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.


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.


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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