Quality improvement made simple
A guide for those thinking about how to re-design or develop new processes, pathways and services.
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About this guide
Improving quality is about making health care safe, effective, patient-centred, timely, efficient and equitable. It’s about giving the people closest to problems affecting care quality the time, permission, skills and resources they need to solve them. In the history of the NHS, there has never been a greater focus on improving the quality of health services.
It is vital that health and care workforces are able and supported to lead radical service change and improvements through re-starting, re-designing or developing new processes, pathways and services.
How to use this guide
Quality improvement involves the use of a systematic and coordinated approach to solving a problem using specific methods and tools with the aim of bringing about a measurable improvement within a health care setting.
This guide offers an explanation of some popular approaches used to improve quality, including where they have come from, their underlying principles and their efficacy and applicability within the health care arena. It also describes the factors that can help to ensure the successful use of these approaches and methods to improve the quality of care processes, pathways and services.
It is written for a general health care audience and will be most useful for those new to the field of quality improvement, or those wanting to be reminded of the key points.
Who is it for?
This guide is for all those who are interested approaches used to improve quality, including where they have come from, their underlying principles and their efficacy and applicability within the healthcare arena. It also describes the factors that can help to ensure the successful use of these approaches and methods. to improve the quality of care processes, pathways and services.
It is written for a general health care audience and will be most useful for those new to the field of quality improvement, or those wanting to be reminded of the key points.
How was it developed?
This guide has been developed by The Health Foundation.
First published in 2013 and updated in 2021, this is the third edition of Quality improvement made simple. The third edition was updated on 19 May 2021 to reflect NHSEI’s newly published definition of quality.
Find out more
Discover more
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How disruptive innovators could lead the way for neighbourhood health
Opinion piece 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. -
International Forum for Quality and Safety in Healthcare 2026
Event 9 to 11 March 2026The theme this year is ‘The Power of Us: Strengthening Systems and Deepening Resilience to Improve Quality in Health and Care’.