Opinion pieces
Diverse views and commentary from Q, community members and across the health and care improvement landscape.
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Deepening understanding of children and young people experiencing mental health crisis
5 March 2026 5 minute readAarthi Ravishankar and Rosanna Hardwick, from Social Finance, share findings on effective early intervention and prevention for children and young people presenting in mental health crisis.
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Rosanna Hardwick -
Aarthi Ravishankar
Topics- Digital and data
- Analytics and data
- Health sector challenges
- Equity, diversity and inclusion
- Improvement and innovation
- Process improvement
- Quality of care
- Patient experience
- Services
- Children and young people
- Neighbourhood health
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What happens when racism is named in quality improvement?
25 February 2026 6 minute readSarindi Aryasinghe reflects on how we can do our bit to turn commitments to equity into real, tangible, everyday improvement work.
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Sarindi Aryasinghe
Topics- Health sector challenges
- Equity, diversity and inclusion
- Improvement and innovation
- Improvement culture
- Systems change
- Leadership and management
- Workforce and people
- Quality of care
- Health equity
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Understanding and increasing Q’s impact
19 February 2026 7 minute readAs Picker publish their independent evaluation of Q, our Managing Director, Penny Pereira, reflects on what we’ve learned.
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Penny Pereira
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How disruptive innovators could lead the way for neighbourhood health
8 January 2026 7 minute readQ member Mani Dhesi explains how radically redesigning patient care pathways for community settings can both improve the patient experience and free up valuable clinical time in secondary care.
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Mani Dhesi
Topics- Health sector challenges
- Access and waiting times
- Improvement and innovation
- Spread and adoption
- Services
- Primary care
- Neighbourhood health
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How micro-funding can unlock health improvements for communities
9 December 2025 6 minute readQ member Karla Rimaitis considers the shift to neighbourhood health in light of her experiences with improvement and innovation in primary care.
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Karla Rimaitis
Topics- Health sector challenges
- Integration
- Services
- Community services
- Older people’s care
- Neighbourhood health
- Voluntary services
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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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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 -
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 -
Emma Snow
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Clifford Mitchell -
Anita Rowe
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Domenica Gilroy -
Levette Lamb -
Miles Sibley -
Chris Pavlakis
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Felicity Hamer
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Anna Burhouse -
Dr Orla Healy
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Rammya Mathew -
David Seamark
Topics- Health sector challenges
- Improvement and innovation
- Quality of care
- Person-centred care
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