Reflective Template:  Quality Improvement Activity (QIA)

This reflective template has been designed to use with the SOAR Database (Scottish Online Appraisal Resource).  When you have completed this reflection, please upload it to SOAR / Form 3 and submit it to your interview to share with your Appraiser.	3-step guide to completing this form:

1)	Save this form (using “Save As”) to your computer (e.g. My Documents, Desk top), and customise the file name (e.g. QIA Reflection 2012)
2)	Proceed to filling out the form - when finished, Save and Close the document.
3)	Login to SOAR and Upload this file from where you had saved it (from step 1), either to the Documents Library, or directly to Form 3.	

This reflection template form should be used for Domain 2: Safety and Quality.

The boxes will expand automatically as you type into them.
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What supporting information have you provided for your QIA?
Questionnaire for locums working in a service for drop in users
Locum resource pack written taking into account feedback provided	

What strengths or achievements does it demonstrate?
Strengthened communication and working relationships with regular locums as we very rarely cross over with them during working hours (because of split site working); very positive feedback from them about wishing to understand their experience of working with this challenging patient group and which guidelines, systems and resources would be most useful for them to have
Locum resource pack is now stored on the desktop for easy access by locums	

Did you encounter any difficulties in this process?
Some of the feedback was potentially difficult to raise with other members of the team as could be perceived as critical, but I think I managed this in a constructive way	

Have you been able to make any changes as a result of undertaking this activity?
See above.  Has compiled a locum pack and also an “additional resources” electronic folder (not submitted for QIA) which is regularly used by locums at the practice.  In addition it is now emailed in advance to new locums attending to work here to highlight the specific areas on substance misuse.	

What have you learned from undertaking this activity?
Identified new problems (particularly administrative) which I did not realise had not been addressed and has hopefully made the locum experience more positive by streamlining some systems (eg invoice processing etc)	

Is there anything else that you would like to/ need to do to follow it up?
I have asked the locums to let me know if there is anything else they would like to see added
When there is a change in our clinical or administrative systems I update the locum resource