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The BMJ Awards 2020: Clinical leadership

BMJ 2020; 368 doi: https://doi.org/10.1136/bmj.m798 (Published 05 March 2020) Cite this as: BMJ 2020;368:m798
  1. Jacqui Wise, freelance journalist
  1. London, UK

Jacqui Wise reports on the clinical leadership award nominees aiming to improve outcomes in clinical services

Quality improvement training

Quality improvement is now part of many postgraduate training curriculums; however, junior doctors often feel unprepared and ill equipped to do workplace based improvement work.

During her foundation training in 2013 Hannah Baird undertook a quality improvement project and decided to share what she had learnt with colleagues. The initial workshop was successful, and she was asked to repeat it for others in Manchester University Hospitals NHS Foundation Trust.

This led to the development of TIPSQI (Trainees Improving Patient Safety through Quality Improvement)—a peer led quality improvement programme introducing the core quality improvement concepts through workshops, supplemented by bespoke training materials. Participants share their projects with fellow junior doctors through showcase evenings featuring poster presentations and “masterclasses.”

With the support of a faculty of junior doctors and funding from Health Education England North West, the training has so far been delivered to over 3000 trainees in 22 trusts across the north west of England.

“The fact that the training is peer-led is the crucial thing,” says Baird. “It’s very powerful to see what other junior doctors have done while juggling their clinical work.”

They have seen the number of projects grow from 13 in 2013 to over 3800 in 2019. A wide variety of quality improvement projects have been submitted, including one to reduce the length of time that families wait to receive death certificates and another to reduce inappropriate antibiotic prescriptions.

The success of the projects is not the main goal, says Baird. “The important thing is that junior doctors are empowered and equipped to undertake change in the workplace both now and throughout their future careers.”

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