QI Connect ‘Taking improvement to scale’


This is your live blog with updates straight from Professor Maxine Power’s QI Connect WebEx ‘Taking improvement to scale in 2016’ (Thursday 26 May 2016)

Healthcare Improvement Scotland is currently hosting an exciting line up of monthly WebEx sessions, titled QI Connect, presented by an exceptional global faculty.

Maxine Power, Haelo’s Chief Executive and Director of Innovation and Improvement science at Salford Royal NHS, will join the line up of national and international leaders in quality improvement. UPDATE: You can now listen to the recording again on the QI Connect website.

Maxine Power had a  20 year clinical career and was one of a small number of non-medical professionals (Speech and Language Therapist) to be awarded a Medical Research Council Clinical Research Training Fellowship. She completed her doctoral training in neurophysiology in 2001.

In 2006, Maxine was awarded a Health Foundation Quality Improvement Fellowship, spent one year at the Institute for Healthcare Improvement in Boston, USA and completed a Masters in Public Health at Harvard University. During her fellowship, she focussed her learning on two key areas: organisational culture and its impact on the adoption of quality and safety initiatives in hospital care and the implementation of large scale change in stroke care.

Since her return to the UK she has undertaken several substantive roles in improvement, before finding her home at Haelo!


4.00pm Dr Brian Robson, Exec Clinical Director Healthcare Improvement Scotland opens the event, welcoming attendees from around the world, over 145 lines connected into the conference, with a special mention to 38 universities now associated with QI Connect.

A special mention to the small but perfect team at QI connect, involving Brian, Jennifer and Olivia who have brought this fabulous series to all attendees.

16.12pm Maxine Power takes the stage to introduce the topic. We’ll be going back to basics today, beyond 2016 and into the future and what we’ll be able to use to scale up and spread.

25 years

Why 25 years? When Maxine’s career started. Starting in years of pen and paper. Tell us where you were in your journey 25 years ago?

It would be rude not to include all your submissions from the live chat box:

“25 years ago last year of my Nutrition and Dietetics Degree. Worked in NHS since.”
“Went off travelling to New Zealand in 1991.”
“I was 11, finishing Primary school.”
“I was working for a bank …. yuk”
“I was a medical registrar (and also playing in a punk band!)”
“I was last year of College BSc physiotherapy” “Being a Mum :-)”
” I wasn’t born!”
” I was in my first sisters post in a labour ward in Glasgow”

We have transitioned now to a digital world and what does the speed of this change mean for the future?

Implementation fallacy: “People have had a belief system, that if you just get the right idea, the idea will spread. If you get the right technology, the technology will spread…

“That is simply not true for most things.”

Maxine refers to James Lancaster, from 1601, who carried out a experimental study to use lemon juice to prevent scurvy.

Changing Times – “We owe experts in health care improvement so much”

Maxine moves to John Kotters’ work, discussing the ability to innovate and the ability to execute. Change in organisations is defined by the coming together of hierarchical structure.

Kotter International: 8 step process for leading change

Everett Rodgers, is “my go to guy, my encyclopedia”.

You need to understand the characteristics of the people in the system. Does it fit with the culture, the prevailing mindset? And if it doesn’t, this doesn’t mean you don’t do it – it will just take you longer.

Rodgers also helped us understand the characteristics of individuals behaviours and responses to change. From laggards to innovators – “this is toolkit we use all the time”.

Now let’s take a break, Maxine asks people to look around, what’s in your environment? You’ll have a phone within reaching distance, and the computer you’re currently on – “the biggest game changer – it has liberated communication”

Let’s look at your responses!

“At home – but still have x2 phones, my computer and a tablet within reach!” Bridget Armour

“I’m sat in the car, watching this webex on my iPad, listening on my phone and tweeting on another phone. Game changing indeed!” Sharon Poll

“There wouldn’t be a QI Connect 10 years ago then! We would all be faxing each other ideas!” Jennifer Graham

“It’s not replacing humans but enabling them”

Maxine shows an example of how Haelo, working with partners, improves patient safety when in hospital with the Patient Safety Briefing:

Jo Thompson, Senior Programme Manager of the Measurement and Monitoring of Safety Programme, asks “What would be your top tips for the aspiring improver?’

Maxine discusses the challenges she faced as an aspiring improver: “there is no right and wrong in this, understand it’s not personal.”

“A converted laggard is worth 5 innovators – because they can be so influential in the change process.”

Jo also asks: “We know improvers need to be tenacious, resilient, good conveners etc – thinking about the qualities that we know good improvers need to have, what famous people would you have on your dream improvement team and why?”

Maxine lines up the team at Healthcare Innovation QI Connect team, Alex Ferguson, Prof Elaine Mead, Chief Executive NHS Highland, and finally her daughter – for the way that she challenges Maxine. Great leaders, understanding, empathy – all characteristics of a dream team.

Q: How do you involve the laggards? Some people say you should leave them behind?

80% of your time has got to be towards positive people who are willing to do the change. Not with those who are sucking too much energy.

Once the laggards are engaged they can have serious momentum. My tactic is to give them voice – the chance are they have different opinions than those in the room. But they can surprise you, and improve the programme. Have they got a point? Listen – because what they’re wanting is to be heard and respected. Understand that behaviour and the drivers for this.

Some, the tiny tiny minority, are intent on being disruptive. That becomes a value issue. Everyone is given a chance, or two or three.

You have to make some much noise around the success that it drowns out the negative. Be resilient!


Haelo Hosts ’16Haelo_DG_Green_HighResRGB-01

There’s only a few tickets left for Haelo Hosts ’16, so sign up now before we sell out.

Back by popular demand for 2016, Haelo’s Festival of Learning and our glamorous Film Festival. Find out more…

Next up

Find out who QI Connect have coming up on their WebEx Series.

Thank you so much for joining us. Maxine’s enjoying a well deserved post-presentation brew!


“Thank you. Great session. Loved it and feeling inspired :)” Sharon Poll

“Thank you for a great session” Amanda Johnson

“Thank you Maxine – lots of useful wisdom” Carolyn Chalmers

What do you think?

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  1. I am wondering how many’questioners ‘ are connected to this series of presentations. Do you think there is a degree of preaching to the converted and a need to encourage some of th elaggards to take on a QI project of their own rather than having to follow someone else’s ideas?

  2. Brilliant Blog – nice summary- the QI Connect team often miss much of the talk as we are working behind the scenes and listen afterward to the recording- having the summary live blog is excellent way of catching up quickly