Over the past 3 and half years CLAHRC Northwest London has been working in partnership with a mental health team to improve the physical health of people with a serious mental illness, based on current best practice and evidence. Initially based on a single ward, members of the CLAHRC Northwest London team worked with front-line staff and service users to develop and test interventions using quality improvement (QI) methods. Following the success of that initiative, this has been scaled up to deliver the interventions on additional wards and the community.
As part of his Doctorate in Public Health at the London School of Hygiene and Tropical Medicine, Stuart Green, is undertaking an ethnographic study to explore how quality improvement offers a potential opportunity to understand the interface between knowledge creation and implementation, using this initiative as a case study. This builds on previous doctoral work he undertook to explore barriers and facilitators to implementing guidelines in the acute medical setting through the use of care bundles.