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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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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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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Rethinking waiting lists: insights from Community Appointment Days
10 July 2024 3 minute readQ member and physiotherapist Jo Kitchen reflects on a Q lunch and learn event on Community Appointment Days.
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Joanna Kitchen
Topics- Health sector challenges
- Access and waiting times
- Equity, diversity and inclusion
- Improvement and innovation
- Patient and public involvement
- Leadership and management
- Leadership
- Quality of care
- Person-centred 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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Improvement skills needed: turning election pledges into implemented plans
10 June 2024 3 minute readQ Managing Director Penny Pereira explores what improvement approaches and expertise will be needed for the health and care sector under the new government.
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Penny Pereira
Topics- Digital and data
- Digital technology
- Health sector challenges
- Productivity
- Improvement and innovation
- Innovation
- Leadership and management
- Leadership
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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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Worldviews: How can we borrow from research to take a systemic approach?
27 October 2023 3 minute readAndrew Ware takes a global view in this piece about looking outward for system improvement. Part one of a two-part series.
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Andrew Ware
Topics- Improvement and innovation
- Collaboration
- Innovation
- Leadership and management
- Leadership
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Why join Q? With Dr Amar Shah
25 October 2023 6 minute readDr Amar Shah explains the role Q is playing in today’s health and care sector and why people should join.
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Amar Shah
Topics- Improvement and innovation
- Improvement capability
- Leadership and management
- Leadership
- Workforce and people
- Quality of care
- Clinical effectiveness
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