Transformation and Change Blog - February

07 February 2019

Hello and welcome to the February  Transformation and Change Blog . This month, we’re going to do something  different – rather than tell you what we’ve been up to, we’re going to tell you a little bit about one of the main tools we use for Improvement in CWP. Read on below to find out more.

Model for Improvement

Improvement is a massive focus within CWP as an organisation. Central to the many aspects of Improvement we look at, is the ‘Model for Improvement’ which was first set out by the Associates in Process Improvement, and widely used by the Institute for Healthcare Improvement (IHI). This methodology, is currently one of the more popular ones used in health care and demonstrates similar themes to other well-established improvement methodologies such as “goal definition, data acquisition and analysis, implementation of process change, and review of results (Lee & Larson, 2014)”

One of the key elements that allows the Model for Improvement to be so successful is the framing of scientific testing (PDSA Cycles – more on these later) with 3 questions to establish the aim (“What are we trying to accomplish?”), measures (“How will we know that a change has been an improvement?”), and changes (“What changes can we make that will result in improvement?”).

By starting with these 3 key questions, you can plan the project as a whole  before focusing on the cycles of change implementation at the next point in the project. This has the benefit of allowing time for reflection and engagement of stakeholders before making any changes to the normal way of working.

The PDSA (Plan-Do-Study-Act) Cycle, is at its essence, a scientific method:

  • Plan (form a hypothesis)
  • Do (test the hypothesis)
  • Study (analyse the data)
  • Act (draw actionable conclusions from the data)

Sometimes, if you’re researching this, you may notice that ‘study’ becomes ‘check’ – for example, Toyota often use a PDCA cycle. This doesn’t really make a difference outside of the terminology you use, ultimately the results will be the same for your improvement project.

The most important thing to remember with the PDSA element of the Model for Improvement, is that there is an inbuilt assumption that the changes you make, as their originally intended, will be in need of refinement and revision – perhaps many times! This is pivotal in ensuring that the single changes you make can be continuously monitored and allow for improvement – not just change. 

Ultimately, by following this simple tool, you will enable yourself and your team to pursue and achieve improvement in whatever you choose to look at within your service, be it directly to improve health care or otherwise.

Where to find out more

The key part of this is practice and as much as we can tell you about it, this blog is merely a summary. There are loads of great resources that CWP staff can access.  Here’s our pick of the best resources available to you right now.

  • Improvement Readiness – The Transformation and Change Team’s very own ½ day introductory session, you’ll get more detail on how to use the Model for Improvement, engage with stakeholders and sustain and spread your project. This can be booked on MyESR. For more information email the team.
  • Introduction to Improvement (i2i) – Building on the Improvement Readiness course, this 3 and a ½ day course allows you to bring a project idea and work through it throughout the duration of the course. With dedicated support, from peers and experts, this really is the perfect way to learn by doing. Don’t have a project yet? Don’t let that deter you, by the time we’ve talked about diagnosing problems/issues, you’re sure to have something we can work through with you. Email the Transformation and Change Team to book onto this course.
  • CWP Q Network – Already completed the i2i and want to continue to build on your learning and network with other colleagues with improvement experience? Come along to the next CWP Q Network event. We’ll have you on the distribution list, so look out for latest news about events in your inbox.
  • #QI HUB – Available from the intranet and on Twitter, stay up to date with the latest Quality Improvement resources and news from within the Trust as well as being a useful library of external resources.
  • Advancing Quality Alliance (AQuA)As a member of CWP you have access to all the courses AQuA have to offer. With improvement priorities looking at delivering high quality care, supporting system transformation, delivering person centred care, and building capability for improvement there is something for everyone within health care. Register on their website and you’ll get up-to-the-minute updates on what courses are available.
  • Institute for Healthcare ImprovementThis website is packed with useful resources and news about improvements in the world of healthcare.
  • Q Community (delivered by The Health Foundation)Becoming a national Q Member can have massive benefits. Allowing for interaction between members, visits across the country, funding opportunities and excellent e-learning packages, applying to become a member takes a bit of time but you’ll definitely reap the rewards.

What we’ve been up to

Improvement Readiness

We held the first of our monthly Improvement Readiness sessions at Sycamore House. An engaging and productive ½ day allowed our colleagues to get hands on with Improvement through fun and interactive activities.


We held interviews to recruit a Service Improvement Project Officer to fill the shoes of Tesni, who left the Trust in December. Keep your eyes on the blog to be introduced when we have our new starter in post!

Bespoke Improvement

We’ve met with colleagues from across the organisation and beyond to discuss Improvement Projects. Ranging from conversations around blood test monitoring to complex cases in collaboration with external organisations, there’s loads of great ideas out there that are benefitting from the Transformation and Change Team’s experience.

The Team

Transformation and Change Team:

  • Safieh Fraser – Transformation Manager
  • Lauren Connah – Transformation Manager (on Maternity Leave)
  • Beccy Cummings – Transformation Manager
  • Mike Babbs – Project Manager
  • Kyle Blackwood – Transformation Project Officer

Please also note that the Transformation and Change Team now have a new email so can now be contacted on cwp.transformation_and_change or by phone on the same number as always: 01244 397391 

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