This report looks at how five UK trusts built quality improvement capability at scale in their organisations.

Download Building the foundations for improvement.

The report provides an insight into how and why the trusts embarked on their improvement journeys, the impact they achieved and the challenges they encountered.

One trust's journey - Northern Ireland’s South Eastern Health and Social Care Trust’s Safety, Quality and Experience programme - is featured in our Power of People series of short films. The films offer a unique and moving take on how the lives of people using health services and their families can be improved through the determined efforts of people working in health care.

The report draws out some key lessons from the trusts’ improvement journeys which will be useful for organisations that are considering building improvement capability at scale. It also provides a useful checklist of points for organisations to consider before planning, designing and delivering an improvement capability building programme.

The report makes it clear that you can’t drive and sustain improvement across an organisation unless you have a process in place to develop the improvement knowledge and skills of clinicians and managers across health and social care.

Further reading

Tricia Woodhead, Quality Improvement Fellow

Dr Tricia Woodhead's appointment as Executive Medical Director to Weston Area Health Trust in 2001 has led to significant development of services and facilities. Using whole systems thinking and st...


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