wpba-QIP-practical-guidance-for-trainees-050415 - Quality...

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050315 1 Quality Improvement Project (QIP) Guidance for GP trainees Introduction All doctors have a duty to make changes that will lead to better patient outcomes and better system performance. This is supported by the guidance given in GMC’s Good Medical Practice, the RCGP’s Guide to the Revalidation of General Practitioners (RCGP, 2014), and its 2022 vision document (RCGP, 2013). Quality improvement methodology is promoted by the NHS Leadership Academy, and the Academy of Medical Royal Colleges. This also applies to doctors in training- quality improvement activities are part of the revised "Gold Guide" (A Reference Guide for Postgraduate Specialty Training in the UK, DoH) which states: ‘Trainees must engage with systems of quality management and quality improvement in their clinical work and training’ [7.32] ‘Trainees must take part in regular and systematic clinical audit and/or quality improvement’ [7.32] Quality improvement is the application of a systematic approach that uses specific techniques to improve quality. This should include. The concept of a cycle of improvement which involves data collection, problem definition and diagnosis, generation and selection of potential changes and the implementation and evaluation of those changes. A set of tools and techniques that support individuals to implement the cycle of improvement. A recognition of the importance of context and culture and the need for leadership A recognition of the central importance of engaging those who receive and deliver a service. A quality improvement project (QIP) should be a continuous process of learning, development and assessment, and part of a wider QI programme. There are many quality improvement activities that take place in general practice, including audit, significant event analysis, analysing prescribing and referral data, and the Quality and Outcomes Framework. When we look at a clinical process and try to improve it, audit may well be the best approach, but there will be other instances where a less rigid quality improvement approach is more appropriate, changing the focus from two points of data collection being the endpoint, to using data as a resource to show that a change is needed and that an improvement has been made. This guidance focuses on a QIP for trainees, and should not substitute for learning about other aspects of quality improvement in the surgery, but enhance it. By the end of your training you would still be expected to demonstrate that you understand the principles of audit and significant event analysis, and have engaged with these processes. Getting involved in a QIP gives you an opportunity to learn more about quality improvement methodology and put your knowledge and skills into practice by undertaking a project with the support of your supervisor. At the end of it you should be in a better position as a GP to design and carry out a specific project, make changes in the practice, lead a team, and enhance patient care.
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