6009 Translating the national voice of young people into front-line action

Objectives The RCPCH gathers the voice of children and young people (CYP) across the UK. There is a wealth of valuable insight into what CYP would like to be improved in their healthcare, but this is not currently shared with RCPCH members in a way that could be used to create local improvement. Trainees also find it challenging to learn about and apply good quality, worthwhile QI projects that can be completed during a six month rotation with available options QI training being non-specific QI education or committing to large collaboratives. This QI project aimed to define and share the CYP-informed improvement ideas, to develop high quality improvement plan templates and to disseminate them to members to enact local change. Methods The problem was defined with driver diagram, stakeholder and fishbone mapping and a Plan-Do-Study-Act approach was taken. First cycle involved improvement thematic analysis of the CYP-voice in RCPCH &Us projects and drafting a QI project template for trainees. Second cycle involved engaging CYP to undertake their own thematic analysis to generate more key topics for improvement. CYP-Informed QI project plans were created including a step-by-step guide for how to complete a high quality project. These guides were peer-reviewed for accessibility and suitability. In the third cycle a project was piloted and the guides amended based on qualitative feedback. The ongoing fourth cycle involved distribution of the guides to trainees across the UK. We have also run PDSA cycles on how to engage and communicate trainees in this process as well including trialling mailshots and piloting a virtual connections platform. Measures include CYP-voice improvement themes generated, number of participants completing projects, evaluation of trainee skill acquisition and review of outcomes of the improvement work instigated. Results We have created 5 CYP-informed QI project plans with themes derived from the 5 RCPCH &Us programs. We have piloted the project plan template successfully with a completed project involving 5 PDSA cycles, with qualitative and quantitative measures of change; implementing sustained change in mental health support provision in one trust. The trainee said '' I didn't know what I wanted to improve. I actually had... no idea of how to change it…Cross referencing the guide... for the methodology was useful…Voicebank helped for perspective on what direction to take'. Following PDSA cycle of how to better engage trainees we have currently 20 trainees and medical students actively applying the templates to complete QI projects in their local trusts. We have also established and positively evaluated a connections platform to enable sustained engagement in CYP-informed QI work for RCPCH members. Conclusion Together with the RCPCH &Us we have turned national CYP voice into local, targeted QI project inspiration which has been enacted in improvement projects by 21 trainees to date. We demonstrated the effectiveness of providing a QI template in our pilot study and successful translation of CYP-voice to action. We will gather more evidence of efficacy with the ongoing QI projects. We have established an effective platform for engaging with CYP trainee membership to participate in RCPCH projects.