Sustainability Guide

Document first published:
Page updated:
Publication type:
Medical Conditions and Contexts of Care:
Improvement Challenges:
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The Sustainability Model and Guide were developed by the NHS Institute for Innovation and Improvement to support health care leaders to implement and sustain effective improvement initiatives leading to increased quality and patient experience at lower cost.

The Sustainability Guide provides practical advice on how to increase the likelihood of sustainability for an improvement initiative.


Sustainability Guide

Sustainability Guide

  • PDF
  • 404 KB
  • 74 pages


The NHS Sustainability Guide was developed as a direct result of request from NHS staff who were using the Model.

The structure of the Guide mirrors the ten factors identified within the NHS Sustainability Model. It creates a comprehensive package consisting of a diagnostic model and guidance for sustainability.