Leading Improvement in Health and Care

In this episode we erxplore the role improvment can make in co-production, transforming how clinicians, patients, and healthcare leaders work together to improve outcomes, experience, and system performance.With inshightful firsthand stories from clinicians, patient leaders, and quality improvement experts, this episode features five guests talking about their experiences of co-producing change. Our guests are:Peter Lachman, former CEO of ISQUA, the International Society for Quality in Healthcare, and one of the early Quality Improvement Fellows funded by the Health Foundation Jono Broad, volunteer and patient leader in improvement and an active member of the Q community  Amar Shah, Clinical Director for Improvement in England, and former Chief Quality Officer at East London NHS Foundation Trust  Dr Guddi Singh, consultant paediatricianpediatrician and Trustee for the National Centre for Creative Health  Victoria Saffin, Assistant Director of Quality Management at Oxleas NHS Foundation Trust This is also your first chance to get a taste of an amazing project: 100 Voices. Led by Dr Andrea Gibbons, Founder of The QI Hub, and supported by Q, the project is developing a bank of personal stories of people leading improvement.  Hosted by Penny Pereira, managing director of Q, and Matthew Taylor, chief executive, NHS Confederation, each episode aims to spotlight where improvement is working well, as well as the challenges it faces.   This podcast is part of Learning and Improving Across Systems, a partnership between the Health Foundation, NHS Confederation and the Q community to support health and care systems to learn and improve.Additional links and resourcesDr Andrea Gibbons (nee Barrow) | LinkedIn 100 Voices | theqihub About Us | theqihub Fab NHS Stuff Peter Lachman | LinkedIn ISQua - The International Society for Quality in Health Care Jono Broad | LinkedIn Amar Shah | LinkedIn Welcome - Quality Improvement - ELFT NHS England » NHS IMPACT Guddi Singh | LinkedIn National Centre for Creative Health Victoria Saffin | LinkedIn 

In this episode, we're looking at how improvement can play a role in population health, with examples from Scotland to London. We hear about the approaches needed to achieve change that spans large systems and addresses inequities in experience and outcomes. Our guests are Dominique Allwood, Director of Population Health at Imperial College Healthcare, and Ruth Glasborrow, director of Population Health and Wellbeing at Public Health Scotland. Hosted by Penny Pereira, managing director of Q, and Matthew Taylor, chief executive, NHS Confederation, each episode aims to spotlight where improvement is working well, as well as the challenges it faces.Links to relevant resources:Q theory of change Home | Institute for Healthcare Improvement Scottish Patient Safety Programme (SPSP) – Healthcare Improvement Scotland Home | PHS Learning Support to innovators - Imperial College Health Partners Scottish Prevention Hub - Edinburgh Futures Institute Execution of Strategic Improvement Initiatives to Produce System-Level Results | Institute for Healthcare Improvement Briefing: Improvement as mainstream business | The Health Foundation Q_Working_with_Data_to_Improve_Access_and_Address_Inequalitiesspreads.pdf Evidence hub: What drives health inequalities? - The Health Foundation UK’s campaign for improving health opportunities | Health Equals Revisiting Relational Coordination: A Systematic Review - Rendelle Bolton, Caroline Logan, Jody Hoffer Gittell, 2021 Improving health and care at scale | NHS Confederation

In this episode, we're looking at how improvement approaches can help redesign services for frail older people, taking a whole system approach. We hear practical advice from a national and local perspective on how to inspire and support change that spans different departments and sectors.   Our guests are:  Dr Tom Downes, consultant geriatrician at Sheffield Teaching Hospitals, and national clinical director for older people.  Dr Simon Harlin, GP and community clinical lead, Walsall Healthcare NHS Trust Peter Chessum, associate director of nursing, Walsall Healthcare NHS Trust Hosted by Penny Pereira, managing director of Q, and Matthew Taylor, chief executive, NHS Confederation, each episode aims to spotlight where improvement is working well, as well as the challenges it faces.   This podcast is part of Learning and Improving Across Systems, a partnership between the Health Foundation, NHS Confederation and the Q community to support health and care systems to learn and improve.Walsall NHS Trust Frail elderly pathway: https://www.walsallhealthcare.nhs.uk/our-services/frail-elderly-pathway/#:~:text=The%20main%20aim%20of%20the,Appropriate%20signposting%20to%20other%20agencies10 Principles at the human heart of improvement: https://q.nhsconfed.org/evidence-and-insights/opinion-pieces/10-principles-at-the-human-heart-of-improvement-tell-us-what-you-thinkThe challenge and potential of whole system flow: https://www.health.org.uk/reports-and-analysis/reports/the-challenge-and-potential-of-whole-system-flowChief Medical Officer's Annual Report 2023: Health in an ageing society: https://www.gov.uk/government/publications/chief-medical-officers-annual-report-2023-health-in-an-ageing-societyLaunch of a framework to improve how the NHS makes large scale change: https://www.health.org.uk/features-and-opinion/blogs/launch-of-a-framework-to-improve-how-the-nhs-in-england-makes-largeNHS England National Frailty Improvement Collaborative: https://www.england.nhs.uk/nhsimpact/learning-and-improvement-networks/national-frailty-improvement-collaborative/Rockwood frailty scale: https://www.england.nhs.uk/south/wp-content/uploads/sites/6/2022/02/rockwood-frailty-scale_.pdf

Hosts Matthew Taylor and Penny Pereira explore how improvement practices can help with neighbourhood-level working. Hospital to community is a key part of the governments 10-Year-Plan, and this episode reveals insights into how Improvement approaches have been used to usher in more integrated, community-focused care.Q’s System-wide Change Lead Jen Morgan talks to Heather White (South Hambleton and Ryedale Primary Care Network) and Dr. Catherine Heffernan (South West London ICB) about practical examples of neighbourhood health in action — from multidisciplinary teams and local diagnostic hubs to community pharmacy-led wellbeing initiatives.Q’s new home at the NHS Confederation | NHS Confederation about Catherine Heffernan https://www.linkedin.com/in/catherine-heffernan-42ba0a106/ https://www.linkedin.com/in/heather-white-64b5b882/ Our Team - South Hambleton and Ryedale PCN 10 Year Health Plan for England: fit for the future - GOV.UK 

In this episode we explore how improvement methodologies can enable NHS leaders to implement digital transformation successfully. Hear practical examples of how to better engage staff and communities, really understand problems systemically and target resources effectively, and implement technology in a way that releases time to care. Hosted by Penny Pereira, Managing Director of Q, and Matthew Taylor, CEO NHS Confederation, our guests for this episode are Sadia Khan, clinical lead for innovation at West Middlesex University Hospital, and Abigail Harrison, executive director for digital estates and improvement at Lancashire and South Cumbria NHS Foundation Trust.Useful links: NHS England » NHS IMPACT Q Lab | Q Community Q Lab | Technology enabled remote monitoring Trust and confidence in technology-enabled care | The Health Foundation Q | Digital adopters in health and care: What you need to know  Q | Improving communication and care with technology  Q | Addressing digital exclusion in mental health services  CW+ charity of Chelsea and Westminster Hospital NHS Foundation Trust CW Innovation - CW+ Understanding and sustaining the health care service shifts accelerated by COVID-19 | The Health Foundation Video consultations. What’s needed now? | Q Community AI and quality improvement resources | Q Community 

In this episode recorded live at Confed Expo 2025 we are joined by Professor Paul Corrigan CBE and Dr Amar Shar, exploring how to resource improvement and transformation in the NHS.We explore how the NHS of tomorrow can come to the aid of the NHS today. And how the finances and resources available over the next decade can best be used to deliver on the ten-year health plan.What's the role of the improvement movement in supporting this NHS transformation?We also explore how East London FT NHS Trust has successfully embedded and resourced an improvement approach across the organisation.Hosted by Penny Pereira, Managing Director of Q at the Health Foundation, and Matthew Taylor, our CEO, each episode aims to spotlight where improvement is working well, as well as the challenges it faces.This podcast is part of Learning and Improving Across Systems, a partnership between the Health Foundation, NHS Confederation and the Q community to support health and care systems to learn and improve.Professor Paul Corrigan CBE is Special Adviser to the Department for Health and Social Security: https://www.gov.uk/government/news/paul-corrigan-appointed-by-the-government-to-help-shape-health-plansDr. Amar Shah is National Clinical Director for Improvement at NHS England: https://www.england.nhs.uk/author/dr-amar-shah/The Health Foundation - A guide to making the case for improvement: https://www.health.org.uk/resources-and-toolkits/quick-guides/a-guide-to-making-the-case-for-improvementQ Community - Developing system-wide improvement approaches: https://q.health.org.uk/resources/developing-system-wide-improvement-approachesEast London NHS Foundation Trust - Building the business case for quality improvement: https://qi.elft.nhs.uk/resource/building-the-business-case-for-quality-improvement-a-framework-for-evaluating-return-on-investmentMacmillan - Social investment in end of life care: https://www.macmillan.org.uk/healthcare-professionals/news-and-resources/blogs/social-investment-in-end-of-life-careThis podcast was produced by HealthCommsPlus.