1. Berwick D. No needless framework. Boston: Institute for Healthcare Improvement, 2010.
  2. National Quality Board. A shared commitment to quality for those working in health and social care systems. Department of Health and Social Care; 2021 (
  3. Jones B, Horton T, Warburton W. The improvement journey. London: Health Foundation, 2019.
  4. Fulop N, Ramsey A. How organisations contribute to improving the quality of healthcare. BMJ 2019; 365:l1773.
  5. Jones L, Pomeroy L, Robert G, et al. How do hospital boards govern for quality improvement? A mixed methods study of 15 organisations in England. BMJ Qual Saf 2017; 26:978–86.
  6. Lucas B, Nacer H. The habits of an improver: thinking about learning for improvement in healthcare. London: Health Foundation, 2015.
  7. Mannion R, Davies H. Understanding organisational culture for healthcare quality improvement. BMJ 2018;363:k4907.
  8. Kostal G, Shah A. Putting improvement in everyone’s hands: opening up healthcare improvement by simplifying, supporting and refocusing on core purpose. British Journal of Healthcare Management (online) 2021; 27(2).
  9. NHS Improvement. For more information on cause and effect (fishbone) diagrams see
  10. NHS Improvement. For more information on driver diagrams see
  11. Public Health England. For an introduction to logic models see
  12. Shah A. Using data for improvement. BMJ 2019; 364:l189.
  13. Chassin M, Loeb J. High reliability healthcare: getting from here to there. Milbank Q 2013; 91(3):459–90.
  14. Dixon-Woods M, Martin G, Tarrant C, et al. Safer clinical systems evaluation findings. London: Health Foundation, 2014.
  15. Kaplan G, Patterson S, Ching J, et al. Why Lean doesn’t work for everyone. BMJ Qual Saf 2014; 23:970–73.
  16. Randall S. Using communications approaches to spread improvement. London: Health Foundation, 2016.
  17. Engle R, Lopez E, Gormley K, et al. What roles do middle managers play in implementation of innovative practices? Health Care Manage Rev 2017; 42:14–27.
  18. Palmer V, Weavell W, Callander R, et al. The participatory zeitgeist: an explanatory theoretical model of change in an era of coproduction and codesign in healthcare improvement. Med Humanit 2019; 45:247–57.
  19. Health Foundation. Person-centred care made simple: what everyone should know about person-centred care. London: Health Foundation, 2016.
  20. Batalden M, Batalden P, Margolis P, et al. Coproduction of healthcare service. BMJ quality and safety 2016; 25:509–17.
  21. Batalden P. Getting more health from healthcare: quality improvement must acknowledge patient coproduction. BMJ 2018; 362:k3617.
  22. Ocloo J, Matthews R. From tokenism to empowerment: progressing patient and public involvement in healthcare improvement. BMJ Qual Saf 2016; 25:626–32.
  23. Renedo A, Marston C, Spyridonidis D, et al. Patient and public involvement in healthcare quality improvement: how organizations can help patients and professionals to collaborate. Public Management Review 2015;17:17–34
  24. Crisp H, Watt A, Jones B, Amevenu D, Warburton W. Improving flow along care pathways: Learning from the Flow Coaching Academy programme. London: Health Foundation, 2020.
  25. Liberati E, Tarrant C, Willars J, et al. How to be a very safe maternity unit: an ethnographic study. Soc Sci Med 2019; 223:64–72.
  26. Edmondson A. Teaming: How organizations learn, innovate and compete in the knowledge economy. San Francisco: Wiley, 2012.
  27. Greenhalgh T. How to implement evidence-based healthcare. Hoboken: Wiley, 2018.
  28. Ghosh A, Collins J. Skills for collaborative change. See
  29. Dixon-Woods M, Martin G. Does quality improvement improve quality? Future Hosp J 2016; 3(3): 191–4.
  30. Reed J, Card A. The problem with Plan-Do-Study-Act cycles. BMJ Qual Saf 2016; 25:147–52.
  31. NHS England and NHS Improvement. Plan, Do, Study, Act (PDSA) cycles and the model for improvement. See
  32. Boland B. Quality improvement in mental health services. BJPsych Bull 2020; 44(1): 30–35.
  33. Smith I, Hicks C, McGovern T. Adapting Lean methods to facilitate stakeholder engagement and co-design in healthcare. BMJ 2020; 368:m35.
  34. Nelson E, Batalden P, Huber T, et al. Microsystems in health care: Part 1. Learning from high-performing front-line clinical units. Jt Comm J Qual Improv 2002; 28:472–93.
  35. Godfrey M, Nelson D, Batalden P. Supporting microsystems. Assessing, diagnosing and treating your microsystem. 2010. See
  36. Mohr J, Batalden P. Improving safety on the front lines: the role of clinical microsystems. Qual Saf Health Care 2002; 11:45–50.
  37. Bate P, Robert G. Experience based design: from designing services around patients to co-designing services with patients. Qual Saf Health Care 2006; 15(5):307–10.
  38. Bate P, Robert G. Bringing user experience to healthcare improvement: the concepts, methods and practices of experience-based design. London: Radcliffe Publishing, 2007.
  39. Dixon-Woods M, McNicol S, Martin G. Overcoming challenges to improving quality. London: Health Foundation, 2012.
  40. Dixon-Woods M. How to improve healthcare improvement—an essay by Mary Dixon-Woods. BMJ 2019; 367:l5514.
  41. Gabbay J, le May A, Connell C, Klein J. Skilled for improvement? Learning communities and the skills needed to improve care: an evaluation service development. London: Health Foundation, 2014.
  42. Gabbay J, le May A. Able to Improve? The skills and knowledge NHS front-line staff use to deliver quality improvement: findings from six case studies. London: Health Foundation, 2020.
  43. Lucas B, Nacer H. The habits of an improver. London: Health Foundation, 2014.
  44. Kaplan H, Provost L, Froehle C, Margolis P. The Model for Understanding Success in Quality (MUSIQ): building a theory of context in healthcare quality improvement. BMJ Qual Saf 2012; 21(1):13–20.
  45. Braithwaite J, Herkes J, Ludlow K, Testa L, Lamprell G. Association between organisational and workplace cultures, and patient outcomes: systematic review. BMJ Open 2017; 7:e017708.
  46. Black N. Chief quality officers are essential for a brighter NHS future. Health Service Journal (online) 8 Oct, 2014. See
  47. Shortell S, Blodgett J, Rundall T, Kralovec P. Use of lean and related transformational performance improvement systems in hospitals in the United States: results from a national survey. Jt Comm J Qual Patient Saf 2018; 44:574–82.
  48. Jones B, Horton T, Warburton W. The improvement journey. London: Health Foundation, 2019.
  49. Marshall M, Øvretveit J. Can we save money by improving quality? BMJ Qual Saf 2011; 20:293–96.
  50. Shah A, Course S. Building the business case for quality improvement: a framework for evaluating return on investment. Future Healthc J 2018; 5(2):132–37.
  51. Dixon J, Street A, Allwood D. Productivity in the NHS: why it matters and what to do next. BMJ 2018; 363:k4301.
  52. East London NHS Foundation Trust. ELFT’s quality management system. See
  53. Healthcare Improvement Scotland. High Level Quality Management System Framework. 2019. See
  54. Shah A. How to move beyond quality improvement projects. BMJ 2020;370:m2319.
  55. Leatherman S, Gardner T, Molloy A, Martin S, Dixon J. Strategy to improve the quality of care in England. Future Hosp J 2016; 3(3):182–87.
  56. Albury D, Beresford T, Dew S, at al. Against the odds: Successfully scaling innovation in the NHS. London: Innovation Unit and Health Foundation, 2017.
  57. Wells S, Tamir O, Gray J, et al. Are quality improvement collaboratives effective? A systematic review. BMJ Quality & Safety 2018; 27:226-240.
  58. Greenhalgh T, Papoutsi C. Spreading and scaling up innovation and improvement. BMJ 2019; 365:l2068.
  59. Horton T, Warburton W. The spread challenge. How to support the successful uptake of innovations and improvements in health care. London: Health Foundation, 2018.