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 -
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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The reality of change in the NHS: making the most of improvement approaches
30 June 2025 5 minute readPenny Pereira on the action needed to realise the potential of improvement methods at scale.
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Penny Pereira
Topics- Improvement and innovation
- Process improvement
- Spread and adoption
- Systems change
- Leadership and management
- Workforce and people
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All together on the road to improvement
6 June 2025 6 minute readQ’s Head of Design and Collaboration tells us about a workshop looking at how peer collaboration can be used to deliver the NHS 10 Year Health Plan.
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Anindita Ghosh
Topics- Health sector challenges
- Improvement and innovation
- Collaboration
- Networking
- Spread and adoption
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Maintaining authentic relationships for cross-organisational working
30 May 2025 6 minute readQ member Aicha Bouraoui reflects on how clarity and integrity can keep health care collaborations on track.
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Aicha Bouraoui -
Dr Cleo White
Topics- Improvement and innovation
- Collaboration
- Improvement capability
- Spread and adoption
- Leadership and management
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Integrated strategies to mobilise change
13 December 2024 9 minute readThe ambition of the 10 Year Health Plan will need to integrate different approaches to change. Q’s Managing Director, Penny Pereira, sets out what is needed to support this.
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Penny Pereira
Topics- Health sector challenges
- Improvement and innovation
- Improvement capability
- Spread and adoption
- Leadership and management
- Leadership
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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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The power of improvement: highlights from this year’s International Forum on Quality and Safety in Healthcare
9 May 2024 8 minute readThe Q team share the improvement themes from this year’s Forum, including looking at failure, rule-breaking and adding rigour to QI.
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Penny Pereira -
Libby Keck -
Matt Hill -
Spela Godec
Topics- Health sector challenges
- Equity, diversity and inclusion
- Improvement and innovation
- Improvement capability
- Innovation
- Spread and adoption
- Systems change
- Leadership and management
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Three keys to advanced QI training success
4 April 2024 4 minute readQ member Caitlin Bateman reflects on the learning from University Hospitals Bristol and Weston’s QI Gold programme.
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Caitlin Bateman
Topics- Improvement and innovation
- Collaboration
- Improvement capability
- Improvement culture
- Spread and adoption
- Leadership and management
- Organisational development
- Workforce and people
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Bringing a sense of shared purpose to improvement at a national scale
20 February 2024 10 minute readQ managing director Penny Pereira in conversation with Dr Amar Shah on his new role as National Clinical Director for Improvement.
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Amar Shah -
Penny Pereira
Topics- Improvement and innovation
- Collaboration
- Improvement culture
- Spread and adoption
- Leadership and management
- Leadership
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Worldviews, logic and wicked problems: my changing approach to improvement
1 December 2023 4 minute readIn his second blog in this series, Q connector Andrew Ware considers how changing the logic behind improvement projects can help to deal with uncertainty. Part two of a two-part series.
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Andrew Ware
Topics- Improvement and innovation
- Collaboration
- Innovation
- Spread and adoption
- Leadership and management
- Leadership
- Organisational development
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