We embed strategies which deliver high quality care and regulatory excellence, continuous improvement and innovation-led change. Our programmes will support you to drive sustainable high quality care that is safe, elective, caring, responsive and well-led.
Well Led Tailored Solutions
Well-Led reviews assess the multiple components of how the leadership, management and governance of an organisation assure the delivery of high-quality and person-centred care, supports learning and innovation, and promotes an open and fair culture. We have developed approaches for our customers which support you to: Easily navigate the guidance. Add maximum value through refining […]
Well Led Developmental Reviews
Aqua has extensive experience in bringing a director led team of experts together to deliver Well-Led reviews. Working in partnership with MIAA, a leading provider of assurance services to the NHS, we have created an innovative and cost-effective partnership solution with the following features: dedicated review team directors with extensive experience of evaluating board leadership […]
Safety by Design
Safety by Design will support teams to embed safe care within their service. Participants will gain an increased understanding of safety, and ways to create safe practices within their teams. Providing an overview of the principle elements of safety, we will facilitate teams to identify their own safety challenges and then support them to implement […]
Quarterly Mortality Report
Our Quarterly Mortality Report provides information on mortality rates, quality of care indicators, and system/process measures that may affect the quality of care. The Quarterly Mortality Report compares Trusts in the North West with others and shows how each trust’s position has changed over time. Each report is supported by a quarterly webinar that explores […]
Personalised Care Teams by Design
Personalised Care Teams by Design will support teams to embed Personalised Care within their service. Starting with an overview of the fundamental elements of Personalised Care, we will facilitate teams to identify their own challenge in implementing Personalised Care and then support them to undertake an improvement project. This programme combines Personalised Care knowledge, including […]
Motivational Interviewing Techniques are communication skills that support a person centred approach to care delivery. Motivational Interviewing skills are required to support people to manage their own health and long term conditions. This programme provides participants with an introduction to the principles of Motivational Interviewing; an opportunity to practice these new communication styles, and guidance […]
Mortality Community of Practice
Mortality Community of Practice aims to share learning from the leading edge of end of life and mortality care and improvement. We are reimagining our Mortality Improvement community and we would like you to be a part of it. If you work in the field of mortality, or are interested in doing so, then please […]
Mental Health Quality Improvement Operational Leads Network
The mental health programme will facilitate a monthly network meeting that brings together QI operational leads from across our mental health members to share learning, work through challenges and support each other. Once a quarter the network will open up to a key speaker/expert in the field.
Mental Health Collaboratives: Quality Action Groups
Mental Health Collaboratives will support the delivery of two collaboratives over 2021/22. The themes will be agreed with the Executive leads from across our mental health membership and will be in line with your strategic priorities. The teams or individuals suitable for this programme will be identified by Executive Leads.
Introduction to Shared Decision Making for Teams
Introduction to Shared Decision making for teams will support teams to understand shared decision making and the need for change in current practice. This programme will enable teams to explore the benefits of practicing shared decision making and the key challenges when to implementing it. The programme will also explore the tools, techniques and resources […]
Introduction to Personalised Care
Introduction to Personalised Care will enable participants to understand the components of Personalised Care, including shared decision making and self-management support. This programme will help participants understand the need for a change in current practice, consider the benefits and challenges of practicing personalised care, and the tools and resources to implement it. This programme […]
Introduction to Human Factors
Introduction to Human Factors is aimed at those who are new to Human Factors or those who are interested in refreshing existing knowledge. This entry-level programme will provide participants with the fundamental knowledge and skills for Human Factors in health and care. Human factors is about enhancing our performance through a better understanding of human […]
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’.