National guidance released for post-discharge care following acute kidney injury13th December 2019Through national partnerships and collaboration between primary and secondary care, the RCGP has developed new national guidance for post-discharge care following acute kidney injury. The guidance promotes tailored and timely discharge care for people who have had a hospital admission complicated by AKI. The guidance table and the Top Ten Tips are designed to support safer transitions of care and ...
Reporting and learning from patient safety incidents in general practice7th November 2019This guide will aid GPs and their teams to maximise opportunities for learning from patient safety incidents. The guide provides guidance on sharing learning via organisational or national reporting systems, and outlines a process for learning from patient safety incidents. Access the guide within the ‘Additional resources’ section of the RCGP Patient Safety Toolkit.
NICE quality standard – Physical activity: encouraging activity in the community14th August 2019This quality standard covers how local strategy, policy and planning and improvements to the built or natural physical environment such as public open spaces, workplaces and schools can encourage and support people of all ages and all abilities to be physically active and move more. It describes high-quality care in priority areas for improvement. The ...Diagnose
NICE quality standard – Lyme disease14th August 2019This quality standard covers diagnosing and managing Lyme disease in people of all ages. It also includes raising public awareness about prevention. It describes high-quality care in priority areas for improvement. The RCGP has endorsed this NICE Quality Standard as part of its Clinical Policy Programme. NICE Quality Standards set out the priority areas for ...Diagnose
NICE quality standard – Learning disability: care and support of people growing older14th August 2019This quality standard covers identifying, assessing and regularly reviewing the care and support needs of people with a learning disability as they grow older. People with a learning disability have many of the same age-related health and social care needs as other people, but this quality standard focuses on the specific challenges associated with their ...Diagnose
NICE quality standard – Hearing loss in adults14th August 2019This quality standard covers assessing and managing hearing loss in adults (aged 18 and over). It includes people presenting with hearing loss for the first time in adulthood whether it started in adulthood or earlier. It describes high-quality care in priority areas for improvement. The RCGP has endorsed this NICE Quality Standard as part of ...Diagnose
NICE quality standard – Dementia14th August 2019This quality standard covers preventing dementia, and assessment, management and health and social care support for people with dementia. It describes high-quality care in priority areas for improvement. This quality standard updates and replaces the NICE quality standards on dementia: support in health and social care (QS1) and dementia: independence and wellbeing (QS30). The RCGP ...Diagnose
Free online mini-course: An Introduction to Measurement for Improvement4th July 2019The third mini-course of the Improvement Fundamentals programme is starting soon and is open to enrolments. The free mini-course, An Introduction to Measurement for Improvement, will start on Monday 8th July and will take only around 2.5 hours to complete. The mini-course, run by NHS England and NHS Improvement, will give you an introduction to ...
The NHS Long Term Plan11th June 2019The NHS Long Term Plan aims to give everyone the best start in life and help people age well by delivering world-class care for major health problems, such as cancer and heart disease.Context
Quality Improvement Screencasts10th June 2019The National Audit of Cancer Diagnosis explores patient pathways through primary care to cancer diagnosis. It particularly focuses on the time from patient presentation to diagnosis, the use of investigations prior to referral, and the referral pathways for patients diagnosed with cancer. Tailored practice-level feedback is provided to participants, helping to evidence good practice and ...Context | Diagnose | Plan and test | Implement | Sustain | Engagement | Analysis tools
Lyme Disease Toolkit21st May 2019This toolkit published by RCGP is a user friendly guide to Lyme disease for general practitioners and other health care professionals. Patients and the general public may also find it helpful. Lyme disease is a bacterial infection caused by the spirochaete Borrelia burgdorferi. It occurs worldwide, is increasing in incidence and is the most common ...
Dermatology Toolkit20th May 2019This evidenced-based resource published by RCGP aims to be easy to use for primary healthcare teams in the UK to support them with their learning and help them build confidence when caring for patients suffering from skin conditions. Skin conditions are the most common reason for patients to present in primary care. Around one in four ...Context | Diagnose | Plan and test | Implement | Sustain
RCGP Clinical Advisers Programme26th March 2019Are you interested in influencing quality standards? As an RCGP Clinical Adviser you can help to define high quality care, have your say on key areas for quality improvement and decide on what are best metrics to measure performance.
Sepsis resources for GPs and practice staff25th March 2019The RCGP created the Sepsis Clinical Spotlight in 2016 and Clinical Priority in 2017 aiming to raise awareness of sepsis and educating GPs and primary care staff on the identification of Sepsis and delivery of adequate care which will ultimately will have an impact upon this condition, reducing the burden for the individuals, their families and the wider NHS.Implement
RCGP Primary Care Development Programme14th January 2019The RCGP Primary Care Development programme is aimed at providing comprehensive services to primary care practices in need of support and training. With over 80 advisers and trainers located around the country, they can deploy a team of experienced GPs, practice managers, nurses or pharmacists to a practice located nearly anywhere. The Primary Care Development Programme is focused on two areas: training and development peer to ...
GP Excellence Programme14th January 2019The GP Excellence Programme; a partnership between Greater Manchester Health and Social Care Partnership and the RCGP, aims to support and improve Greater Manchester General Practices. It provides support and development for GP practices and team members, seeking to create an ‘improvement culture’ across Greater Manchester General Practice. The online network provides access to resources, ...
NICE quality standard – Renal replacement therapy services for adults30th October 2018This quality standard covers renal replacement therapy services for adults with kidney failure. It includes treatment options, such as dialysis and kidney transplant. It describes high-quality care in priority areas for improvement. To access this guidance, click here. It does not cover care for adults with chronic kidney disease that has not progressed to kidney ...Diagnose
NICE quality standard – Eating disorders30th October 2018This quality standard covers assessment, treatment, monitoring and care for children, young people and adults with an eating disorder. It describes high-quality care in priority areas for improvement. To access this guidance, click here.Diagnose
NICE quality standard – Asthma30th October 2018This quality standard covers diagnosing, monitoring and managing asthma in children, young people and adults. It describes high-quality care in priority areas for improvement. In September 2018, this quality standard was updated in response to an annual review, which identified changes in the areas for improvement for this topic. For more information see update information. To ...Diagnose
NICE quality standard – Chronic heart failure in adults30th October 2018This quality standard covers the organisation and delivery of emergency and acute medical care in the community and in hospital. It covers adults (16 and over) who seek, or are referred for, emergency NHS care for a suspected or confirmed acute medical emergency. It describes high-quality care in priority areas for improvement. It does not ...Diagnose
NICE quality standard – Emergency and acute medical care in over 16s30th October 2018This quality standard covers the organisation and delivery of emergency and acute medical care in the community and in hospital. It covers adults (16 and over) who seek, or are referred for, emergency NHS care for a suspected or confirmed acute medical emergency. It describes high-quality care in priority areas for improvement. To access this ...Diagnose
NICE quality standard – Intermediate care including reablement30th October 2018This quality standard covers referral and assessment for intermediate care and how to deliver the service. It covers bed-based intermediate care, crisis response, home-based intermediate care and reablement. It describes high-quality care in priority areas for improvement. It does not cover rehabilitation for specific conditions. To access this guidance, click here.Diagnose
NICE quality standard – Endometriosis30th October 2018This quality standard covers diagnosing and managing endometriosis in women, including young women aged 17 and under. It describes high-quality care in priority areas for improvement. To access this guidance, click here.Diagnose
NICE quality standard – Rheumatoid arthritis in over 16s30th October 2018This quality standard covers the diagnosis and management of rheumatoid arthritis in adults (aged 16 and older). It describes high-quality care in priority areas for improvement. In July 2018, this quality standard was updated to reflect changes to the updated NICE guideline on rheumatoid arthritis. Statements 3 and 5 were amended and the source guidance throughout ...Diagnose
NICE quality standard – Spondyloarthritis30th October 2018This quality standard covers diagnosing and managing spondyloarthritis in adults aged 16 and over. It describes high-quality care in priority areas for improvement. To access this guidance, click here.Diagnose
NICE quality standard – Cystic fibrosis30th October 2018This NICE quality standard covers diagnosing and managing cystic fibrosis in infants, children, young people and adults. It describes high-quality care in priority areas for improvement. To access this guidance, click here.Diagnose
NHS Improvement Hub – Quality Improvement24th October 2018The NHS Improvement Hub provides access to improvement tools, resources and ideas from across the health sector. The quality improvement section provides advice and support on how to use quality improvement approaches and methodologies. For more information, visit https://improvement.nhs.uk/improvement-hub/quality-improvement/
The Coaching Academy23rd October 2018The Coaching Academy developed by the Innovation Agency, the Academic Health Science Network (AHSN) for the North West Coast, offers online e-learning courses that are free to health and care colleagues to support innovation and improvement. Courses include: Coaching for Safety Culture This course provides learning materials and online community space for teams improving safety ...
National Cancer Diagnosis Audit Template23rd October 2018The National Cancer Diagnosis Audit Template includes the data items captured in the National Cancer Diagnosis Audit and may be used in your own practice if you wish to audit cancer diagnoses. Please note that the template should only be used internally to audit cancers diagnosed before 1 January 2018. We do not recommend auditing ...Diagnose
IBD Podcast23rd October 2018In this podcast Dr Kevin Barrett talks to Vanessa Cambridge, an IBD Clinical Nurse Specialist from the Royal United Hospitals in Bath. This podcast covers: The role of an IBD Clinical Nurse Specialist (00:29) The use of faecal calprotectin if you suspect a patient has IBD (05:21) How IBD Clinical Nurse Specialists and GPs can support ...
Liver Disease Toolkit18th October 2018This toolkit published by RCGP aims to provide resources to support the optimal management of liver disease in primary care and raise awareness of liver disease as one of the major chronic, preventable, lifestyle-related diseases. Liver disease is one of the five most common causes of premature death in the UK and is the only ...Diagnose | Plan and test | Evaluation
Inflammatory Arthritis Toolkit18th October 2018This toolkit published by RCGP aims to be a user-friendly guide to inflammatory arthritis for primary care professionals, people affected by arthritis and clinical commissioning groups. Inflammatory arthritis represents a group of diseases which includes rheumatoid arthritis, peripheral & axial spondyloarthritis and psoriatic arthritis. These diseases are characterised by dysfunction of the immune system, and inflammation ...Diagnose | Plan and test | Evaluation
Acute Kidney Injury Toolkit25th September 2018This toolkit published by RCGP aims to support improvements in both the recognition and response to AKI for adults in primary care as well as improve the delivery of post-AKI care. This toolkit has been developed to disseminate learning highlighted from AKI case notes reviews, part of the RCGP AKI Quality Improvement project. Working with ...Diagnose | Implement
Review of the Quality and Outcomes Framework in England11th July 2018This report presents the findings of the Review of the Quality and Outcomes Framework (QOF) for general practice and supports wider discussion about how to reform the QOF, which will inform negotiations between NHS England and the British Medical Association.Context
Audit tea breaks – Clinical Audit Awareness Week13th November 2017HQIP have produced some resources to support organisations holding ‘audit tea breaks’ as part of Clinical Audit Awareness Week. The resources include a poster, an invite for staff, a quiz and conversation tips. The resources are available here.
Motivating others to take part in Quality Improvement7th March 2017This webinar followed 'Sharing practical experiences of Quality Improvement' and provided more information on the new self accreditation and online learning network, QI Ready, alongside sharing tips on motivating members of your practice in quality improvement.Engagement
Quality and service improvement tools21st February 2017This resource is a comprehensive collection of proven quality and service improvement tools, theories and techniques that can be applied to a wide variety of situations.
The Bromley by Bow centre21st February 2017Sir Sam Everington tells us more about the Bromley by Bow Centre which runs over 100 different projects in Tower Hamlets, working with over 2,000 people every month.
Driver diagram template20th February 2017A driver diagram illustrates a ‘theory of change’, that can be used to plan improvement project activities. This technique provides a way of systematically laying out aspects of an improvement project so they can be discussed and agreed on collaboratively by the project team.Plan and test
Context checklist for QI Project17th February 2017The context checklist breaks down context into nine elements. Consider each in turn and decide whether they are applicable to your situation, and whether any action is required.Context
RCGP Quick guide: Clinical audit24th January 2017This RCGP Quick guide provides the standard headings for a clinical audit report and gives tips on how to define and fulfil each section. It attempts to keep the process simple and will satisfy the requirements of General Medical Council (GMC) revalidation.Diagnose | Analysis tools
RCGP Quick guide: Care bundles24th January 2017This RCGP Quick guide introduces care bundles, an accepted method of measuring more than one indicator. They are useful when you wish to implement a series of indicators that are all important in achieving the outcome.Plan and test
RCGP Quick guide: Networks11th January 2017This RCGP Quick guide explains that building networks of people with a common purpose and enthusiasm for positive change is a way of harnessing the power of ‘emergent change’.Sustain and spread
RCGP Quick guide: Visual displays11th January 2017This RCGP Quick guide explains how visual displays can share your improvement data in an accessible format so that everyone involved knows if their improvement efforts are working. Implement
RCGP Quick guide: Appreciative Inquiry10th January 2017This RCGP Quick guide introduces appreciative inquiry, a method that help groups of people working together to learn more from their success and to build on these to generate further improvements.Diagnose
RCGP Quick guide: Driver Diagrams10th January 2017This RCGP Quick guide introduces driver diagrams, a tool to help you to organise your improvements in a logical way, so that everyone involved can see how the planned changes will lead to the desired improvement.Plan and test
RCGP Quick guide: Gantt Charts10th January 2017This RCGP Quick guide introduces Gantt charts, a tool that provides a visual representation of your project schedule which helps to identify a realistic timeframe for implementing a project. Plan and test
RCGP Quick guide: Run charts10th January 2017This RCGP Quick guide introduces Run charts, a tool that allows practices to analyse data, with minimum use of statistical methods, and helps determine if an improvement has been made.Plan and test | Implement
Shared commitment to quality – from the National Quality Board21st December 2016This document sets out a Shared Commitment to Quality from leaders in national organisations responsible for overseeing quality across the NHS, public health and social care. It provides a nationally agreed definition of quality and is intended as a guide for professionals leading work to improve care in their areas.Context
Whitedboard video: Model for Improvement21st December 2016In these videos Dr Robert Lloyd from the Institute for Healthcare Improvement introduces the Model for Improvement, a tool that ensures that you and your team are very clear and specific about what you want to improve and how you will know if you have been successful.Plan and test
Whitedboard video: Run charts21st December 2016In these videos Dr Robert Lloyd from the Institute for Healthcare Improvement introduces Run charts, a tool that allows practices to analyse data, with minimum use of statistical methods, and helps determine if an improvement has been made.Diagnose | Analysis tools
Whitedboard video: Pareto Analysis21st December 2016In this video Dr Robert Lloyd from the Institute for Healthcare Improvement introduces Pareto Analysis, a statistical technique in decision-making used for the selection of a limited number of tasks that produce significant overall effect. Diagnose | Analysis tools
Quality improvement and diabetes care20th December 2016This presentation can be used during a training session to introduce QI tools and methods to the teams who care for patients with diabetes.
Evaluation tools20th December 2016These evaluation tools can be used to help you to evaluate your quality improvement work, learning what has gone well, what could be improved, and plan the next steps of your work. Sustain and spread | Evaluation
Diabetes Care quality improvement tool16th December 2016The Diabetes Care quality improvement tool has been designed to help practices to audit their clinical data helping them to optimise the management and care of patients with diabetes and reduce their risk of developing associated complications.Diagnose | Analysis tools
Healthier Lives: Diabetes15th December 2016The Healthier Lives: Diabetes website published by Public Health England pulls data about diabetes from a variety of sources. It then benchmarks GP practices within their CCG for performance related to both processes of care and the achievement of treatment targets.Diagnose | External data1 comment
Quality and Outcomes Framework (QOF) database15th December 2016The Quality and Outcomes Framework (QOF) database is an online tool that pulls its data from published QOF performance data across the four nations of the UK. It allows you to compare your locality with others, as well as with national performance. Diagnose | External data
NHS Leadership Academy15th December 2016The NHS Leadership Academy offers leadership development resources for individuals and organisations in the NHS, including the healthcare leadership model, a talent management conversation tool and coaching register.Engagement | Leadership
Healthcare Quality Improvement Partnership15th December 2016The Healthcare Quality Improvement Partnership is an independent organisation aims to improve health outcomes by enabling those who commission, deliver and receive healthcare to measure and improve our healthcare services. The HQIP website offers resources and support to help measure and improve healthcare services, especially in the areas of national clinical audit and quality improvement.Diagnose | Analysis tools
The Edge15th December 2016The Edge is a free social platform committed to finding, sharing, curating and creating the boldest and most innovative new ideas in health and care.Sustain and spread | Collaboration
Clinical Practice Research Datalink Pilot15th December 2016This RCGP project aims to develop innovative uses of primary care data that will improve the quality of care delivered to patients. This will support and facilitate quality improvement via data reports tailored to individual practice populations.Diagnose | New data
Significant Event Audit15th December 2016Significant Event Audit - also called Significant Event Review or Analysis - is an increasingly routine part of general practice. It is a technique to reflect on and learn from individual cases to improve quality of care overall.Diagnose | Analysis tools
Creating a community-based primary care model18th October 2016Sir Sam Everington, Chair Tower Hamlets Clinical Commissioning Group, GP, Bromley by Bow Health Partnership shares lessons from the internationally renowned Bromley by Bow Centre on how to develop a holistic approach to creating healthy communities.
Executive summary for national COPD audit programme 20161st October 2016The report, commissioned by HQIP as part of the National Clinical Audit Programme and carried out by the Royal College of Physicians, uses data provided by 280 practices across Wales, including 48,105 COPD patients, the report highlights areas for quality improvement and sets out a series of key priorities for both general practices and Health Boards.
Context checklist for diabetes care15th September 2016Considering context and culture first will allow quality improvements to flourish. The context checklist allows practice teams to consider what needs to be in place to encourage improvement in diabetes care. Context
Best practice in clinical audit1st September 2016The purpose of this guide is to set out updated criteria for best practice in local clinical audit. As well as the guide, check lists are available which can be used to assess healthcare organisations, clinical audit programmes and clinical audits against the criteria.Diagnose
An Illustrated Look at Quality Improvement in Health Care12th May 2016In this video, Dr. Mike Evans, Associate Professor of Family Medicine and Public Health at the University of Toronto, starts with a simple question: Why should you care about quality improvement? He presents a brief history of QI, then touches on system design, the Model for Improvement, and the familiar challenge, "What can you do by next Tuesday?" - all in less than nine minutes!Context | Improvement science | Behaviour change
Understanding pressures in general practice5th May 2016This report published by the King's Fund looks at patient factors, system factors and supply-side issues to see what lies behind the increasing demands and pressure faced by general practice.
Healthcare Leadership Model25th April 2016The Healthcare Leadership Model developed by the NHS Leadership Academy describes the things you can see leaders doing at work and demonstrates how you can develop as a leader, even if you’re not in a formal leadership role.Engagement | Leadership
RCGP Quick guide: The QI Wheel for Primary Care17th February 2016This RCGP Quick guide explains the Quality Improvement wheel for primary care, a simple visual representation that illustrates the the main elements to consider in design, delivery and evaluation of a QI project, acting as a guide to the stages involved.Context2 comments
RCGP Quick guide: Diagnostic Analysis10th January 2016This RCGP Quick guide introduces diagnostic analysis, a method used to examine the group which will be affected by a change and the setting in which that change will occur before the start of implementation of the change.Diagnose
Context for successful quality improvement25th October 2015Building on a series of thought pieces published by the Health Foundation in Perspectives on context, this best evidence review combines the ideas of receptive and non-receptive contexts for change, with a psychological perspective and the proposition that social context is the key facilitator of quality improvement.Context
QI Session at RCGP Conference 20158th October 2015In this short video QI experts, Dr Bill Taylor and Dr Joanna Bircher, talk you through how and why GPs and ppractice teams can use Quality Improvement tools and methods to achieve better outcomes for their patients and practices.Improvement science
Making time in general practice4th October 2015This briefing paper provides recommendations for reducing workload pressures on general practice including more coordinated working between GPs and hospitals, wider use of other primary care staff, better use of technology to streamline administrative burdens, and wider system changes.Implement | Sustain and spread
The habits of an improver1st October 2015In this paper, Professor Bill Lucas offers a way of viewing the field of improvement from the perspective of the men and women who deliver and co-produce care on the ground – the improvers on whom the NHS depends.
National Cancer Diagnosis Audit15th September 2015The National Cancer Diagnosis Audit (NCDA) aims to help review practice processes and improve cancer outcomes. The audit will look at cancer diagnosis and implementation of clinical standards to inform delivery of best care for cancer patients.Diagnose | Analysis tools | External data
Do OD mobile app19th July 2015This mobile app commissioned by NHS Employers has been created to enable effective culture change within the NHS and will be of interest to anyone interested in improving organisational culture.Context | Behaviour change
Evaluation: What to consider1st March 2015This guide, by The Health Foundation, is intended to assist those new to evaluation by suggesting methodological and practical considerations and providing resources to support further learning.Evaluation
National Diabetes Audit15th September 2014The National Diabetes Audit (NDA) is a major national clinical audit, which measures the effectiveness of diabetes healthcare against NICE Clinical Guidelines and NICE Quality Standards, in England and Wales.Diagnose | External data
Doing OD in the NHS19th July 2014This toolkit developed by NHS Employers contains a collection of resources, tools and thinking to support effective culture change within the NHS and will be of interest to anyone interested in improving organisational culture.Context | Behaviour change
Developing a quality framework for Scotland1st July 2014This report is the outcome of a joint project between the Royal College of General Practitioners (Scotland) and Healthcare Improvement Scotland and sets out a framework for improving quality of care in Scottish General Practice.
Enhanced Significant Event Analysis15th June 2014Enhanced Significant Event Analysis is an NHS Education for Scotland innovation which aims to guide health care teams to apply human factors thinking when performing a significant event analysis, particularly where the event has had an emotional impact on staff involved.Diagnose | Analysis tools
Whitedboard video: Control charts20th May 2014In these videos Dr Robert Lloyd from the Institute for Healthcare Improvement introduces control charts, also known as Shewhart charts, which are used to display the measure of interest over time with the mean plotted as an X bar.Diagnose | Analysis tools
Whitedboard video: Flowcharts20th October 2013In these videos Dr Robert Lloyd from the Institute for Healthcare Improvement introduces flowcharts, a tool used to depict the sequence of movements or actions of people or things involved in a complex system or activity. Diagnose | Analysis tools
Towards a new model of leadership18th June 2013This briefing paper published by the NHS Leadership Academy reviews the body of evidence which could contribute to a new Leadership Model for the NHS fit for current and future purpose.Leadership
Whitedboard video: PDSA cycles20th March 2012In these videos Dr Robert Lloyd from the Institute for Healthcare Improvement introduces the Plan-Do-Study-Act (PDSA) approach, a technique that allows change to be introduced in a considered way but on a small and manageable scale, measuring the ‘before’ and ‘after’ effects of each change, and provides evidence to assist in maintaining the changes that work. Diagnose | Plan and test | Analysis tools
Whitedboard video: Driver diagrams20th November 2011In this video Dr Robert Lloyd from the Institute for Healthcare Improvement introduces driver diagrams, which are used to helps you to translate a high level improvement goal into a logical set of underpinning causes or drivers. Diagnose | Analysis tools
The role of leaders in high performing health systems15th May 2011This briefing paper published by the King’s Fund paper explores the role that leaders have played in high performing health systems across the globe. Although not primary care-specific, it offers an interesting insight in the role of leaders and a good reference list for further reading.Leadership
Quality improvement in general practice1st July 2010This report, from The Kings Fund, makes recommendations for action at multiple levels of the health system to nurture and support improvements in quality in general practice.