Improvement Leaders’ Guide – Building and Nurturing an Improvement Culture – Personal and organisational Development

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Medical Conditions and Contexts of Care:
Improvement Challenges:
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This is the fourteenth of a set of fifteen guides produced by the NHS Institute of Innovation and Improvement covering 3 themes: General Improvement Skills, Process and Systems Thinking and Personal and Organisational Development.

The Guides provide practical advice for use by anyone who wants to include service improvement in their work and are applicable to all areas of health care relating to service improvement.


This guide describes how to create an improvement culture within a team. By sharing values and ideas about working practices, and using techniques that create shared beliefs, the prospect of improvement has a greater chance of being realised and sustained.