Driving Assurance and Quality Improvement through Digital Innovation: Implementing the Ward and Area Module
Swansea Bay University Health Board
Introduction:
Swansea Bay University Health Board (SBUHB) identified inconsistent audit practices across its secondary care wards, using disjointed systems like paper and Excel. This limited visibility, delayed action planning, and hindered compliance with statutory duties under the Health and Social Care Act 2020. The digital solution AMaT (Audit Management and Tracking) was identified to address these issues.
Methods:
A structured, phased implementation of AMaT’s Ward and Area module was undertaken using PDSA cycles and PRINCE2 methodology. Early engagement included staff interviews, pilot testing at Neath Port Talbot Hospital, and co-design of audit templates. Digital integration was supported by a multidisciplinary team including clinical, quality, and digital specialists.
Outcomes:
Within 12 months, the module was fully rolled out across all secondary care wards.
Quantitative outcomes:
- Audit time reduced from 57 to 39 minutes
- 3,659 improvement actions completed
- Enhanced reporting and oversight at multiple levels
Qualitative outcomes:
- Increased staff engagement and confidence
- Improved governance and assurance
- Reduced administrative burden for frontline staff
- Recognition of AMaT as a critical enabler of quality improvement by senior leadership
Learnings:
Key success factors included early stakeholder involvement, leadership support, and a responsive, data-driven approach. A culture shift was needed to embrace digital transformation. Future improvements would involve earlier frontline input during design and more structured refresher training.
What Next?
SBUHB will expand AMaT to primary care and integrate MDT audits. Lessons learned will inform wider digital transformation efforts. The model is now being shared with other organisations via AMaT’s Super User Group, supporting scalable and sustainable quality improvement.