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In this award-winning case example, the team at Animal Trust Dewsbury reduced their use of highest-priority, critically important antibiotics (HPCIAs) and ensured that any use followed the principles of good antimicrobial stewardship. Changes were incrementally introduced to prioritise culture and sensitivity testing as a guide to antimicrobial prescribing, along with the introduction of new stock control measures, and a requirement for there to be a specific indication for use of a long-acting antibiotic. By the end of the project, the prescription rates for HPCIAs fell from 3% to just 0.46% of all consultations.

In this award-winning case example, the Linnaeus Medical Quality Team demonstrates how they supported their practices in embedding a culture of psychological safety through the reporting of safety incidents and near misses by practice teams. They used error and near-miss data to understand risks to patients at a group level and implement guidance and actions to improve patient safety. Individual teams were empowered to make improvements in their local practice settings, and reporting rates increased from 86% to 100%, with an increased rate of full significant event audits and reviews from 55% to 80%.

This award-winning case example from the CVS Clinical Improvement Team discusses their wide-scale project aimed at sustaining a successful antimicrobial stewardship programme with a focus on reducing the use of highest priority critically important antibiotics (HPCIAs). Guided by the CVS Clinical Governance Framework, which promotes a culture of clinical improvement through psychological safety, human factors, and systems thinking to enhance teamwork, inclusive leadership, and accountability, they brought together individuals from all areas of the organisation to discuss potential improvements.

In this award-winning case example, the team at Vets Now carried out an audit to investigate whether fluid therapy rates for dehydrated patients were being calculated according to current guidelines. After implementing changes, fluid rates for dehydrated patients were calculated according to published guidelines in 87% of cases, with fluid therapy rates tailored according to the patient's unique needs, reducing the likelihood of fluid overload and potentially shortening their hospital stay due to hydration being replaced at a more appropriate rate.

This is a transcript of the following podcast: Knowledge Natter: Using QI to lead organisational change with the Linnaeus Medical Quality Team.

Read our annual report and accounts 2024.

In this Award-winning case example, the team at Wildbore Vetstop conducted an audit to investigate feeding plans, Resting Energy Requirements (RER), inappetence and intervention rates, and what food was being offered to inpatients. Data was analysed from hospital records, and the actions implemented achieved an improvement in several targets.

In this Knowledge Natter podcast transcript, Amy Wells from Wildbore Vetstop talks to Lou Northway about her team's audit to investigate feeding plans, Resting Energy Requirements (RER), inappetence rates and interventions, and what food was being offered to inpatients. The team were named Quality Improvement Champions in the 2025 Knowledge Awards.

In this Award-winning case example, Paragon Referrals adapted the Huddle Up for Safer Care (HUSH) Huddles concept to their own local practice dispensary processes, aiming to reduce medication errors in ward patients. This concept combines daily team huddles with measuring and celebrating improvements in patient safety by embedding key principles. These daily huddles to share information and learnings resulted in 10 error-free weeks in five months compared to 10 error-free weeks over the previous 12 months. Additionally, they saw a 10% reduction in total medication errors from August to December 2024 compared to the same period in 2023.