Meet the Team

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

Steve is the Head of Quality Improvement working at Sheffield Teaching Hospitals NHS Foundation Trust. His current work focuses on building capability for 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 Respiratory medicine.

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 the Flow Coaching Academy and coaches the Sheffield Medical Assessment Units Flow ‘Big Room’.  Steve previously worked with the Dartmouth Microsystem Academy as 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?'  In addition Steve is quality improvement lead for the national Cystic Fibrosis CFHealthHub improvement collaborative and a Health Foundation Cohort 7 Generation Q fellow.

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 a graduate of both the Sheffield MCA and Improving Flow Programme and is currently a member of the faculty for both coaching programmes.

Nick has coached a number of microsystem teams and continues to coach The Day Case microsystem team within Weston Park Hospital as well as the Skin Cancer Flow Pathway in Sheffield.

As Flow Programme Manager Nick is responsible for the operational delivery of the Flow Programme learning how to apply team co-coaching to condition based pathway improvement building improvement capability across multiple pathways both locally and nationally. The Flow Programme has an ambitious aim to replicate nationally through a social franchise model. Prior to becoming a member of The Service Improvement Team Nick had a long career in nursing in a variety of clinical and managerial roles.


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.


Caroline Eadson - Building Capability Programme Manager

Caroline trained as a microsystem coach with the Sheffield Microsystem Coaching Academy in Cohort 6 and is a member of the Sheffield Teaching Hospitals NHS Foundation Trust (STHFT) Service Improvement Team. Her post is Programme Manager for Building Capability, developing skills, knowledge and a culture of Improvement for staff across the organisation through Microsystems Coaching and Quality Improvement training.

For the past 2.5 years she has worked as an improvement facilitator as part of the Seamless Surgery improvement programme at STHFT, who support a range of microsystems and projects to help improve the quality of the Surgical pathway for patients and staff.

Caroline previously worked as an Occupational Therapist and Operational Manager in community services.


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.


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.


Michelle Wilde - Business Manager for Dovercourt Group Practice and Locality Manager for Sheffield CCG 

Michelle attended the Sheffield Microsystem Coaching Academy in 2015 and trained as a microsystem coach in Cohort 5.

Michelle has over 30 years’ experience of working within Primary Care, working in several roles, including Practice Management, at different GP Practices and as a Project Manager for Manor and Castle Healthy Living Network, a government funded initiative to provide services that would bridge local gap provision in health and social care through statutory and third sector organisations working in a collaborative approach together. 

She currently works as a Business Manager within Dovercourt Group Practice and as a Locality Manager for NHS Sheffield CCG.  

Michelle has coached a Primary Care team and has had involvement in other microsystems since training as a coach.  She is currently working within Sheffield Microsystem Coaching Academy supporting the development and training of Primary Care coaches in the microsystem approach to quality improvement.


Simon Wheatley - Quality Improvement Facilitator and Microsystem Improvement Coach

Simon works as an Improvement Facilitator in the Quality Improvement Team at Sheffield Health & Social Care NHS Foundation Trust. He is a registered nurse with a Diploma in Nursing, a BA(Hons) Degree in Economics and Post Graduate Diploma in CBT. He is graduate of Cohort 4 and more recently completed the ILM Level 5 Coaching course from Leeds Becket University.

As an Improvement Facilitator Simon coaches teams across the care trust, provides supervision to existing coaches, delivers regular training on Quality Improvement and works to support the development of a quality improvement culture across the care trust. Simon is also an active coach within the SHSC coaching service.


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.


Emma Milner - Project Support Officer and Microsystem Improvement Coach in training

Emma joined the MCA team as maternity cover for Jess in 2017 and has since been successful in securing a permanent role as Project Support for the Building Capability team.  

As Project Support, Emma co-ordinates a range of events including the 'Introduction to Quality Improvement' course, MCA coaching course, Connect and Collaboratives; as well as currently training as a Coach on the MCA Cohort 10.

Emma has a BSc in Public Health Nutrition and PGCE in Secondary Education, formerly working as a Dietetic Assistant and Teacher of Food and Nutrition.


Bryony Price - Project Support Officer 

Bryony is the Project Support Officer for the Flow Coaching Academy.

Bryony joined the team in December 2017 and her main role is to provide project support to the Flow Coaching Academy as well as supporting on the MCA and other QI courses.

Bryony previously worked as an Outreach Intern at The University of Sheffield and has a 2:1 BaHons in Sociology and Business Management.

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