Opinion pieces
Diverse views and commentary from Q, community members and across the health and care improvement landscape.
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From framework to action: supporting Improvement across systems
1 June 2026 5 minute readDiscover our new toolkit to support your conversations on system improvement
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Anindita Ghosh
Topics- Health sector challenges
- Improvement and innovation
- Collaboration
- Flow
- Improvement capability
- Improvement culture
- Innovation
- Process improvement
- Systems change
- Leadership and management
- Leadership
- Organisational development
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Nurturing improvement networks: practical lessons from our SQC funding programme
7 May 2026 7 minute readDiscover ways to build connections, share learning and generate engagement in your improvement work.
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Tarnia Mason
Topics- Improvement and innovation
- Collaboration
- Improvement culture
- Networking
- Patient and public involvement
- Leadership and management
- Workforce and people
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Looking at NHS reform differently: From the inside out
16 April 2026 6 minute readDrawing from their research, Q members Catherine Harrison and Bryan Jones explain how redressing the balance between transactional systems and relational care could support NHS reform.
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Catherine Harrison -
Bryan Jones
Topics- Health sector challenges
- Improvement and innovation
- Improvement culture
- Leadership and management
- Leadership
- Quality of care
- Person-centred care
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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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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
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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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