Enhancing Quality and Recovery Programme

The journey –

Enhancing Quality and Recovery is a clinically-led rapid quality improvement programme which triangulates clinically robust data to drive quality improvements in clinical interventions, patient reported outcomes and patient experience.  The programme uses accurate benchmarking of clinical practice to identify variation and then supports clinicians to innovate and improve patient outcomes. It recognises best practice and promotes a collaborative approach whereby learning is shared within and between different trusts.

The EQ programme aims to streamline care and improve accountability through reliable and directly comparable information on clinical quality; and to rapidly spread and adopt evidence-based improvements to multiple settings.



In the first year over 25,000 patients were tracked by the programme. Quality improvement scores show a 15 per cent improvement for heart failure and pneumonia patients, eight per cent for hip & knee and five per cent for heart attack. More granular improvements were demonstrated such as a 20 per cent increase in the number of patients with pneumonia receiving their antibiotics within six hours of arriving in the hospital.

Individual trusts are able to compare their quality performance within their trust (at ward and clinician level), against other trusts across this region, with trusts in the North West and with hospitals in the United States in order to improve their quality of care.


Patient setting

In-patient   X Out-patient   X Community based
Mental health   X Chronic illness   X Cross-systems   X


Clinical area

Staying healthy

Maternity and newborn   X

Children and young people   X

Acute care   X

Planned care   X

Mental health   X

Long-term conditions   X

End of life   X


Information, tools and techniques used

The EQ programme uses the PDSA (Plan Do Study Act) rapid quality improvement methodology, recommended by the IHI (Institute for Healthcare Improvement) and the NHS Institute for Innovation and Improvement.  The team has also used some of the principles of the MSP and Prince 2 programme management tools, adapted to suit their own purposes.



The programme involves all acute trusts, community trusts and mental health trusts across Kent, Surrey and Sussex.



The EQ programme was initiated in 2009. The first data collection went live in July 2010, and the programme has continued to develop since then.


Contact details and further information

Kay MacKay, Director, Enhancing Quality and Recovery Programme: kay.mackay1@nhs.net

Further information at: http://www.enhancingqualitycollaborative.nhs.uk


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