Continuous Improvement in ABI Services: Reviewing, Redesigning and Sustaining Quality
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Continuous improvement in acquired brain injury services is essential to sustaining quality, safety and positive outcomes. ABI support is long term, and services must adapt as individuals’ needs, risks and aspirations change. Commissioners and inspectors increasingly expect providers to evidence structured improvement approaches rather than one-off actions following incidents or inspection.
This article explores how ABI services can embed continuous improvement. It should be read alongside Continuous Improvement and Quality, Safety & Governance.
Why continuous improvement matters in ABI services
Without active review, services can drift into outdated practice that no longer reflects current need or risk.
Commissioner and inspector expectations
Two expectations are consistently applied:
Expectation 1: Structured review cycles. Inspectors expect regular review of quality and risk.
Expectation 2: Sustainable improvement. Commissioners expect changes to be embedded and monitored.
Reviewing quality and performance
Improvement begins with honest review of practice, outcomes and incidents.
Operational example 1: Annual quality reviews
A provider introduced annual ABI quality reviews combining data, feedback and practice observation.
Redesigning support safely
Service redesign should be planned, tested and reviewed to avoid unintended risk.
Operational example 2: Phased service redesign
A service piloted changes to staffing models before full implementation, maintaining stability.
Sustaining improvement over time
Improvement must be reinforced through supervision, training and governance oversight.
Operational example 3: Improvement tracking dashboards
A provider tracked improvement actions over time, ensuring changes were sustained.
Governance oversight of improvement
Leaders should regularly review improvement progress and challenge slippage.
Evidencing continuous improvement
Providers should evidence improvement through:
- Review and redesign records
- Outcome and incident trends
- Governance oversight and challenge
Improvement as part of everyday practice
In ABI services, continuous improvement is not a project but a way of working. Providers that embed review and learning deliver safer, more resilient services.
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