Quality Improvement (QI) Fellows

Health Education England – working across the South West (HEE-SW) is delighted to announce a training secondment opportunity to work with our senior staff on quality improvement and this post also will fund a postgraduate qualification PgCert in Healthcare Leadership and Management with Exeter University. The knowledge and skills acquired through this post will also provide leadership experience to a successful doctor in training. It is anticipated that at the end of the tenure, the QI fellows will be equipped to promote and disseminate learning in QI, with aims of improving patient safety, experience and efficiency in NHS.
Four posts (drawn from core/ higher speciality and GP VTS training programmes) are available on a 12-month full time fixed term contract from September 2019 or LTFT with negotiation. The start date will be dependent on successful negotiations with the employer, but an anticipated date would be around September 2019. The trainee will then return to the training programme, assuming satisfactory ARCP progression.

Job Description

It is anticipated that the successful post-holders will spend 2 days (0.4 WTE) on QI, lead on a quality improvement project (QIP) and gain a PgCert in Healthcare Leadership and Management. The remaining sessions (0.6 WTE) will be spent working in their existing clinical speciality.
Successful appointees will be mentored and taught QI methodology by Dr John Edwards, GP Associate Postgraduate Dean for Assessment; Dr Jon Francis, Associate Dean; Dr Steve Holmes, Associate Postgraduate Dean for GP; Dr Helen Paley, Associate GP Dean; ; Dr Tom Pelly, Associate Postgraduate Dean for Foundation and Excellence, the Severn GP School and Professor Wai Tse, Associate Dean for QI and Simulation.

Flexibility will be given to the QI project depending on the interests and experience of the individual post holder. Appointees may choose to lead on a QIP project either with a local QIP Champion, Consultant, Associate Dean, or with their TPD/ Supervisor in their own Trust. Post holders will be encouraged and supported to present posters and/or oral presentations at conferences and events. A list of QIP champions can be found on - http://www.peninsuladeanery.nhs.uk/about-us/quality-improvement-projects-qips/

For any questions please contact Professor Wai Tse, Consultant and Associate Dean.
wai-yee.tse@nhs.net Tel: 01752-431308

• The trainee will work two days a week (0.4 WTE) on their current salary terms, while continuing to spend the remainder of their clinical time working within their current employer (subject to employer agreement) and participating in contractually agreed out of hours commitment. The 0.4 WTE of their salary will be paid to their employer for the time they spend on the QI project so there is a seamless process.

• Applicants wishing to continue their less than full time contract arrangements will be considered, but would still be required to undertake 0.4 WTE for the Postgraduate Medical Education Office, reducing the clinical commitment accordingly and in line with training requirements for progression.

• The Postgraduate Medical Education Office secondment would not be recognised for clinical training and as a consequence we will agree to an extension to the agreed training contract, in negotiation with the TPD and/or Head of School.

• This exciting opportunity is available to core, GP VTS or higher speciality trainees who already hold a training number in the Peninsula and Severn education catchment areas of Bath, Bridgewater, Bristol, Cheltenham, Cornwall, Exeter, Gloucester, North Devon, Plymouth, Swindon, Taunton, Torbay, Weston-Super-Mare and Yeovil.

• They must be trainees currently working, or about to undertake a rotational year of work, within the South West Peninsula/Severn training footprint. At the time of commencement of the seconded post the trainee must be fully registered with the GMC with a minimum of 12-months remaining on their training contract to be eligible.

• The secondment opportunity is not subject to an employment contract with the Postgraduate Medical Education Office; it will be regarded as an OOPE to the trainee’s training programme. The applicants are encouraged to read the OOPE policy on the Peninsula & Severn websites.

• The successful applicant will hold an honorary contract with the Postgraduate Medical Education Office and continue to be employed by their Trust.

Person specification

• A GMC registered doctor working within the geographical responsibility of the Severn/ Peninsula Postgraduate Medical Education Office training programmes.

• Our working days can be flexible, dependent on the clinical commitment, but the trainee may choose to work in the Peninsula/Severn Postgraduate Medical Education Office, or in the hospital on those two days; appropriate IT facilities will be provided.

• We are looking for an enthusiastic trainee who is able to manage their own time effectively and who wishes to use this opportunity to develop their QI and leadership skills, so that they will be well placed in the future to lead on QI and disseminate QI learning and ethos.

• We are looking for an individual with excellent communication skills, capable of team working, maintaining confidentiality and a desire to succeed with the various challenges that the role presents.

• The culture of the Postgraduate Medical Education Office is one of support, openness and providing equal opportunity to everyone; those working for us are expected to show empathy and courtesy at all times.

• Only trainees on an outcome 1 will be considered.

• All trainees in core, higher specialty and GP VTS trainees are eligible to apply if they fulfil the above criteria.

• Selection will be by a Postgraduate Medical Education Office interview process.

• All trainees will be expected to attend organised training and actively participate and contribute to the annual QI learning and sharing event

• It is expected that HEE will be acknowledged in any presentations and publications arising from the Fellowship.

• Interview date – 1st week of April, 2019. Location – Taunton or Exeter

Importance of Quality Improvement (QI) in NHS

The global burden of disease and challenges of safe and accessible health services means that more than ever practitioners need skills for developing, testing, evaluating and implementing evidence-based health care in highly complex situations. Patient safety is at the forefront of the minds of all healthcare professionals. Events over the years have taught us the importance of safe, compassionate care and how all involved in the provision of healthcare must make it their responsibility to ensure the highest quality of care. By identifying and improving on inefficiencies and potential compromises in patient safety, all healthcare professionals can play their part in maximizing quality in the healthcare environment.
QI consists of systematic and continuous actions that lead to measurable improvement in health care services and the patient outcomes. In the NHS, quality improvement is about achieving the following priorities:
• Improving safety and reducing avoidable harm
• Delivery patient-centred services and improving patient and family experience of care
• Improving clinical effectiveness and demonstrating delivery of best outcomes of care
• Improving efficiency and productivity – reducing wait times and waste
• Demonstrating improvement
• Demonstrating an organisation that listens and learns

Importance of Quality Improvement (QI) in Training

HEE-SW strongly supports QI in training. The Peninsula Quality Improvement Group is a specific group within the HEE-SW (Peninsula) governance framework, comprising primarily of clinicians from health care organisations within the South West Peninsula. Our mission is to promote quality improvement by facilitating training and uptake of quality improvement projects amongst trainees in the Peninsula region, with aims of improving patient safety, experience and efficiency.

The remits of the group are to:
• Improve the quality of care for patients by delivering a better health and healthcare workforce, through the education, training and personal development of all staff and trainees.
• Promote quality improvement and support changes that will lead to better patient outcomes (health), better system performance (care) and better professional development (learning).
• Support a culture of seeking quality improvement, making this an intrinsic part of everyone’s job, every day, in all parts of the system.
• Support trainees to undertake quality improvement work with aims of improving patient safety, experience and efficiency.
• Offer training to facilitate uptake of quality improvement projects
• Set up a quality improvement website
Severn Postgraduate Medical Education also offers guidance on their website at this link:

QI for Trainees

There is increasing emphasis on improving quality within healthcare and also a move to encourage clinicians to lead this drive. Doctors’ training must therefore tackle the need for skills in quality improvement and leadership. Involvement in QI projects/activity is already a mandatory item on the curriculum for most training schemes, for example, the “Learning to Make a Difference” programme in Core Medical Training. It is also an important part of any portfolio or job application, not even mentioning revalidation. Following CCT, evidence of involvement in Risk Assessment, Patient Safety and Quality Improvement activity will help to maximize the chances of gaining a Consultant post.
The Medical Royal Colleges draft report 'Quality improvement - training for better outcomes” has endorsed the principle that every health care professional must have access to QI training. There is the recognition of strategic infrastructure recommendations to establish QI core support teams within providers, involvement of patients at all levels to design, prioritise, deliver and evaluate QI, a programme of education to assist regulators and commissioners, championing by executive teams, national mentorship scheme and better sharing and dissemination of QI learning in NHS.

PG Certificate in Healthcare Leadership and Management, Exeter University
The challenges of maintaining a safe, accessible and sustainable health service require its future leaders to be inclusive, collaborative and possess critical skills in improvement and systems leadership.
This Healthcare Leadership and Management programme has been specifically created to offer the time, space, and support you need to become a compassionate, inclusive and effective leader of the future.
It is suitable for all aspiring or established leaders in any health-related discipline which includes nurses, allied healthcare professionals, commissioners, managers and doctors of any speciality including training grades, GPs and consultants early in their leadership journey.

This programme aims to:

• Provide you with a safe ‘practitioner researcher’ led environment of learning for you to share your ideas, perspectives and current experiences in response to realistic scenarios.
• Challenge you to consider offering solutions alone and in collaboration.
• Support your development as a leader through engagement with both core and advanced concepts in leadership and change focusing on the delivery of healthcare at team and system level.
• Enable you to analyse, synthesise, evaluate and reflect on the translation of research-based evidence into healthcare practice.
• Provide opportunities for you to refine written and verbal communication skills through the examination of theory and its use in practice.

Programme structure 2019 - 2020

You will learn in a supportive collective environment in which professionals of all disciplines work together to enhance their leadership and management skills. The core principles of the programme are aligned to the national framework for action on improvement and leadership development in NHS-funded services, Developing People – Improving Care.
The programme consists of four compulsory modules (each 15 Masters level credits). A blended approach to learning of taught sessions, bespoke tutorials, and practical exercises is supported by on-line resources accessed via the University of Exeter’s electronic learning environment.

Carefully selected tutors and guest lecturers will join you throughout the programme offering up-to-the minute insight, shared reflections and on-going practical support, both in person and on-line.

Modules and delivery

The PG Certificate in Healthcare Leadership and Management is offered as a full-time programme of study at National Qualification Framework (NQF) level 7 and should be completed within one year.

The credit rating of a module is proportional to the total workload, with 15 credits (module) being nominally equivalent to 150 hours of work.


Modules Number

Module Name

Start and End Dates

Contact Dates

Assessment Hand-In dates


Leading Change in Health Services

18 November 2018 to 29 November 2019

25 November to 29 November 2019

13 January 2020

Appraisal of leadership

Strategy Essay (3000 words 100%


Healthcare Management

28 January to 30 March 2020

24 February to 28 February 2020

30 March 2020

Creation of Personal Module Aide Memoire (1500 words) Blog 60% and Infographic 40%


Implementation Science

1 April to 24 May 2020

27 April to 1 May 2020

25 May 2020

Implementation Strategy Essay (3000 words) 100%


Healthcare Leadership

1 June to 28 June 2020

22 June 19 to 26 June 20

26 June 2020

Presentation on the ‘5 Leadership Lessons you will take away from the module and why’ (100%)


Tuition fees for 2019 for UK/EU students are £4,500 for the four modules. This will be paid by HEE-SW.

For any questions regarding the PG Certificate, please contact Dr Andy Griffiths, Deputy Medical Director, Torbay and South Devon NHS Foundation Trust
agriffiths4@nhs.net Tel: 01803 654534