Opinion pieces
Diverse views and commentary from Q, community members and across the health and care improvement landscape.
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What the NHS staff survey tells us about the state of improvement in England
25 September 2025 5 minute readWith fieldwork for the 2025 NHS staff survey set to begin, we reflect on the results of the 2024 survey and what we can learn about staff engagement – and its consequences for improvement.
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Bryan Jones
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Penny Pereira
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Nicola Burgess
Topics- Improvement and innovation
- Improvement capability
- Improvement culture
- Improvement research and evaluation
- Spread and adoption
- Leadership and management
- Leadership
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Journalism with a stethoscope: why listening matters for facing health’s wicked problems
23 September 2025 5 minute readQ member Guddi Singh on what led her to create a new BBC Radio 4 series asking the questions the health service avoids – and what the answers mean for improvement.
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Guddi Singh
Topics- Health sector challenges
- Health and prevention
- Improvement and innovation
- Co-production
- Innovation
- Patient and public involvement
- Systems change
- Quality of care
- Health equity
- Person-centred care
- Services
- Children and young people
- Community services
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Recommendations for the quality strategy: how Quality Management Systems can deliver the NHS’s quality ambitions
16 September 2025 6 minute readDrawing on our work on QMS and a roundtable we convened with NHS England, we offer recommendations for how the quality strategy can best meet the needs of the health sector.
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Spela Godec
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Matt Hill
Topics- Digital and data
- AI and automation
- Analytics and data
- Health sector challenges
- Leadership and management
- Management systems
- Quality of care
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Q members reflect on the NHS 10-Year Health Plan for England: key themes
12 August 2025 6 minute readThe key themes that emerged from Q members’ reflections on the 10-year plan.
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Q Team
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Andrea Gibbons
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Emma Snow
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Clifford Mitchell
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Anita Rowe
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Domenica Gilroy
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Levette Lamb
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Miles Sibley
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Chris Pavlakis
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Felicity Hamer
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Anna Burhouse
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Dr Orla Healy
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Rammya Mathew
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David Seamark
Topics- Health sector challenges
- Improvement and innovation
- Quality of care
- Person-centred care
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Q members reflect on the NHS 10-Year Health Plan for England: Miles Sibley
29 July 2025 4 minute readIn this series, Q members from across England share their thoughts on what’s in the plan, what’s missing and what’s required for its implementation.
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Miles Sibley
Topics- Digital and data
- Digital technology
- Health sector challenges
- Quality of care
- Patient experience
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Q members reflect on the NHS 10-Year Health Plan for England: Rammya Mathew
28 July 2025 3 minute readIn this series, Q members from across England share their thoughts on what’s in the plan, what’s missing and what’s required for its implementation.
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Rammya Mathew
Topics- Digital and data
- AI and automation
- Improvement and innovation
- Quality of care
- Patient experience
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Q members reflect on the NHS 10-Year Health Plan for England: David Seamark
25 July 2025 3 minute readIn this series, Q members from across England share their thoughts on what’s in the plan, what’s missing and what’s required for its implementation.
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David Seamark
Topics- Health sector challenges
- Health and prevention
- Improvement and innovation
- Quality of care
- Patient experience
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Q members reflect on the NHS 10-Year Health Plan for England: Chris Pavlakis
24 July 2025 4 minute readIn this series, Q members from across England share their thoughts on what’s in the plan, what’s missing and what’s required for its implementation.
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Chris Pavlakis
Topics- Health sector challenges
- Improvement and innovation
- Collaboration
- Patient and public involvement
- Quality of care
- Patient experience
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Q members reflect on the NHS 10-Year Health Plan for England: Wales, Ireland and Northern Ireland
23 July 2025 7 minute readQ members from across the UK and Ireland share their thoughts on the plan and its implementation, with insights from their experiences.
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Clifford Mitchell
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Anita Rowe
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Domenica Gilroy
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Levette Lamb
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Dr Orla Healy
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Felicity Hamer
Topics- Health sector challenges
- Improvement and innovation
- Quality of care
- Person-centred care
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Q members reflect on the NHS 10-Year Health Plan for England: Emma Snow
22 July 2025 4 minute readIn this series, Q members from across England share their thoughts on what’s in the plan, what’s missing and what’s required for its implementation.
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Emma Snow
Topics- Health sector challenges
- Improvement and innovation
- Services
- Social care
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