C8: The infrastructure of improvement


Tuesday 16 May | 15:00-16:00


Format: Workshop
Stream: Building capability and leadership
Content filters: Co-presented with patients, service users or carers


PART ONE – Taking improvement across a nation – helping others on the same journey


As improvers, we agree that improvement should be a priority within healthcare delivery. However, traditional top-down leadership styles in many organisations can cause a shift away from improvement, often resulting in patient needs taking a back seat.


Evidence shows that the successful adoption of continuous improvement across a system requires change at a leadership and cultural level. NHS England has been working with patients and stakeholders to co-design an NHS improvement approach that will be embedded and sustained at every level of the health service across England.


This session will share key insights and learning from this process and support delegates to translate that learning into their own context. 


After this session, participants will be able to: 



  • Understand the transferrable learning emerging from NHS England’s work to co-design an improvement approach across a whole nation

  • Reflect on how this learning can be applied to their own work in their own area, in particular the process of co-designing solutions 

  • Develop their own personal plan to implement the learning from this session when they return to their own health system


Kathryn Perera, NHS England, England


PART TWO – Building infrastructure around improvement


By means of the East London NHS Foundation Trust case study, attendees from organisations at different stages of developing an improvement infrastructure will be able to relate to the journey of this organisation. They will also be helped to determine some key next steps, to take engagement in Ql in their organisation to the next level. The infrastructure will include:



  • Hearts & minds

  • Developing improvement skills

  • Embedding into daily work

  • Improvement work 


Attendees will have the opportunity to ask questions and spend some time in facilitated activities to apply some of the universal concepts and principles to their own work.


After this session, participants will be able to: 



  • Assess their organisation’s current infrastructure for improvement

  • Develop their organisation’s approach to quality and improvement 

  • Apply the key concepts and principles to scale the reach and impact of improvement in their organisation


Auzewell Chitewe, East London NHS Foundation Trust


Amar Shah, East London NHS Foundation Trust


Bailey Mitchell, East London NHS Foundation Trust


George Chingosho, East London NHS Foundation Trust