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Leading improvements in safety and quality of care

Last Updated 29/10/2026

In this guide

All registered nurses with a community nursing specialist practice qualification lead the development and
implementation of strategies to improve care, treatment and services, to enhance the health and wellbeing of the specific client group they serve. They are proficient in quality improvement and research methodologies.

They are able to capitalise on their specialist knowledge, skills and experience to mitigate and manage the range of risks, complaints and concerns associated with providing care in diverse community settings.
They are able to synthesise the outcomes of risk management activities and use these to develop strategies to promote learning and improvement.

They are able to lead evidence-based quality improvement initiatives. They are able to influence decision-making across the interdisciplinary team and in interagency settings in relation to the wider service and specifically in relation to their intended field of specialist community nursing practice.

Outcomes

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Registered nurses with this qualification in their intended field of practice, will be able to:

6.1interpret health and safety legislation and regulations in order to develop local policy and guidance to support staff working across the range of home and community environments

6.2evaluate the outputs and recommendations of internal and external risk reporting to enable prioritisation, decision-making and the development of action plans to mitigate risk

6.3exercise the knowledge, skills and professional judgement required to balance competing risks and priorities, undertaking quality impact assessments that reflect the balance between safety, quality and least restrictive practices

6.4co-produce strategies and plans for service design with people, families and communities to improve care outcomes

6.5use innovative and emerging technology effectively to ensure collection and storage of data to allow analysis and forecasting to inform service improvement and safety plans

6.6devise methods of systematically and effectively capturing and evaluating people’s lived experiences of care to lead improvements in the quality of service delivery

6.7evaluate different research designs and methodologies and their application to develop and address research questions and generate evidence for service improvement

6.8initiate and lead a continuous quality improvement programme, selecting an appropriate improvement methodology, collating and presenting results and proposing improvement actions

6.9critically appraise published results of service evaluation, research findings, improvement data and audit, and distil relevant learning that can be applied in practice to bring about service improvement

6.10present relevant research, quality and audit findings and proposals for care improvement to a range of audiences.