EQUIP: making Tower Hamlets the best place to work, and the best place to receive care.

The world of General Practice is currently under significant pressure. Across the board budgets are being cut, and resources constrained. ‘On top of this, practices face a rapidly growing population, thus in turn increasing demand for GP services. The growing population has different health needs from those of the past, forcing practices to re-evaluate the efficacy of their business models and clinical processes. As a result of these challenges, practice staff are under unprecedented levels of stress, leading to recruitment and retention challenges.

Our response to these conditions is to roll up our sleeves, and address these issues head on. The EQUIP (Enabling Quality Improvement in Practice) programme is designed to do just that, by providing practice staff with the tools to create meaningful and lasting change. This is done by allowing practices to work on what matters most to them through a tried and tested Quality Improvement methodology. By doing this, we hope to improve the lives of staff and develop a culture within practices that values bottom-up change and continuous improvement. We also hope that we will make General Practice resilient and effectively able to manage current challenges and variation, and lead change so it can deliver even better care to patients in the future’.

Our Latest Newsletter (17/06/2019)

Your EQUIP project is all done… what now?

First of all, if you have indeed completed an EQUIP project, and if that is why you are reading this… WELL DONE!!!!! What you need to do now depends very much on your role within the project.

So – you’re finished! – now…:

If you are the sponsor

  1. Celebrate!! Plan a proper celebration, the kind that comes with cakes that do not come from the supermarket, but from that yummy bakery that is going to draw your personal inscription for the team.

  1. Communicate the team’s results, and make sure that any changes made are integrated into your practice’s daily work – yep, this is your job!
  2. Monitor the changes you’ve chosen to make, and provide air cover for decisions that need senior authority. You are your team’s biggest cheerleader, the press officer, the PR rep. (And the cake buyer, don’t forget!)
  3. Keep awareness of the issues or barriers you encountered during the project – these may become the focus of your next projects; don’t ignore them, o ye container of history, memories and information.

If you are the team leader

  1. Do the admin! Make sure all your documentation on Life QI is complete, and that it would make sense to any other practice who wanted to learn from you.
  2. Communicate what you’ve learned – your sponsor will be fronting comms, but your voice is essential. Some people, would you believe it, will hear you more loudly that they hear your senior sponsor. Just sayin’.
  3. Keep your projects gains! You’ve worked hard – don’t slip up! Keep measuring and tracking, as in, in perpetuity, just to make sure that “the new” doesn’t fade into oblivion.

Your final, very last, pre-cake and celebration meeting will be and feel different from the others. Like the last day of school. Below (and attached) is a sample agenda you may find helpful in order to structure your reflections and learnings.

And just in case you’re wondering where to get this Kool Aid so many of us seem to have drunk…:


Obviously in the flavour of all things QI, I am sharing two tasty training opportunities that might interest nurses and/or early career GPs, who see it as their daily responsibility to do their job, and also to do it better, every day. You might enjoy this bespoke, tailored QI approach to clinical work – and if so, instructions on how to join are simple, although you haven’t got loads of time to sign up – check out the attachments below:

Quality improvement for early career GPs in London

Quality improvement for practice nurses in London

Final Project Review sample agenda 13.06.19

Yeah yeah yeah, I know attachments aren’t popular, but trust me, lengthy emails are aren’t popular either. Or so I’m told. :-/

So! Congrats! We hope the topic of this email is relevant to many, many of you.

Amazed. Inspired. Grateful. That’s how your trust and generosity in our shared work make me and the team feel.