The GSQIA aims to contribute to a patient safety aware workforce with the knowledge, skills and confidence to continually strive for safety and quality improvement and excellence throughout the Gloucestershire Hospitals NHS Foundation Trust. 

We co-ordinate a number of training programmes and these are available to all GHNHSFT staff. 


Quality Improvement Training

This programme will support you to contribute to the continuing improvement of patient care and safety in our hospitals and can be used to demonstrate continuing professional development. There will be opportunities to present your work to a variety of audiences for recognition of the work that you have completed and to compete for prizes, including opportunities to enter and attend national competitions to showcase your work.

This programme provides opportunities for further personal and professional development including the opportunity to progress into QI teaching roles as part of the Academy.


Quality Improvement Education Programme Content

The following topics are covered during the respective courses:





The Bronze level course provides an overview of quality improvement tools and methodologies. It is a 4 hour classroom based session and is suitable for anyone Sponsoring a QI team, taking part in a QI initiative or has an interest in learning about Quality Improvement methodology. No prior knowledge or experience is required.

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The Silver level course builds on the Bronze overview but is aimed at individuals or teams who would like education and support whilst they work on a Quality Improvement initiative. The initial 2 days focuses on working through the initial stages of an improvement initiative and the programme continues with monthly 2 hour sessions to support the QI teams. The initial 2 days includes the Bronze training, unless previously accomplished. A QI initiative and Sponsor is a prerequisite for attendance.

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The Gold Improvement Coach programme is designed to develop a network of staff across the Trust with a combination of QI & coaching skills who can help to embed and support local Quality Improvement Activities. This programme is suitable for individuals who would like to build on their existing QI knowledge, contribute to the work of the Academy and support other Improvers. Prior Quality Improvement knowledge and experience to the Silver level or equivalent is required.

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1 Why there is a Need to Improve
2 Quality Improvement Methodologies & Tools  
2a The Model for Improvement  
2b Clinical Audit  
2c Plan-DO-Study-Act (PDSA)
2d Root Cause Analysis  
2e Driver Diagrams  
3 Generating Change Ideas  
4 Measurement for Improvement  ✔
4a Run Charts  ✔
4b Statistical Process Control (SPC) Charts    ✔
4c Variation    ✔
5 The Quality Improvement Process  ✔
6 Process Mapping    
7 Change Challenges & Behaviours     ✔
8 Leading Change    
9 Facilitating Action Learning    
10 Creative Thinking & Problem Solving    
11 Coaching Skills    
12 Planned Experimentation    


Please note that the programme is structured such that the Silver training includes the content of the Bronze training package. Whilst there are additional topics covered during Silver that are not covered during the Bronze training, the main emphasis of the Silver programme is to support participants in the application of the techniques to a Quality Improvement initiative. Both courses include Improvement Science theory and participatory activities to demonstrate the techniques.

The Gold programme does not cover all of the subjects covered in Bronze and Gold as it is expected that participants have existing Quality Improvement knowledge and experience equivalent to the Silver level, prior to applying for the Gold programme. 

If you have any questions please do not hesitate to contact us by email: 



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