15 Steps Challenge


The 15 Steps Challenge focuses on seeing care through a patient or carer’s eyes and exploring their first impressions.

This is an approach to service/quality improvement that focuses on ward (or service) ‘walkarounds’ using a ’15 steps challenge’ team that includes patients; carers; staff; and board members, the team members consider their first impressions of the ward/service from the perspective of a service user, recording how it appears; looks; sounds; smells etc. The outcomes should inform improvement actions at a ward/service and organisational level, linking into other relevant initiatives as appropriate.

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Related resources

Quality improvement and mental health toolkit

Improvement tool


Quality, service improvement and redesign (QSIR) tools by stage of the patient pathway

Improvement tool


The Royal Liverpool and Broadgreen University Hospitals — Implementing an enhanced care assessment tool

Shared learning


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