As part of the Programme, teams participate in a national Quality Improvement (QI) collaborative.
The aim is to provide multidisciplinary (MDT) teams with the support and tools to identify, design and analyse their own interventions specific to the needs of the children and young people and their families that they care for.
This is a nine-month programme of training in QI methodology led by an expert QI trainer and comprising four events. We conclude with a celebratory day where units present their QI initiatives.
In the celebratory event for the pilot collaborative (see highlights in the below video), these initiatives included carb counting at diagnosis, self-management resources in the community, access to download technology, support for patients on pumps and the outpatient clinic experience. Eighteen months on, the units in the pilot have demonstrated an accelerated decrease in median HbA1c levels over the course of the collaborative, reporting up to 10% of improvement within a year.
Our podcasts aim to provide information and inspiration on all aspects of quality improvement in children and young people’s diabetes services.
Episode 1 – Our QI Collaborative Journey, with Sheffield Children’s Hospital
In our first episode, consultant paediatrician Dr Carrie Mackenzie reflects on her team’s journey throughout the QI Collaborative programme and offers recommendations to teams wishing to embark on quality improvement projects of their own.
Episode 2 – Reflections from QI Champions
Dr Dita Aswani, Dr Carrie Mackenzie and Dr Fiona Campbell talk with Dr Megan Peng and Dr Tricia Woodhead about their team's involvement in the early waves of the QI Collaborative.
Episode 3 - Developing a transition service
We speak with the team at Warrington and Halton NHS Trust on how they have developed their transition service through applying quality improvement (QI) methods, engaging with children and young people and gaining feedback from parents and carers.
Episode 4 - Patient advocacy and transition
We speak to Jo Kitchen and Amanda Grayson, Patient Advocates at the Calderdale and Huddersfield Trust, about their unique role in supporting young people with diabetes, and their Quality Improvement project on transition.
Episode 5 - Improving clinic experience
We speak to Liz Baker (Consultant Paediatrician) and Jo Ellis (Paediatric Diabetes Specialist Nurse) from York Teaching Hospitals about their QI project aimed at improving the clinic experience for patients. We also talk about their experience of taking part in the QI Collaborative.
Episode 6 - Improving time in range
We speak to Dr Chizo Agwu (Clinical Lead), Dr Charlotte Avann (Consultant Paediatrician) and Lizbeth Hudson (Paediatric Diabetes Specialist Nurse) from the Sandwell and West Birmingham Team about their QI project aimed at improving time in range.
The QI Collaborative now has its own microsite! The team have produced 20+ short instructional videos on many aspects of quality improvement, including measurement for improvement, complex systems, model for change and reliability. These are short, can be accessed remotely and are easy to share via WhatsApp. These videos are provided as part of the virtual QI collaborative, but also serve as useful refreshers for teams.
If you would like to have access to the microsite, log in or register at https://diabetes-quality.rcpch.ac.uk.
You will also be able to find previous Diabetes QI webinars on relevant topics with knowledgeable experts from CYP diabetes services being organised by the Programme, as well as presentations of the QI projects organised by paediatric diabetes services as part of their QI journey. These are an excellent opportunity for sharing good practices and learning from each other.