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    For healthcare and improvement teams

    Turn an improvement challenge into a workable next step.

    Describe the problem in your own words. Get back a drafted aim, the measures to watch and a first test, in the format your QI lead already reads.

    Do not include patient or staff identifiers. A sentence or two about the service problem is enough.

    Or talk to someone first

    Use non-identifiable service descriptions only. Follow your organisation’s approval and information-governance requirements.

    Full live demo

    See what ALIRA generates for an illustrative NHS improvement brief

    Three illustrative examples of how frontline teams can move from a messy service issue to a clear aim statement, measures, first PDSA cycle, and next-step plan.

    All demos are illustrative NHS-style examples, not client results. No patient data is used or required.

    Improvement brief · drafted

    Community MSK Physiotherapy

    Example output

    Where to check this

    This looks less like a capacity problem and more like a reminder and booking-friction problem. Start with one small test before redesigning the whole pathway.

    01

    Aim Statement

    Over 12 weeks, reduce new-patient non-attendance in community MSK physiotherapy from 14% to 8% without increasing receptionist workload.

    02

    Snapshot

    Baseline

    14%

    DNA rate

    Target

    8%

    within 12 weeks

    Population

    New referrals

    2 clinic sites

    03

    Measures to Watch

    Outcome

    DNA rate by clinic session

    Track weekly run chart

    Process

    48-hour reminder sent

    Reach 95% of booked patients

    Balancing

    Reception call volume

    No material increase

    04

    First PDSA Cycle

    Plan

    Test a clearer SMS reminder with confirmation wording and rebooking instructions for 20 booked patients next Tuesday.

    Study

    Compare attendance with the previous two Tuesday clinics and capture receptionist feedback at the end of the day.

    Act

    Keep the message if attendance improves and call volume stays stable; otherwise shorten the wording and retest.

    Improvement brief

    Reduce DNAs

    New-patient non-attendance has climbed to 14%, leaving empty clinic slots and slowing treatment starts.

    Tools ALIRA uses

    Aim statement builder5 WhysPDSA cycle generator

    How ALIRA helps

    1

    Creates a measurable aim instead of a vague access objective.

    2

    Suggests a proposed first PDSA cycle for local review the team can run this week.

    3

    Defines outcome, process, and balancing measures automatically.

    First 30 days

    Map the current booking and reminder process with reception.

    Draft two reminder versions and choose one for a micro-test.

    Review results in the Friday huddle and decide the next cycle.

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