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 -
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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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 -
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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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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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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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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How stakeholder and journey mapping can help you understand complex challenges
24 October 2024 6 minute readRead about how Q Labs explore complexity and challenges in health care at system level using stakeholder and journey mapping.
Topics- Improvement and innovation
- Collaboration
- Complexity
- Improvement research and evaluation
- Innovation
- Patient and public involvement
- Systems change
- Leadership and management
- 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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Improving patient communication and care with technology
24 September 2024 9 minute readA Q Exchange project looks at using innovative technology as part of an apporoach to reduce falls and pressure ulcers in elderly patients.
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Jonathan Yazbek
Topics- Digital and data
- Digital technology
- Health sector challenges
- Health and prevention
- Long-term conditions
- Improvement and innovation
- Patient and public involvement
- Leadership and management
- Workforce and people
- Quality of care
- Patient safety
- Services
- Mental health
- Older people’s care
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