Quality Improvement Forum - BMJ Group https://bmjgroup.com Helping doctors make better decisions Mon, 19 Jan 2026 17:24:13 +0000 en-GB hourly 1 https://bmjgroup.com/wp-content/uploads/2024/04/Favicon2_Orange.png Quality Improvement Forum - BMJ Group https://bmjgroup.com 32 32 Establishing the next generation advisory panel, with Dr Jamie Smyth https://bmjgroup.com/establishing-the-next-generation-advisory-panel/ Mon, 19 Jan 2026 17:09:26 +0000 https://bmjgroup.com/?p=14867

More about the next generation advisory panel

The next generation advisory panel is a representative group that ensures that the views and interests of early-career healthcare professionals are represented throughout the planning and delivery of our International Forums in Quality and Safety in Healthcare.

The panel plays a pivotal role in providing support and advice during our planning meetings, and critically, providing a strategic direction for achieving greater representation of early career healthcare professionals during Forums, an essential part of our growing community.

Meeting the changing and complex needs of patients

Attending Oslo?

Join the Aspiring Leaders in Healthcare Network (ALiHN) early career professionals networking breakfast

This is the perfect opportunity for early-career professionals to connect with peers from around the world, build a supportive community for your time in Oslo, and discover how ALiHN empowers future healthcare leaders. Begin your conference with new connections, shared ideas, and a strong sense of community.

Dr Emily Audet, Severn Hospice, UK
Dr Jamie Smyth, Imperial College Healthcare NHS Trust; UK

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Connecting communities to inspire change https://bmjgroup.com/connecting-communities-to-inspire-change/ Wed, 14 Jan 2026 12:09:32 +0000 https://bmjgroup.com/?p=14782

From sandpit to system-wide impact

In December 2022, the inaugural BMJ Research Forum brought together 300 participants at the British Medical Association in London, UK. It was there that they were introduced to the  Sandpit Methodology: a structured, intensive, multi-day collaborative workshop approach for generating interdisciplinary research ideas.

One attendee from UCLPartners adopted the approach and applied it within the University College London Hospitals NHS Foundation Trust; an organisation that manages 17 hospitals delivering care to more than six million patients.

The ongoing success of this project illustrates how a single, well designed collaborative method can catalyse meaningful change when implemented at scale within a healthcare system.

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Inspiration for interdisciplinary collaboration

At the BMJ Research Forum 2022, attendees had the privilege of hearing Dr Katherine Freeman from the Engineering and Physical Sciences Research Council (EPSRC) deliver a thought-provoking presentation on the Sandpit Methodology for awarding research grants.

This innovative approach helps to unleash free thinking and inspire interdisciplinary collaboration to tackle significant challenges.

Among the attendees was the Chief Executive Officer of UCLPartners, Dr Dominique Allwood MBE, who was inspired by the potential of the Sandpit Methodology to encourage collaboration and co-production. Determined to bring about change, she took the concept back to UCLP and applied it to their Climate Collaborative initiative, developed to implement the NHS Green Plan across their hospitals.

Developments since 2022 show that the initial idea brought back from the BMJ Research Forum has moved into funded research, peer collaboration, and formal recognition within the health system.

Dr Dominique Allwood MBE

“BMJ Group’s global reach and convening power enable meaningful knowledge exchange by bringing together diverse leaders and specialists, amplifying important voices, and sharing insights that inspire action across disciplines and borders.

Dr Dominique Allwood MBE
CEO of Imperial College Health Partners, Director of Population Health at Imperial College Healthcare NHS Trust, and an Honorary Clinical Senior Lecturer at Imperial College London 

The success of the Sandpit Methodology for UCL Partners led to it being presented by Dr Allwood to an audience of over 3,000 attendees at the Quality Improvement Forum in Copenhagen, 2023.

The potential for these ideas to spread across organisations worldwide is immense; all it takes is one individual to carry them back to their respective institutions.

The impact of BMJ Group events extends far beyond the conference room. By connecting communities, inspiring change, and facilitating the exchange of knowledge and experiences, these platforms can transform entire sectors and healthcare systems.

Finally, the success story of the Sandpit Methodology and its implementation at UCL Trust exemplifies how a single idea, shared among passionate individuals, can create global ripples of change.

Cycle of change

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Improving cultural safety and communication for Indigenous people in hospitals: a consumer-defined approach https://bmjgroup.com/improving-cultural-safety-and-communication-for-indigenous-people-in-hospitals-a-consumer-defined-approach/ Tue, 13 Jan 2026 16:48:46 +0000 https://bmjgroup.com/?p=14735

Spotlight on the Communicate study: Northern Territory Health

In the hospitals of the Northern Territory state of Australia, Aboriginal and Torres Strait Islander people experience poorer outcomes and higher rates of self-discharge than non-Indigenous patients. These disparities reflect the ongoing effects of colonisation, structural racism and communication barriers within health systems.*  

The Communicate study was established as a multi-level partnership between Menzies School of Health Research, NT Health, the NT Aboriginal Interpreter Service, National Accreditation Authority for Translators and Interpreters, the Djalkiri Foundation, and First Nations leaders, working across Royal Darwin Hospital, Gove District Hospital, Katherine Hospital and Alice Springs Hospital.

It was developed to address the impacts of colonisation and systemic barriers in Northern Territory hospitals, where most patients are Aboriginal, but most staff are non-Aboriginal.

The team at NT Health work to achieve the best health and wellbeing for all Territorians through the development, management and performance of the public health system.

Fiona, Eleni and Aleka from NT Health attending the Quality Forum in Canberra 2025

Co-designed with Aboriginal partners, Communicate makes hospital care more culturally safe and accessible through culturally and linguistically appropriate communication, as determined by Aboriginal patients and communities themselves.

It does this by focusing on practical changes in everyday care. Cultural safety training is delivered through Ask the Specialist: stories to inspire better care, using podcasts led by Aboriginal people from Larrakia, Tiwi and Yolŋu nations, reflecting the languages, cultures and lived experiences of communities served by Northern Territory Health hospitals.

A cross-site community of practice links clinicians across Royal Darwin Hospital, Katherine Hospital, Gove District Hospital and Alice Springs Hospital to support continuous quality improvement. Additionally, Aboriginal language interpreters are embedded into clinical teams to support shared understanding and informed decision making. 

The Communicate study: driving significant initiatives across NT Health sites:

 From international evidence to local system change in remote and Indigenous health services

Fiona Wake, executive director for clinical excellence and patient safety, commissioning and system improvement at Northern Territory Health, believes that the learnings gained from attending the International Forum on Quality and Safety in Healthcare were associated with refinement and scaling of the work. Exposure to international evidence and peer systems where consumers define quality and accountability was consistent with international evidence and comparable models, and supported its expansion across multiple sites. 

Sessions led by consumer advocates challenged traditional reporting frameworks that prioritise organisational metrics over patient experience, leading to greater emphasis on patient-defined indicators such as cultural safety, interpreter use and self-discharge. Comparable community governed models from Broome, Alaska and Canada demonstrated the applicability of these approaches for remote and Indigenous health services.

The early success of the Communicate study shows that effective change happens when Aboriginal patients and communities help shape how care is delivered, rather than commenting on it as an afterthought. It places Aboriginal voices at the centre of decisions about safe, effective care.

This view mirrors the discussions that took place at the International Forum on Quality and Safety in Healthcare in Canberra 2025, which emphasised the role of patient-defined measures in assessing and improving care quality. 

More from NT Health

Ritual Medicine Dance

Co-designing culturally informed care for frequent emergency department attenders

At Royal Darwin Hospital, a culturally informed, Aboriginal-led case support programme was co-designed to improve care for people who frequently attend the emergency department.

Led by Dr Sandra Brownlea, the initiative responds to inequitable and culturally unsafe care by shifting from a purely biomedical approach to one grounded in patient partnership, cultural safety, and structured case management. She tells us how evidence and insights from the International Forum on Quality and Safety in Healthcare in Melbourne 2023 help to inform this work.

Tranquil scene showing a vehicle driving on a a remote dirt road in the Tanami Desert shot from an aerial point of view at sunset Northern Territory Australia

Clinical yarning for healthy ageing care in remote Aboriginal communities

A Rural Generalist Pathway project in the Northern Territory used clinical yarning with Aboriginal elders to inform healthy ageing care in remote communities.

Guided by lived experience rather than limited published evidence, the work aligned with International Forum on Quality and Safety principles of equity, consumer partnership, and locally led quality improvement.

Reflecting on the Forum in Canberra in 2025, Eleni Hatzilaou, director of patient safety and quality governance, Northern Territory Health, Australia, emphasises the value of equity, consumer partnership and effective communication in quality improvement.

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