Phase 3 – Overcoming barriers and challenges

Challenges and barriers to our QI work are inevitable. In phase 3 we work together to overcome these. We will also explore more about the sequence of improvement and sustaining and gaining.

Phase 3 introductory video – Overcoming barriers and challenges

Please view the Session 3 outline video for more information on how to prepare.

With your team, work your way through the videos and exercises below – 

Change model for improvement and measurement

• What strategies can we put in place to make it easier to get on with the change?
• How are we gathering data to inform us whether the change is an improvement? (Feel free to review these videos on Measurement for Improvement if needed)

Sustain and gain

Tricia advises on how teams can work to maintain their improvements and spread these to other areas of their organisation (contains: diffusion curve, components of an improving system).

How might you design to sustain and spread?

How may you map these plans over to those who are either early adopters, majority, late adopters or laggards?

We look forward to working with you in Session 3!

Please let us know if you have any questions. 

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Additional videos

If you would like to explore more, then feel free to view the below videos to view QI concepts in more detail –

Session 3 presentations –

In the third session of the QI programme, we invite a QI Champion from a previous wave to present their QI project, with a focus on how they overcame their barriers and challenges. Feel free to view our presentations from previous sessions below:

Leeds Children’s Hospital – 21 April 2021

Dr Fiona Campbell provided the Birmingham and Leicester waves with an overview of her team’s QI journey at Leeds Children’s Hospital from the pilot wave in 2017 to the present day. This documents the gradual improvement in average HBa1c through a series of QI interventions including local QI training, DigiBete and schools workshops (contains: team working, driver diagrams, run chart, self-management education, sustainability and spread, team ambitions, goals and values).

We ask all teams in the QI collaborative to define their purpose, and produce an overarching aim as to what their service strives for. Have a look at figure. 1 below which gives an overview of the Leed’s team’s approach to this.

Leeds Quality Improvement Journey – Presentation slides

FYOC Timeline June 2020 (2)


Figure. 1


Torbay and North Devon – recorded on 3 March 2021

‘One team – One Message’ The QI Champions at Torbay and North Devon talk about their project aimed at improving consistency in communication in clinics (contains: common language, clinic experience, drifters, fishbone analysis, improving team meetings, team questionnaire, ‘ten top tips’)

Resources to download:
Top 10 Tips
High HbA1c Scan

Our Journey so Far – City Hospitals Sunderland – 9 December 2020

Anne Berry (QI Champion, City Hospitals Sunderland) presents her team’s QI journey from the start of the programme in 2018, to the present day. This covers how the Sunderland team have adopted QI into service improvement, and how they have overcome the barriers and challenges throughout (Contains: staff communication, patient feedback, measuring success, overcoming challenges, fundraising, Covid19, project management, Digibete, patient education).

What keeps a project on track

In keeping with the theme of ‘overcoming barriers and challenges’, this is a recording the ‘What keeps a project on track’ presentation from Session 3.

Thinking Hats

A recording of the ‘Thinking Hats’ presentation from Session 3.

Six principles for learning for improvement

This is a recorded presentation on ‘Six principles for learning for improvement’

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