ABSTRACT
Quality Improvement projects require clinical leaders to develop skills in leadership and quality improvement methods. Quality Improvement is usually located within one's own area of clinical specialism, and strategies are utilised to engage teams to sustain improvement initiatives over time. In an ideal world, system transformation programmes would scale-up quality improvement projects, where data sources indicate that specific changes are required. However, the UK English National Health Service (NHS) alongside all other global healthcare systems are under considerable pressure to transform services through system transformation while at the same time develop and achieve continuous quality improvement. This chapter explores Healthcare System Transformation in practice, by identifying case studies that demonstrate the application of elements of the Lukas et al. framework in a range of areas of clinical practice. Surgeons and Anaesthetists worked with managers and administrators to provide a reflective account of the group learning acquired while steering a project to transform theatre services in an English NHS Foundation Trust.
