- This learning report shares the successes and lessons from the first two rounds of the Health Foundation’s Shine programme: annual awards to test small-scale innovative interventions that aim to improve the quality, safety and value of health care services.
- It is difficult to accurately demonstrate cost savings from the Shine projects, especially for small-scale changes that impact one part of a bigger service.
- The projects' achievements in quality improvement are much clearer: the changes they implemented have provided better quality of care and improved patient experience.
The report shows what can be done at a local level to improve quality and reduce costs with a relatively small amount of money and within a short timescale of just over a year.
It demonstrates the effectiveness of clinically-led improvement projects to improve services. Local clinical leaders were able to identify known quality issues and get their peers on board using local data to demonstrate the problem, with a solution appropriate to their context.
Although difficult to categorise due to the varied nature of the interventions, the report groups the Shine projects into four broad categories, depending on the primary focus of the intervention being tested, and summarises the lessons learned. The categories are:
- using information technology to improve services (7 projects)
- changing the way services are organised (12 projects)
- improving access to information for patients and clinicians (5 projects)
- supporting and training staff (8 projects).
The report gives a flavour of the types of idea that got off the ground and the impact they had within participating organisations. It offers clinical teams and those looking for innovative quality improvement ideas practical examples of how to reduce costs within their service area, while at the same time maintaining or improving quality.