored in Place connects with other public sector organisations and harnesses the energy and passion of local communities. ‘Anchoring’ systems can shift to a community paradigm rather than organisational paradigm; doing with and not to people. Anchor Institutions are large, typically non-profit organisations like hospitals, local councils, and universities whose long-term sustainability is tied to […]
AIP by Design
This Advanced Improvement Practitioner (AIP) programme will help improvement leaders to understand improvement leadership at a micro, meso and macro level. Our health and social care systems need improvement leaders who can navigate their settings with confidence and authenticity, capable of creating and shaping psychologically safe environments for their teams in order to foster a […]
The home of Aqua’s learning and resources.
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.
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’.