How five UK trusts built quality improvement capability at scale within their organisations.
The extent to which the NHS has kept abreast of the latest medical and technological advances and trends in health care needs is testament to the commitment the workforce has for continuing professional development. Few other industries can match this capacity for continual learning. However, with the increasing complexity of modern health care, high quality care is less a product of oneto-one clinician–patient interactions and more the outcome of multiple decisions and interventions across many care settings and teams. In this context, it is no longer enough for clinicians to be equipped with specialist medical knowledge; they also need to have the knowledge and skills necessary to improve the quality of care and to work safely and effectively, as part of a team and across the health care system.