Sue Jackson

Implementation of EFQM excellence model self-assessment in the UK higher education sector - lessons learned from other sectors

Owing to pressures from a range of stakeholders for a wider and improved range of services from the Higher Education (HE) sector in the UK, linked with a simultaneously increasing pressure on resource utilisation, universities are currently facing the challenges of reorienting their approaches to be more customer‐focused and conducting their activities in a more business‐like manner. A consortium of UK universities is currently implementing the European Foundation for Quality Management (EFQM) excellence model as a means for addressing these issues. The focus of this paper is the implementation of EFQM excellence model self‐assessment in the UK HE sector. This paper describes the specific issues in implementing the model in UK HE, with a particular focus on the choice of self‐assessment methodology, and compares and contrasts these with self‐assessment issues in the wider public sector. The early signs are that EFQM excellence model self‐assessment can help to produce a more customer‐oriented culture in HE institutions, providing that the lessons learned from the wider public sector are put into practice.

Successfully implementing total quality management tools within healthcare: what are the key actions?

This article recognises that many total quality management initiatives fail and that the failures are often due to a lack of knowledge, skills and expertise, particularly in relation to the organisation’s leaders/managers. In contrast however, success is more likely if the implementation approach is well planned, executed, assessed and reviewed. There are five key steps that need to be contained within the implementation plan some of which include setting up a steering committee, agreeing the norms, values and behaviours for the organisation and determining indicators associated with success. Furthermore, a number of actions need to be effected within those five key steps. In essence it was concluded that without careful planning the programme for implementing total quality management was likely to fail resulting in an opposite effect on the quality of healthcare delivery to the one that was intended.

Transforming a run down general practice into a leading edge primary care organisation with the help of the EFQM excellence model.

This article explains how a primary care team transformed a run down general practice into a leading edge healthcare organisation by adopting the principles of the EFQM excellence model. The decisions surrounding the choice of approach, challenges faced, benefits achieved and lessons learned are all described in such a way that the reader may appreciate the issues which faced the members of the 15-man team. In particular, the practice team found that describing indicators of quality and gathering evidence to test out assumptions regarding performance were vital elements in the pursuit of a continuous improvement culture that was to benefit patients, staff and key stakeholders alike. Whilst an increase in workload was experienced in the early days, the knowledge that this was associated with improved performance made the efforts worthwhile and the team eager to adopt a regular, never-ending cycle of self-assessment and improvement.

Achieving clinical governance in Women’s Services through the use of the EFQM Excellence Model

Following a brief explanation of the concepts inherent within the European Foundation for Quality Management Excellence Model, the experience of using the framework as a mechanism for delivering clinical governance is described. The framework was utilised by a Womens Services Directorate of an acute National Health Service Trust in the UK, who concluded that the Model was an ideal tool for supporting the delivery of clinical governance. However, this was only the case when a number of factors were taken into consideration. For instance, the Directorate found that the change programme required a phased implementation process, sound leadership, expert facilitation, good information systems, numerous training and development opportunities for managers, teamwork and the application of best practice in relation to project improvement teams. Moreover, the absence of all the aforementioned ingredients had the potential to compromise any successful outcome.