An outline of the IMPACTE model of journal clubs developed in Milton Keynes (UK) to support evidence based quality improvement of patient care in primary care.

1. Putting evidence into practice: Improving Primary Health Care
Quality:MK Putting Evidence into Practice is a core component of
Using a number of projects Quality:MK is piloting the Quality:MK programme
initiatives and experimenting with processes, tools
and techniques (such as the Map of Medicine and Lean IMPACTE Discussion Groups
systems approaches) to enable a whole system Improving Medical Practice by Assessing
approach to quality improvement across healthcare in CurrenT Evidence
Milton Keynes.
Six projects are focusing on the review of care
pathways to improve the quality of care.
At practice level, three projects have been initiated: a
combination of ‘bright ideas’ and work deriving from
questions about clinical practice generated by
IMPACTE discussion groups. Each of these has the
potential to improve the quality of care for defined
groups of patients.
Supporting 6 Clinical pathway reviews
• Finding the research evidence base
• Identify what models already exists
• Research for specific question
Prescribing toolkits have come out of IMPACTE IMPACTE Toolkit gathers together templates and
discussions guidance to support evidence based working in
• “Delayed prescriptions” strategy for reducing the primary care
volume of antibiotic prescribing • IMPACTE Groups leaflet
• Supporting safer prescribing in light of new • Hints and tips on running an IMPACTE Group
evidence of risk, using Glitazones as an example • IMPACTE group discussion summaries templates
• Implementing NICE Guidance: using Lipid • Core resources for Evidence based medicine
Modification as an example • Search request template/Search result template
• How do you JUDGE what you find on the internet?
What have we achieved so far
• Commissioning Librarian post
• Clinical Effectiveness Pharmacist part of project team
• 2 GP Champions
• IMPACTE toolkit
• Prescribing toolkits
• Over 80 people involved in evidence based discussions
within primary care
• 7 regular IMPACTE groups in general practice
• Monthly Quality:MK News bulletins
For further information contact
Anne Gray, Commissioning Librarian, NHS Milton Keynes
Commissioning.librarian@miltonkeynes.nhs.uk
Sue Lacey-Bryant, Project Manager, Quality:MK
Sue.lacey-bryant@mkpct.nhs.uk
Dr. Nicola Smith, G.P. Project Cordinator
Nicola.smith@miltonkeynes.nhs.uk
Dr. Sophie Ellis, GP Project co-ordinator
Sophie.ellis@mkpct.nhs.uk
Jas Janjuha, Clinical Effectiveness Pharmacist
Jas.janjuha@miltonkeynes.nhs.uk
Visit: http://www.QualityMK.nhs.uk
Quality:MK a whole system approach to quality improvement driven by primary care, patient engagement and evidence
health:mk