Toolkits, Interventions & Change Strategies Archives - Yorkshire Quality and Safety Research Group

Oct 09

Six Steps to De-implementation: A Toolkit for Leaders

By Sobia Bibi Toolkits, Interventions & Change Strategies

What is the problem?

Some healthcare practices are implemented without any evidence that they are of benefit, and can add an unnecessary burden to the day-to-day work of healthcare staff. It’s sometimes difficult to identify these practices – they might have become routine, or they might be seen as a regular part of someone’s role. This practical, step-by-step toolkit is a guide to help you think about the healthcare you provide, and identify tasks and processes that you may feel:

are not the best use of your time
duplicate other tasks and processes
do not provide benefits for patients

How will this toolkit help?

The toolkit provides tools and resources to help you identify which tasks or processes might be suitable for streamlining, and a step-by-step a guide to developing an evidence-based strategy for safely rethinking, reducing or removing a practice. It has been developed by a team of researchers with experience in this area, through consultation with healthcare professionals and public contributors. The toolkit also provides links to improvement models, ideas from behavioural science and case study examples from healthcare to increase your understanding and help you streamline care while keeping staff and patient experiences and wellbeing at the heart of what you do.

You can find the toolkit here.

What does this mean to patients, the public, health and social care services?

We would like to hear your experiences

We will be building a collection of case studies on this site to share people’s experiences of using the toolkit. Please follow this link to see an example. Share your experiences here

Sep 11

Making medicines safer for care home residents

By Sobia Bibi Toolkits, Interventions & Change Strategies

care home staff giving a resident their medicine What was the problem?

Care home residents are often prescribed many medicines. Medicines can be beneficial, but taking multiple medications can sometimes cause side effects and affect residents’ quality of life. It’s important that people living in care homes have their medications regularly checked with a healthcare professional to make sure they are still suitable.

What have we done to address this problem?

We worked with residents, relatives, care home staff and healthcare professionals to develop a set of resources so that residents and care home staff can be actively involved in discussions about medicines. They include questions that residents might want to ask, such as “Do I still need all my medicines?” and “How do I know they are helping me?”.

What did we produce and who is this useful for and why?

The resources are designed for healthcare professionals, care home staff and residents and relatives to use when reviewing medicines. They have been launched by the Health Innovation Network in September 2025, and build on the success of resources designed by our group which are used across England for older people living in their own homes.

You can find all of these here.

Jul 24

Reducing the risk of older people being readmitted into hospital

By Sobia Bibi Toolkits, Interventions & Change Strategies

What was the problem?

Moving from hospital to home (the ‘transition’) is a risky time for older patients (75+ years). Around 18% of patients end up back in hospital as an emergency. Most of the time, these re-admissions cannot be avoided, but oftentimes they can.

What have we done to address this problem?

We wanted to understand and improve the experience and safety of care for older people as they move from hospital to home to reduce unnecessary hospital re-admissions. To do this, we conducted six pieces of research (called work packages). First, we tried to understand from patients, families and staff how they experienced care transitions. Next, we developed a tool to measure these experiences. We then worked with staff and patients and members of the public to develop an approach (called ‘Your Care Needs You’), to help involve and prepare older people for going home after a hospital stay.

What did we find?

We then ran a trial to find out if people who received ‘Your Care Needs You’ were less likely to go back into hospital. For this, we put ‘Your Care Needs You’ into 18 wards and compared hospital re-admissions there with 21 wards which delivered care as usual. We found that the rate at which patients were re-admitted to hospital was better in the ‘Your Care Needs You’ wards but this was not significantly better. Three months after discharge, the number of people being re-admitted to the hospital was 13% less in the ‘Your Care Needs You’ wards. The approach also reduced the problems that people experienced (such as falls) around 1 month after discharge. We found that many of the wards did not deliver the approach as planned, so not all patients got ‘Your Care Needs You’. This was mainly because of staffing pressures after the COVID-19 pandemic. While some patients found the approach useful, others thought it was not for them. The approach is cheap to deliver and, on balance, is worth the cost.

What did we produce and who is this useful for and why?

‘Your Care Needs You’ included a booklet, an advice sheet for managing at home, and a film for patients.

You can find all of these here.