Diabetes Quality Programme - Quality Improvement Collaborative

Our QI Collaborative supports multidisciplinary teams over a nine-month training programme to share processes and develop new models of care to improve health outcomes.

About

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.

News

October 2020 - Congratulations to the team at Sheffield Children’s NHS FT for winning Diabetes Team of the Year at the Quality in Care (QiC) Diabetes 2020 Awards. The Sheffield team took part in Wave 1 of the QI Collaborative back in 2017. Their initial QI project included introducing CHO counting at diagnosis. Their message to other teams: "Be brave, and fail fast".

Podcasts

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.

Videos

The QI Collaborative now has its own YouTube playlist! Here, 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 videos, please contact us. 

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.

What's next

All units enrolled in the Diabetes Quality Programme are entitled to apply for a space in the QI collaborative. By 2021, up to 100 paediatric diabetes units in England and Wales will undergo this course of QI training through 12 waves. 

Application for wave 12 are now closed.

If you have any questions, please feel free to contact diabetes.quality@rcpch.ac.uk