Improvement Leaders’ Guide – Sustainability and its Relationship with Spread and Adoption – General Improvement Skills

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This is the seventh 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.


A guide to sustainability and how it can be used in improvement work. The guide also contains information on spread.