Sharing success: how quality, service improvement and redesign (QSIR) is building service improvement capability


QSIR College is designed to develop candidates to become associate members of the QSIR teaching faculty and to upskill other staff within their local systems.

In a recent webinar some of our QSIR College graduates and their executive sponsors of the programme discussed how quality, service improvement and redesign skills have been spread throughout their organisations and systems. 

Northern Lincolnshire and Goole Hospitals NHS Foundation Trust

Dr Karen Dunderdale, Acting Chief Executive at Northern Lincolnshire and Goole NHS Foundation Trust and QSIR executive sponsor, presented on the impact QSIR is making and how it has changed and influenced her approach with the board. 

Karen discussed the range of ways that she’s been involved including: 

  • sharing her own personal stories at QSIR training sessions
  • knowing who was attending and the details of their improvement projects
  • expanding the QSIR training to include partner organisations they are working with on joint system priorities
  • working to embed the necessary cultural change at board level

As a result of attending the programme, five accredited QSIR College graduates are now teaching QSIR practitioners at the trust.  

Royal United Hospitals Bath NHS Foundation Trust

Royal United Hospitals Bath NHS Foundation Trust’s executive sponsor, Helen Blanchard, Director of Nursing and Midwifery, gave her personal reflection on being both a QSIR participant and executive sponsor for the programme.   

Helen describes how joining the programme has helped her think differently and lead improvement more effectively at board level and across her trust. 

I also wanted to help my confidence in terms of planning for a quality improvement project, because as director of nursing there are many projects that I help initiate, lead and sponsor – and am actually required to deliver myself. Going through the programme helped upskill me and also gave me confidence in terms of planning for the quality improvement project, looking at the measures, how we are going to monitor it, how we are going to evaluate it. It was also a great reminder to me in terms of the starting point, about clarity of the objective and also taking into consideration who your stakeholders are.

Helen Blanchard, Director of Nursing and Midwifery, Royal United Hospitals Bath NHS Foundation Trust.

Helen also explained that using specific tools had helped her to find measurable, sustainable solutions. A wide range of staff have undergone the training in her trust and as a result were gaining in ability and confidence to deliver significant improvement projects across the organisation.

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