Achieving Clinical Excellence Newsletter


  • Emily Todd Chelsea & Westminster Hospital NHS Trust
  • Christine Lim Chelsea & Westminster Hospital NHS Trust
  • Arba Ahmetaga Chelsea & Westminster Hospital NHS Trust
  • Archana Kshirsagar Chelsea & Westminster Hospital NHS Trust


Newsletter, Patient Safety, Teaching



Morbidity and mortality meetings help identify areas for improvement for patient safety and patient care. At West Middlesex University Hospital’s Paediatric Department, this is rebranded as monthly Achieving Clinical Excellence (ACE) meetings to also incorporate positive aspects of care. Constraints from clinical demands and rota patterns means that not all paediatric staff can attend, and thus learn, from these meetings. When surveyed, only 57% were able to regularly attend, and 90% of those who could not attend were unable to receive the learning from it.


A team of 3 paediatric trainees supervised by a consultant developed a monthly one-page newsletter to summarise the key learning points from the ACE meetings in a concise and engaging way. This was then shared amongst the wider multidisciplinary team.


We carried out 2 PDSA cycles, gathering suggestions on how to improve the content to cater to different learning needs. We received positive feedback from medical and nursing colleagues, with both finding it a useful summary (100% and 88% respectively). The newsletter has also become a platform where learning from serious incidents can be shared.


This trainee-led project has been a great opportunity to instigate change in the department, become involved in clinical governance, and has provided leadership and management experience for the lead registrar. The newsletter has been handed over to a new group of trainees, with continuity provided by the supervising consultant. We hope that it continues to improve through regular feedback and analysis to ensure its sustainability.







How to Cite

Todd, E. ., Lim, C., Ahmetaga, A. ., & Kshirsagar, A. . (2022). Achieving Clinical Excellence Newsletter. London Paediatrics, 1(1). Retrieved from