Essex County Council: Provider quality innovation team: Prosper programme for care homes and nursing homes

This project has helped care and nursing homes reduce falls, pressure ulcers and upper urinary tract infections by using quality improvement methodology. It has changed behaviours, encouraging staff to think creatively and to assess problem areas and measure the impact of changes. A key outcome has been 82 per cent of homes involved are now rated good or outstanding by the Care Quality Commission – up from 46 per cent before.

Homes set their own goals and adopt a number of measures, using a PDSA cycle. Prosper also supports homes to do root cause analysis of incidents and make changes based on this. Challenges have included changes in managers, meaning work has to restart, plus suspicion about how data might be used. The model has been shared with community health providers now adopting part of it and enquiries have come from as far away as Australia.

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  • Leeds Teaching Hospitals Trust: Reducing falls through our falls QI collaborative – HIGHLY COMMENDED
  • Ashford & St. Peter’s Hospitals FT: What Matters to You: A patient, family and staff focused model of care
  • Coventry & Warwickshire Partnership Trust in partnership with Oxehealth: Safer Dementia Care in Mental Health Hospitals
  • East Midlands Patient Safety Collaborative, hosted by the AHSN: LPZ - Care Homes Harms Prevalence Audit Tool and QI Programme
  • North East Ambulance Service FT in partnership with Gateshead Health FT: Developing partnership pathways to improve outcomes for elderly patients having falls
  • Northamptonshire Healthcare FT: Nutrition and Hydration Collaborative
  • Northumberland Tyne & Wear FT: Pathway Support: Improving the patient experience, performance and cost efficiency in transitions of care
  • Northumbria Healthcare FT: Keeping patient safety AFLOAT (Avoiding Falls Level of Observation Tool)
  • Tameside and Glossop Integrated Care FT: Digital Health Service: Using digital technology to deliver care to older people
  • Tameside and Glossop Integrated Care FT: Reducing frailty, falls and fragility across the neighbourhood


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