Improvement Leaders’ Guide – Working in Systems Process and Systems Thinking

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Medical Conditions and Contexts of Care:
Improvement Challenges:
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This is the eleventh 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 processes and systems inter-relate and how to improve patients’ experiences as they cross the organisational boundaries in the healthcare system.