Opinion pieces
Diverse views and commentary from Q, community members and across the health and care improvement landscape.
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Q’s direction and the path ahead
10 October 2025 6 minute readQ’s Managing Director Penny Pereira on what informed our future plans, what lies ahead and how you can be involved.
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Penny Pereira
Topics- Improvement and innovation
- Collaboration
- Improvement culture
- Leadership and management
- Organisational development
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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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What burnout taught me
16 June 2025 5 minute readGuddi Singh reflects on what burn out taught her about leadership, impact and the cost of doing things differently.
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Guddi Singh
Topics- Improvement and innovation
- Collaboration
- Improvement culture
- Leadership and management
- Organisational development
- Workforce and people
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Continuous improvement and management capacity in general practice
2 October 2024 5 minute readRead about the views of leaders in general practice about the role of QI in their work amidst pressures in the sector.
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Rammya Mathew
Topics- Improvement and innovation
- Improvement capability
- Improvement culture
- Innovation
- Leadership and management
- Leadership
- Management systems
- Organisational development
- Workforce and people
- Services
- Primary care
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Creating a QI movement: how QI Week began
10 September 2024 3 minute readQ member Anita DeHavilland tells the story of creating QI Week running from 9 to 13 September 2024, and encourages you to get involved.
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Anita DeHavilland
Topics- Improvement and innovation
- Collaboration
- Improvement culture
- Networking
- Leadership and management
- Workforce and people
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Top tips for engaging stakeholders in reducing waits
16 July 2024 6 minute readFive lessons teams participating in Q Lab learned about engaging stakeholders in their work to reduce waits.
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Spela Godec
Topics- Health sector challenges
- Access and waiting times
- Improvement and innovation
- Co-production
- Flow
- Improvement capability
- Improvement culture
- Process improvement
- Spread and adoption
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From furniture logistics to person-centred care
4 July 2024 3 minute readQ member Lesley Goodburn shares how storytelling empowers co-produced, continuous improvement in person-centred care.
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Lesley Goodburn
Topics- Improvement and innovation
- Co-production
- Improvement culture
- Patient and public involvement
- Quality of care
- Patient experience
- Person-centred care
- Services
- End of life care
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Lessons in hiking: the ups and downs of making change
19 June 2024 5 minute readQ member, Guddi Singh offers three approaches for keeping perspective while engaged in the change journey.
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Guddi Singh
Topics- Improvement and innovation
- Collaboration
- Complexity
- Improvement culture
- Improvement research and evaluation
- Systems change
- Leadership and management
- Leadership
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Learning from our Community Hospitals Special Interest Group
18 June 2024 5 minute readPresident of the Community Hospitals Association, Helen Tucker reflects on her improvement work with patients and communities on local health and social care services.
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Helen Tucker
Topics- Health sector challenges
- COVID-19 and recovery
- Improvement and innovation
- Collaboration
- Improvement culture
- Networking
- Services
- Community services
- Voluntary services
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How healing and trust play a part in health improvement
30 April 2024 4 minute readQ member Sabrina Das reflects on an Experience Day and how trust built in a local community that had suffered historical trauma contributed to its success.
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Sabrina Das
Topics- Health sector challenges
- COVID-19 and recovery
- Equity, diversity and inclusion
- Health and prevention
- Improvement and innovation
- Co-production
- Collaboration
- Improvement culture
- Patient and public involvement
- Services
- Community services
- Maternity and neo-natal
- Voluntary services
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