Meet the Team

Steve Harrison - Head of Quality Improvement and Senior Microsystem Improvement Coach

Steve is a Service Improvement manager working at Sheffield Teaching Hospitals NHS Foundation Trust. His current work focuses on using a Clinical Microsystem approach to building capability and delivering quality improvement across the Trust.

A graduate of the Dartmouth Institute eCoach the Coach programme in 2011, Steve introduced the microsystem team coaching improvement methodology to STH and has coached many Microsystems, working with these front line multidisciplinary teams to deliver measurable quality improvements. These include outpatient work with Rheumatology, Haematology, Geriatric Medicine, Renal, Cystic Fibrosis and Pulmonary Hypertension, and inpatient work with four Respiratory Wards at Sheffield.

He is the lead faculty coach for the Sheffield Microsystem Coaching Academy, working closely with the microsystem academy team from Dartmouth to translate and deliver the programme for the local context.  He is also faculty for MCA Improving Flow. Steve also works with the Dartmouth Microsystem Academy as measurement faculty for the Cystic Fibrosis Canada and the Ireland Emergency Department and Dublin St. James Hospital microsystem improvement programmes.  He is also a research team member for the NIHR funded project - 'Quality improvement in cystic fibrosis: What can we learn from each other?'

Prior to this quality improvement role Steve worked as a Programme Manager supporting efficiency projects across the Trust.

Steve joined Sheffield Teaching Hospitals in August 2008; formerly he worked as a Town Planner and in Retail management.


Nick Miller - Flow Programme Manager and Microsystem Improvement Coach

Nick is currently managing the Flow Programme. Nick works as part of a network of Improvement facilitators helping teams deliver sustainable change by using quality improvement expertise and team coaching.  

Within this role Nick works predominantly with people in outpatient settings using the principles and tools of microsystem improvement.

He is also a MCA Flow coach and faculty for Cohort 2 of MCA improving flow.

Nick is a nurse by background and prior to working with service improvement he was a Matron within Surgical Services

Nick is a graduate of the MCA from Cohort 1, MCA Flow cohort 1 and the Dartmouth Institute Tools to Relationships caoching programme.  As a member of the MCA Faculty Nick sees his role as helping people within the organisation build quality improvement in to their everyday work.


Jim Chapman - Microsystems Coaching Academy Manager and Microsystem Improvement Coach

Jim has worked in Quality Improvement in the NHS for 20 years. He is currently on secondment into the role of MCA manager.

Jim was trained on cohort 4 where he successfully coached Wainwright Crescent in the Care Trust through to transition phase. The team reduced average length of stay from 47 days to 24. Jim has also coached South West Community Mental Health Team in the Care Trust.

Within STH Jim is now coaching the Geriatric and Stroke Medicine wards at NGH. This work has led to an improvement in E-discharge. Through a successful Essence of Care bid he has secured some funding for Sound Ear devices to be installed onto the GSM wards. These devices have reduced noise levels on the wards at night. He is also currently coaching the Nuclear Medicine team.


Dr Tom Downes - Consultant Physician and Geriatrician/Clinical Lead for Quality Improvement

Tom Downes is a Quality Improvement Fellow of the Institute for Healthcare Improvement. His main interest is the knowledge of transformative redesign of complex healthcare systems to achieve exceptional levels of performance.

Tom completed medical training at Guy's Hospital, London in 1993. In 2003, he was appointed Consultant Geriatrician to Sheffield Teaching Hospitals and earned his MBA from Nottingham University Business School. He completed his MPH at Harvard University in 2011.

In 2005, Tom reviewed national best practice of transitional medical care and his recommendations resulted in the appointment of community geriatricians to bridge the gap between acute and community care. In 2008, he developed a patient-centered redesign of Sheffield's Intermediate Care service. Over the past 2 years, Tom has team coached a redesign of acute geriatric hospital care in Sheffield – using a methodology translated from Toyota, the team designed and launched a 7 day consultant led multidisciplinary Frailty Unit achieving a significant mortality reduction and 20% reduction in bed usage.

Tom teaches industrial process design and organizational structure to achieve continuous improvement. In his role as Clinical Lead for Quality Improvement in one of the UK’s largest integrated healthcare organizations, Tom now focuses on the translation of improvement science into healthcare to achieve interprofessional clinician engagement and build improvement capability within the workforce. He holds several grants including a Shared Purpose grant from The Health Foundation which has created a partnership between The Dartmouth Institute (USA) and Sheffield Teaching Hospitals to develop the Sheffield Microsystem Coaching Academy.


Jude Stone - Continuous Improvement Manager and Microsystem Improvement Coach

Jude is the Continuous Improvement Manager at Sheffield Children’s NHS Foundation Trust, supporting teams and individuals with improvement work. This involves encouraging and supporting our network of coaches across the city, teaching Quality Improvement to all staff groups.  He is also leading complex service redesign projects.

He is a graduate of MCA Cohort 1, a member of the MCA Faculty and the lead coach for Sheffield Children’s.

Previously Jude has been an Improvement Facilitator at Sheffield Teaching Hospitals working with outpatient departments and coached in Urology and Weston Park

Jude led service redesign for new build projects at Rotherham NHS Foundation Trust.


Nicola Platts -  Programme Manager and Microsystem Improvement Coach

Nicola is a Programme Manager at Sheffield Teaching Hospitals working with stakeholders across the Sheffield to improve emergency care pathways.  Her previous role involved helping teams in operating theatres to deliver change as part of the Surgical Pathway Programme.

She developed her service improvement knowledge whilst working for the North Trent Critical Care Network in 2001 and has since supported a range of improvement projects in the Sheffield Teaching Hospitals. Nicola is a graduate of the MCA from cohort 1.

She is pleased to be a member of the MCA Faculty, as it provides the chance for more people to build up their own service improvement knowledge and have the opportunity, time and space to put their knowledge into practice.


Jo Evans - Continuous Improvement Manager and Microsystem Improvement Coach

Jo works as the Continuous Improvement Manager at the Sheffield Health & Social Care Trust, leading the Trust’s Continuous Improvement programme across the organisation. 

Previously Jo worked as an Improvement Facilitator at STH and, as a graduate of the MCA Cohort 1, primarily worked with teams in the outpatient setting across RHH, NGH and WPH, supporting them to deliver many successful and evidenced service improvements.  

Commencing her career in the NHS over 20 years ago, Jo has a non-clinical background progressing through the management route from general practice administration to Business Manager and subsequent various Project Management and Improvement Manager posts. 

Jo became a member of the MCA Faculty in March 2015, and is currently studying an MSc in Health and Social Care Leadership.


Jessica Huntington - Project Support Officer and Microsystem Improvement Coach

Jessica joined the MCA team in 2014 and brings expertise in administration and project support.  Jess organises all courses and events including the annual MCA expo and is a key point of contact for any information about the MCA and other MCA related courses.

Jess participated in the MCA during Cohort 6 and coached a team from Weston Park Hospital.

Jess previously worked in project management and fashion marketing.

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