Opinion pieces
Diverse views and commentary from Q, community members and across the health and care improvement landscape.
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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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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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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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How improvement approaches can support neighbourhood health models
19 March 2025 7 minute readBryan Jones, Senior Improvement Fellow at the Health Foundation, and Penny Pereira, Q’s Managing Director, discuss leveraging improvement expertise in implementing neighbourhood health models.
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Penny Pereira -
Bryan Jones
Topics- Improvement and innovation
- Systems change
- Services
- Community services
- Neighbourhood health
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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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How to bring an equitable approach to reducing waiting times
25 September 2024 6 minute readKatie and Spela explore what the Q Lab teams learned about ensuring equity while reducing appointment waiting times and share some top tips for ensuring equitable access to services.
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Spela Godec -
Katie Clarke-Day
Topics- Health sector challenges
- Access and waiting times
- Equity, diversity and inclusion
- Long-term conditions
- Improvement and innovation
- Co-production
- Patient and public involvement
- Systems change
- Quality of care
- Patient experience
- 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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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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Turning Safety-II thinking into action
17 January 2023 6 minute readCritics of Safety-II point to a lack of evidence of its ability to fulfil its promise. Are they right?
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Simon Gill
Topics- Improvement and innovation
- Systems change
- Leadership and management
- Management systems
- Quality of care
- Patient safety
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Improving patient outcomes through sustainability and QI
13 October 2022 7 minute readThree Q connectors share their ideas for realising the link between sustainability and improvement in patient outcomes.
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Jess Rose
Topics- Improvement and innovation
- Innovation
- Process improvement
- Systems change
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