There is increasing recognition within the NHS that quality improvement methodologies such as Lean, Six Sigma, Theory of Constraints and Experienced Based Co-design can significantly improve patient flow, patient pathways and clinical and administrative processes that lead to better quality outcomes and experiences for patients. Financial savings and improved use of scarce resources can be additional benefits. Given the pressures on the NHS in terms of shrinking funding, ageing demographics, technology and increasing patient demand, we believe that helping those on the front line understand how to use QI methodologies well is vital.

This book does not seek to add to the sizeable literature on specific methods and toolkits. Instead it argues that success comes only through paying attention to and integrating QI toolkits and methods with the contextual, relational and personal leadership domains.

Beyond the Toolkit shares powerful, real-life stories told in the main by the NHS leaders who have been Fellows on GenerationQ. In sharing their stories the book answers some of the many questions Leaders often have when wanting to introduce and benefit from QI methods.