The Leading Improvement in Health and Care podcast is hosted by Penny Pereira (Q), exploring the learning and experiences of people making change across systems. <hr><p style='color:grey; font-size:0.75em;'> Hosted on Acast. See <a style='color:grey;' target='_blank' rel='noopener noreferrer' href='https://acast.com/privacy'>acast.com/privacy</a> for more information.</p>

Leading Improvement in Health and Care
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Podcast Overview
The Leading Improvement in Health and Care podcast is hosted by Penny Pereira (Q), exploring the learning and experiences of people making change across systems. <hr><p style='color:grey; font-size:0.75em;'> Hosted on Acast. See <a style='color:grey;' target='_blank' rel='noopener noreferrer' href='https://acast.com/privacy'>acast.com/privacy</a> for more information.</p>
Language
🇺🇲
Publishing Since
5/2/2024
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Recent Episodes

July 14, 2026
What does NHS England's Quality Strategy mean in practice?
<p>What does high-quality NHS care look and feel like – and how can a national strategy translate into a better experience for patients?</p><br><p>In this episode of Leading Improvement in Health and Care, Penny Pereira speaks with Professor Frankie Swords, National Medical Director for NHS England and the Department of Health and Social Care, and Sarah Barley-McMullen, strategic lived experience partner for NHS England and Chair of Long Covid SOS.</p><br><p>They explore why quality must become the NHS’s guiding principle, encompassing safe and clinically effective care as well as a positive patient experience. The conversation considers the role of leadership and organisational culture, the use of meaningful data and shared metrics, reducing unwarranted variation, and making it easier for people throughout the health and care system to do the right thing.</p><br><p>Sarah brings a vital lived-experience perspective, arguing that quality cannot be understood through performance data alone. It can be felt in whether care is joined up, whether patients are heard and involved in decisions, and whether their experience gives them the confidence to seek help and remain engaged in their care.</p><br><p>Hosted by Penny Pereira, managing director of Q, each episode aims to spotlight where improvement is working well, as well as the challenges it faces. This podcast is part of Learning and Improving Across Systems, a partnership between the Health Foundation, the NHS Alliance and the Q community to support health and care systems to learn and improve. </p><br><p>Additional resources</p><p><br></p><ul><li><a href="https://q.thenhsalliance.org/evidence-and-insights/insight-projects/quality-managements-systems-in-health-and-care-learning-from-examples-in-the-uk-and-ireland" rel="noopener noreferrer" target="_blank">Recommendations for local leaders onembedding QMS</a></li><li><a href="https://q.thenhsalliance.org/evidence-and-insights/insight-projects/quality-managements-systems-in-health-and-care-learning-from-examples-in-the-uk-and-ireland" rel="noopener noreferrer" target="_blank">Embedding and sustaining Quality Management Systems | Q Community</a> </li><li><a href="https://q.thenhsalliance.org/evidence-and-insights/evidence-and-briefings/managing-quality-during-change" rel="noopener noreferrer" target="_blank">Managing quality during change | Q Community</a> </li><li><a href="https://q.thenhsalliance.org/resources/quality-management-systems-webinar-series" rel="noopener noreferrer" target="_blank">QMS webinar series - is this still relevant?</a> </li><li><a href="https://q.thenhsalliance.org/resources/quality-management-systems-resources-to-help-you-get-started" rel="noopener noreferrer" target="_blank">Quality Management Systems: resources to help you get… | Q Community</a> </li></ul><p><br></p><hr><p style='color:grey; font-size:0.75em;'> Hosted on Acast. See <a style='color:grey;' target='_blank' rel='noopener noreferrer' href='https://acast.com/privacy'>acast.com/privacy</a> for more information.</p>

May 5, 2026
What we can learn from Scotland's approach to change
<p>What does it really take to make change work in the NHS?</p><br><p>In this episode of Leading Improvement in Health and Care, we explore the <strong>Scottish Approach to Change</strong>—a system-wide effort to rethink how transformation actually happens across health and social care.</p><br><p>Rather than another top-down initiative, Scotland is bringing together quality improvement, service design, strategy, and frontline experience into one unified approach—with a shared language and a clearer pathway for change.</p><br><p>We are joined by Clare Morrison, Director of Engagement and Change at Healthcare Improvement Scotland, who led the development of the Scottish approach to change, as well as two leaders from the Pathfinder sites who have already started embedding it in their organisations. So Gareth Marr, Chief Officer Dumfries and Galloway Health and Social Care Partnership, and Jennifer Champion, Director of Public Health at NHS Forth. </p><br><p>Hosted by Penny Pereira, managing director of Q, and former NHS Confederation chief executive, Matthew Taylor, each episode aims to spotlight where improvement is working well, as well as the challenges it faces. This podcast is part of Learning and Improving Across Systems, a partnership between the Health Foundation, NHS Confederation and the Q community to support health and care systems to learn and improve. </p><br><p>Additional resources</p><p><br></p><ul><li>The Scottish Approach to Change - <a href="https://www.healthcareimprovementscotland.scot/improving-care/scottish-approach-to-change/" rel="noopener noreferrer" target="_blank">Scottish Approach to Change – Healthcare Improvement Scotland</a> </li><li>Q’s An effective approach to change - <a href="https://q.thenhsalliance.org/evidence-and-insights/evidence-and-briefings/an-effective-approach-to-change" rel="noopener noreferrer" target="_blank">An effective approach to change | Q Community</a> </li><li>Scotland’s Health and Social Care Service Renewal Framework -<strong> </strong><a href="https://www.gov.scot/publications/health-social-care-service-renewal-framework/" rel="noopener noreferrer" target="_blank"><strong>Health and Social Care Service Renewal Framework - gov.scot</strong></a> </li><li>Quality Management System - <a href="https://www.healthcareimprovementscotland.scot/improving-care/quality-management-systems-qms/" rel="noopener noreferrer" target="_blank">Quality Management System (QMS) – Healthcare Improvement Scotland</a> </li><li>Q’s Quality Management Systems: resources to help you get started<strong> - </strong><a href="https://q.thenhsalliance.org/resources/quality-management-systems-resources-to-help-you-get-started" rel="noopener noreferrer" target="_blank"><strong>Quality Management Systems: resources to help you get… | Q Community</strong></a> </li></ul><hr><p style='color:grey; font-size:0.75em;'> Hosted on Acast. See <a style='color:grey;' target='_blank' rel='noopener noreferrer' href='https://acast.com/privacy'>acast.com/privacy</a> for more information.</p>

March 26, 2026
Stop fixing and start framing for real improvement leadership
<p>Leaders set the tone for improvement, but what does that actually look like in practice?</p><br><p>In this episode of Leading Improvement in Health and Care, highlights from NHS Impact 2026 explore how leadership can move improvement beyond isolated projects and into whole health and care systems. From system thinking and co-production to visible leadership, standard work and the shift from problem-solving to problem-framing, speakers share what it takes to lead change that lasts.</p><p><br></p><ul><li>Adam Sewell-Jones, chief executive officer, East and North Hertfordshire NHS Trust </li><li>Nicola Burgess, Professor of Operations Management, University of York </li><li>Andy Hardy, Chief Executive, University Hospitals Coventry and Warwickshire NHS Trust </li></ul><p><br></p><p>And for the last session of the day, Penny Pereira, our podcast host, hosted a panel discussion exploring how improvement can move beyond individual projects and begin to reshape whole pathways of care with staff and populations. Joining her was: </p><p><br></p><ul><li>Caroline Clarke, NHS London Regional Director </li><li>David Fillingham, a Chair in the NHS and Chair of the National Improvement Board </li><li>Rich Amos, Patient Partner with NHS England </li></ul><p><br></p><p>This podcast is part of Learning and Improving Across Systems, a partnership between the Health Foundation, NHS Confederation and the Q community to support health and care systems to learn and improve. </p><br><p>Useful resources</p><p><br></p><ul><li><a href="https://www.nhsconfed.org/articles/national-improvement-conference-2026-resources" rel="noopener noreferrer" target="_blank">National Improvement Conference 2026 - resources | NHS Confederation</a> </li><li><a href="https://boost.org.uk/" rel="noopener noreferrer" target="_blank">Boost | Our Learning and Improvement Community</a> </li><li><a href="https://www.england.nhs.uk/nhsimpact/" rel="noopener noreferrer" target="_blank">NHS England » NHS IMPACT</a> </li><li><a href="https://www.virginiamasoninstitute.org/uk/" rel="noopener noreferrer" target="_blank">Leading Healthcare Transformation| Virginia Mason Institute UK</a> </li><li><a href="https://warwick.ac.uk/fac/soc/wbs/exec/dbaconference2025/conferenceslidesandphotos/kara_maitra_c9_paper_presentations.pdf" rel="noopener noreferrer" target="_blank">Microsoft PowerPoint - DBA Conference Presentation K Maitra.pptx</a> </li><li><a href="https://www.nhselect.nhs.uk/uploads/files/1/UHCW-Leaders%20infographic.pdf" rel="noopener noreferrer" target="_blank">UHCW-Leaders infographic.pdf</a> </li><li><a href="https://www.pointofcarefoundation.org.uk/" rel="noopener noreferrer" target="_blank">Point of Care Foundation</a> </li><li><a href="https://www.england.nhs.uk/nhsimpact/about-nhs-impact/national-improvement-board/" rel="noopener noreferrer" target="_blank">NHS England » National Improvement Board</a> </li></ul><p><br></p><p><br></p><hr><p style='color:grey; font-size:0.75em;'> Hosted on Acast. See <a style='color:grey;' target='_blank' rel='noopener noreferrer' href='https://acast.com/privacy'>acast.com/privacy</a> for more information.</p>
17 total episodes available
Recent guests on Leading Improvement in Health and Care
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Professor Paul Corrigan CBE
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Dr Amar Shah
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This podcast updates weekly.
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This podcast is available on 8 platforms including Apple Podcasts, Spotify, and more. You can also use the RSS feed directly.
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