Ambulatory breast surgical care: day case or 23-hour breast care
Shifting inpatient care for breast cancer surgery to a day case or 23-hour pathway. The initiative was organised in three phases over two years to test and pilot how to change clinical practice, streamline pathways and improve patient experience.

Atrial fibrillation - detection and optimal therapy in primary care.
Opportunistic screening by pulse palpation of patients over 65 has been used in 18 regions to improve detection of atrial fibrillation.

Enhanced recovery for elective surgery
Enhanced recovery programmes use evidence based interventions to improve pre-, intra-, and postoperative care. They have enabled early recovery, discharge from hospital, and more rapid return to normal activities.

Streamlining inpatient treatment for acute coronary syndromes
Re-structuring local services can reduce inpatient stay for non-elective cardiac patients to a target of 21 days for patients who need coronary artery bypass grafting, or five days for those needing angioplasty. This reduces mortality and improves patient experience. Reduced inpatient waiting times save bed days.

If you have any ideas or would like to share any learning from any projects you have undertaken at a local level please get in touch at: qipp@improvement.nhs.uk

QIPP

The Quality, Innovation, Productivity and Prevention programme is a national Department of Health strategy involving all NHS staff, patients, clinicians and the voluntary sector. It aims to improve the quality and delivery of NHS care while reducing costs to make £20bn efficiency savings by 2014/15. These savings will be reinvested to support the front line.

Delivering quality efficiently

NHS Improvement has over 10 years improvement experience. With our practical knowledge and “how to” approach we help improve the quality and productivity of services through using innovative approaches as well as tried and tested improvement methodology. Over the last 12 months we have tested, implemented, sustained and spread improvements with over 240 sites to assist in improving services in Cancer, Diagnostics, Heart, Lung and Stroke. Working closely with the Department of Health, trusts, clinical networks, other health organisations and charities we have helped deliver key strategies and policies to improve the delivery and implementation of improved services for clinical teams and their patients across the NHS.

Our work

Our work has enabled us to develop a substantial repository of quality case studies and detailed examples of good practice, some of which have been recommended by and added to the NHS Evidence Library. These practical improvements have made a difference to services along the patient pathway and are clinically led and patient focused to achieve the best outcomes. Our work has been nationally recognised to assist the NHS in meeting the Quality, Innovation, Productivity and Prevention national agenda.

This site

This website is designed to help visitors and users to navigate and explore the examples where achievements have been made across the patient pathway via the various clinical work strands. Many of our improvements are generic so can be adopted and adapted to other clinical areas and settings. Please go through the different areas of our QIPP map to find examples of good practice which maybe relevant to your area of work.

This site is currently under further development so additional information, improvement tools and examples will continually be added to the site.