The novel coronavirus has presented considerable challenges to clinicians. In London,
leaders employed a “learning system” model to quickly create and refine a care delivery …

Abstract Background The International Consortium for Health Outcomes Measurement
(ICHOM) was founded in 2012 to propose consensus-based measurement tools and …

It is temptingly easy to treat improvement interventions as if they are drugs—technical, stable
and uninfluenced by the environment in which they work. Doing so makes life so much …

In theory, the NHS is the ultimate integrated health system, with a single national payer
which owns and funds a network of providers working broadly towards the same overall …

Objective The 2–2½ year universal health visiting review in England is a key time point for
assessing child development and promoting school readiness. We aimed to ascertain which …

Insights from front-line staff are generally agreed to be vital for informing quality
improvement. However, health services often struggle to gather internal experiencebased …

Background In response to the COVID-19 pandemic, the first vaccine was administered in
December 2020 in England. However, vaccination uptake has historically been lower in …

Background: Pressure ulcers are areas of skin damage resulting from sustained pressure.
Informal carers play a central role in preventing pressure ulcers among older and disabled …

Objective A growing proportion of older people live in care homes and are at high risk of
preventable harm. This study describes a participatory qualitative evaluation of a complex …

Background The daily management of long-term conditions falls primarily on individuals and
informal carers, but the impact of household context on health and social care activity among …