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Leading improvement in safety and quality (LISQ)

Giving you new skills and tools to understand and improve patient safety in your practice Leading Improvement in Safety and Quality (LISQ) is a training & coaching programme for primary care teams.  It will give you new tools to better understand, measure and improve safety and quality, as well as to lead the team through change.  LISQ is aimed at senior GPs, practice managers and lead nurses.

Hear from participants about the impact of the programme in Nottingham:

NHS Institute for Innovation and Improvement

2012/3 programme - register now

The next programme is scheduled for Autumn 2012, involving 5 workshop days, 5 virtual action learning sets, and your own project work, spread over 6 months.

All workshops will be held at the NHS Institute's offices, i-House, University of Warwick Science Park, Millburn Hill Road, Coventry. CV4 7HS.

Dates: 25th October 2012, 29th November 2012, 8th January 2013, 5th February 2013 and March 2013.

What do people say?
“We’re finally turning good ideas into actual benefits for patients”  Practice Manager

“Why didn’t someone show me this years ago?” Senior GP

"Very, very impressive ... just the first day has made a bigger impact on the quality culture in local practices than everything we've done in the past 5 years"  CCG Chair

“I can recommend this course to everyone.”  Senior GP

Why attend?

LISQ is a training programme for general practice. It will give you:

  • new tools to detect everyday safety problems you can do something about
  • fresh insight into the causes of errors and adverse events
  • skills to redesign key aspects of your care, to improve safety, reliability and quality 
  • confidence to tackle the complex job of improving general practice.

The NHS Commissioning Board has published a single operating model for commissioning primary care. Attending LISQ will help demonstrate that practices are being true to the principles outlined in the model:

  • Quality will be the overriding principle
  • Everyone in the system must focus on clinical effectiveness, safety and patient experience
  • Patients’ experiences are the main driver of the primary care commissioning arrangements
  • The system will be clinically led
  • Judged on outcomes


Who should attend?

The programme is intended for GPs, practice managers, lead practice nurses and leaders from CCGs, responsible for designing and implementing clinical change.

What does the programme involve?

LISQ is a practical, challenging and fun programme which includes five training days over six months and practical coaching through your own improvement project.

Below is an overview of what the programme covers: 

Day 1 - Diagnose

360 degree practice appraisal.
Human error.
Why is excellence hard?
Guideline violation.

Day 2 - Plan and implement

Designing better solutions.
Planning and communcating strategy.
The Model for Improvement.
Measuring variation.
Measuring improvement.

Day 3 - Work smarter

Strealining processes.
Improving reliability.
Reducing waste.

Day 4 - Work happier

Engaging patients.
Improving satisfaction.
Motivating and incentivising.

Day 5 - Share

Becoming a learning organisation.
Spreading innovation.


The programme is facilitated by members of our Primary Care Teaching Faculty and involve a combination of teaching, group discussion, reflection and practical exercises. Throughout the programme, you will be working to develop and implement your own quality & safety improvement plans, with the support of the Faculty.

Partcipants needs to be able to commit to attend all of the modules to ensure you get the maximum benefit from the programme.