Comprehensive quality improvement: not ‘why should we do it?’ but ‘when will we start?’

Comprehensive quality improvement: not ‘why should we do it?’ but ‘when will we start?’ As a chief executive in the NHS over the past 10 years, I have seen the benefits of quality improvement at first hand. Now, The King’s Fund and The Health Foundation are making a powerful case for quality improvement techniques to be applied consistently and systematically across the NHS. Leaders and their boards know the value it can bring – helping to drive quality, finance and access improvements as well as enhancing staff experience – so why hasn’t the NHS been able to embed quality improvement comprehensively across the service? Why aren’t all our patients and staff benefitting from what works so well in patches? The King's Fund