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Enhancing Quality and Recovery Plus (EQR+)

Enhancing Quality and Recovery Plus (EQR+) is an  innovative, clinician-led, quality improvement programme. It has a track record of effective use of large scale change methodology to drive improvements in clinical practice and deliver health benefits for patients and economic benefits for our health communities. It takes known best practice evidence, working closely with the National Institute for Health & Care Excellence (NICE), to set clinical measures with clinicians. It uses the collection and consistent use of clinical process data triangulated with outcomes. EQR+ streamlines care and improves documentation making the care provided more consistent and reliable for every patient, every time. 

The majority of pathways being addressed reflect the local focus on improving emergency care and care for frail elderly people. They include:

  • emergency admission pathways - heart failure, community acquired pneumonia, acute myocardial infarction, chronic obstructive pulmonary disease, and fractured neck of femur
  • elective pathways - enhanced recovery in hips and knees, gynaecology and colorectal and dementia memory assessment

New data tools are being developed in discussion with NICE and are being introduced to increase transparency and compliance with NICE TAs.

Additionally new approaches are being tested to support industry in addressing obstacles to adoption of best practice, starting with IOFM. This includes addressing clinical concerns over the evidence base and strengthening it with HEI input.

EQR+ has a strong focus on engagement and inclusivity. A key priority is to ensure effective involvement of all members and teams in clinical pathways. We also recognise the important interdependency with Strategic Clinical Networks (SCNs), NHS-IQ and others in achieving our objectives. There is a commitment across the programme to promote shared learning to help deliver whole system pathway development. The service is currently available to Surrey & Sussex and Kent & Medway Area Teams of NHS England, Clinical Commissioning Groups, independent sector and NHS providers based in Kent, Surrey and Sussex. We will explore the potential to offer the service more widely and support others with common ambitions.

An integral part of our approach is the use of effective patient experience measures so that improvements in quality are focused around the patient.