What’s getting in the way? Barriers to improvement in the NHS Evidence scan

Every day, teams within the NHS strive to make things better, but individual, organisational and system-wide barriers get in the way. This evidence scan compiles published research about the key barriers to improvement in the NHS.

For this scan, 12 bibliographic databases were searched for published research available as of October 2014. Seventy-three studies about the NHS were analysed, as well as more than 100 studies from other countries as a comparison. Most studies in the NHS were small scale, based in a hospital context and published within the past five years. As such, further, larger-scale research would be useful.

The report was produced as part of the Health Foundation’s work on the process of change and, in particular, to support the development of the report Constructive Comfort: Accelerating Change in the NHS.