By Lydia Hulme, Improvement Support Officer with CLIC

Wednesday May 1st saw the completion workshop for the Wave 9 of CLIC’s ‘Engaging for Improvement’ 20 week programme. Using a range of the Cumbria Production System tools, teams reviewed their current state, collected data from staff, patients, and engagement meetings; and created a plan for their projects with the support of their CLIC Improvement Coaches. We saw some fantastic ideas implemented as part of this cohort, and celebrated with an afternoon of presentations, poster displays and table top talks in the CLIC Training Room.

One such presentation was from Jenny Wilson of the Specialist Palliative Care Team (SPCT), whose project was to improve patient experience by effective and compassionate DNACPR decisions across care settings. During their research, the group found that awareness of DNACPR decisions was poor and that patients’ decisions were not always respected. There were significant delays in the process between the patient discussion and the form reaching the patient; as well as gaps in training for nurses signing DNACPR. Their project resulted in the development of a new policy and accompanying SOP, new patient information leaflets, further audits of records, and a quarterly spot check audit of documentation. Ongoing, a review of DNACPR incidents will be completed in six months. The benefits of the project are many, but most importantly focus on better patient care by reducing anxieties and supporting care decisions across boundaries.

Another fantastic presentation was from Helen Farren and Elaine Lawson of the Children’s Community Nursing Services who had to defer from wave 8, and join us in wave 9. They drafted a new evidence based Trust policy for the management of pressure areas in children, as well as adopting a paediatric risk tool for pressure ulcer care and prevention in children and young people. The group noticed a gap in policy and a lack of good practice evidence, so created appropriate training and awareness with the aim of ensuring safe practice and improving patient care, whilst supporting and empowering staff.

Sue McHugh and Emma Aspden of the Specialist Dental Team from Furness and South Lakes completed a brilliant project which is already benefitting patients across South Cumbria. Their project was to create an Anxiety Management Pathway for dental phobic patients using CBT techniques. They collected data for pre and post treatment anxiety and studied wasted surgery time and cost implications for treating patients with sedation. Their enthusiasm throughout their presentation was infectious and the patients who were dental phobic prior to the intervention have since been successfully treated without sedation which has increased patient safety. The referral to assessment time for CBT patients is four weeks, compared to sixteen weeks for IV sedation appointments. Patient feedback was brilliant, not only had the CBT treated the patients’ dental anxiety, but made a positive impact on their general health and wellbeing. The project saw a 100% success rate and the team are hoping to roll the scheme out across Cumbria.

The completion workshop closed with remarks from Robin Talbot, Chair of the joint trusts and a presentation of certificates. The CLIC team would like to congratulate everyone who participated in the initiative and we look forward to celebrating your ongoing successes.  

Engaging for Improvement Wave 9 Case Studies – click here to find out more

  • Pressure Area Care for Children & Young People
  • Protecting Patients & Staff from Health and Safety Risks
  • Development of Competency Hubs
  • Supporting Staff with the Impact of Suicide
  • Collaborative Learning in Practice Model
  • Reducing Patients Falls on Ward 4
  • Anxiety Management Pathway for Dental Patients
  • Improving Risk Formulation
  • Patient Information
  • Continuing Healthcare Improvement Plan
  • Application of DOLS and Court of Protection Applications
  • DNACPR Decisions at End of Life

The application window for Wave 11 is now open. Wave 11 will be undertaken August 2019 to January 2020. If you think Engaging for Improvement is something you are interested in follow THIS LINK to access an Expression of Interest Form complete and return this to the CLIC Team at by the 15th July 2019.

The Bright Ideas in Health Awards is now celebrating its sixteenth year. The Awards are organised by The Academic Health Science Network for the North East and North Cumbria (AHSN NENC).

Click here to find out more and submit an idea

The Awards celebrate the achievements of individuals and teams working within the NHS, industry and academia, who have risen to the challenge of telling how, and where, they believe that the services provided to patients can be improved, either through a technical innovation or through better service delivery.

Everyone can play a part in developing innovative solutions to the healthcare challenges that we face every day. The competition, depending upon the category, is open to all SMEs, NHS organisations and academic institutions in the North East of England and North Cumbria.

The Categories for the Bright Ideas in Health Awards 2019 are:

  • Development of an Innovative Device or Technology
  • Digital Innovation in Health and Social Care
  • Innovation Champion Award
  • Demonstrating an Impact upon Patient Safety 
  • Outstanding Research Collaboration with the NHS 
  • Demonstrating an Impact upon Quality Improvement 
  • Early Diagnosis and Precision Medicine Award 
  • Innovation in Education

Entries into the Bright Ideas in Health Awards 2019 are now open.

The closing date for entries is 31st July 2019. Finalists will be informed in October and invited to the awards ceremony.

Winners will be announced at the Bright Ideas in Health Awards ceremony, held on Thursday 14th November at the Hilton Newcastle Gateshead Hotel.

Click here to find out more and submit an idea

Improvement Fundamentals is a programme of free online, self-directed mini-courses in quality improvement (QI) for those involved in heath or social care services, which launched in 2018. 

The first four courses in the programme have now run twice each. However, in case you missed them or would like another chance to complete them, NHS England and NHS Improvement’s Sustainable Improvement team is running them all again - three times each - in 2019 and 2020, starting next week.


The schedule of courses is:

Course 101: An Introduction to Quality Improvement Theory - week commencing (w/c) 13 May 2019; w/c 09 September 2019; w/c 13 January 2020

Course 201: Developing Improvement Aims and Conducting PDSA Cycles - w/c 10 June 2019; w/c 07 October 2019; w/c 03 February 2020

Course 301: An Introduction to Measurement for Improvement - w/c 08 July 2019; w/c 11 November 2019; w/c 02 March 2020

Course 401: An Introduction to Spreading Improvement Gains - w/c 12 August 2019; w/c 09 December 2019; w/c 23 March 2020


All of the courses are now open for you to enrol onto on the QI Learning Platform. You don’t have to have completed any of the previous courses to take part - all are welcome. Please do pass on this information to any colleagues who you think may be interested.

During each week, expert facilitators from NHS England’s Sustainable Improvement team will be on hand to answer your questions and offer their insights in the social spaces on the courses.

Each course will take just 2.5 hours of your time, and is worth 2.5 CPD points each.

To find out more and enrol, please visit: 

The Horizons Team have an improvement related scheme that we thought you might be interested in which starts on 16 May 2019.

The School for Change Agents builds change agency which is the power, individually and collectively, to make a difference. It is about pushing the boundaries of what is possible, mobilising others and making change happen more quickly. They are more than a school. They are a movement of 15,000 people in the health sector building a community to create the boldest and most innovative new ideas in health and care. It is the most widely used skill-building programme for change in the NHS. The Community is entirely online, there are five interactive live webinars with the opportunity to catch up with the recordings afterwards. 

The School will provide you with the skills, confidence and community to make a difference in an ever-changing and evolving environment, and the skills to implement the NHS Long Term Plan through sharing the latest in change and transformation thinking. You will leave the School with the power to make change in your organisation. 

There will also be six modules on their e-learning platform, hosted by Futurelearn, in partnership with the NHS Leadership Academy. This will provide you with the opportunity to further your learning beyond the live webinars, offering opportunities for reflection on how to implement your learning. The entire course is free to join and take part in. If you want to receive accreditation and CPD for these modules, there is a nominal fee of £32. This may be useful for a range of professions, such as revalidation for medical and nursing colleagues. They will also make a number of free upgrades available to NHS staff and patients (‘experts by experience’). Details of this will follow in due course. 

The dates of the live sessions (which will be presented by Helen Bevan and Kathryn Perera) are below:

  • 16 May
  • 23 May
  • 6 June
  • 13 June
  • 20 June

These will take place at 3pm UK time and recordings of the live sessions will be made available afterwards. 

Sign up for the School


Commissioned by the NHS Leadership Academy national team, this programme is open to accredited mentors or any NHS staff member who is interested in supporting their colleagues’ journey back into work after a period of extended leave. Participants are asked to attend an experiential learning event to learn more about Return to Work Mentoring - the day will be facilitated by subject expert Nicki Seignot and include cross-sector guest speakers with lived experience. 

The cohorts will be taking place 9.00am-5.00pm on the following dates:

  • 19th June in Leeds at the Leadership Academy 
  • 24th September in London

The link to programme information is here: 

The link to sign ups is here:  

Please contact Katy Brown (National Programme Coordinator) with any queries: