An Improvement Framework for Commissioners – Delivering Large Scale Measurable Change

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Medical Conditions and Contexts of Care:
Improvement Challenges:
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This guide by the NHS Institute for Innovation & Improvement provides a framework designed to help commissioners make significant improvements to healthcare services and outcomes in areas where they are facing the most complex and ‘wicked’ challenges.


It builds upon the learning from pilot work with commissioners to offer a range of concepts, tools and techniques that support a measurement based approach to change e.g. driver diagrams, constructing operational definitions, system awareness etc.