Understanding

A selection from the vast literature and guidance on improvement, leadership and culture, to aid learning, reflection, collaborative conversations and strategic development.

Leadership and governance

• Establishing effective leadership for improvement 
• Creating governance arrangements and processes to identify quality issues that require investigation and improvement
• Adopting a consistent, aligned and systematic approach to improving quality 

Improvement cultures, behaviours and skills

• Building improvement skills and knowledge at every level, from the top tiers of organisations, through to front-line staff
• Creating a workplace culture conducive to improvement
• Giving everyone a voice and bringing staff, patients and service users together to improve and redesign the way that care is provided
• Flattening hierarchies and ensuring that all staff have the time, space, permission, encouragement and skills to collaborate on planning and delivering improvement