Warning

Improving quality (also known as Quality improvement) is a structured way to make care and services better.

What it involves

  • solving problems using proven methods
  • achieving measurable improvements
  • using:
    • quality improvement tools
    • feedback from people who use services

Why it matters

Improving quality is a continuous process that helps ensure care is safe, effective, person-centred, timely, efficient, equitable, and sustainable.

It supports:

  • better outcomes
  • fewer errors
  • better use of resources

Key improvement activities include:

  • building the will and conditions for change
  • understanding current systems and opportunities for improvement
  • developing aim and change theory
  • identifying change ideas, testing, and refining
  • implementing and sustaining where tested
  • sharing learning and spread where appropriate

During periods of change, the same structured approach applies:

  • involve the right people
  • use data to understand problems and evidence improvement
  • test ideas on a small scale
  • co‑design solutions with those who use and deliver services

Support and skills

To enable quality improvement, people who use and deliver need the right skills and capacity to:

  • raise concerns
  • address problems
  • learn from successful changes

Healthcare Improvement Scotland provides more details on improving quality and more quality improvement resources can be found in NHS Education for Scotland’s Quality Improvement Zone.

Editorial Information

Last reviewed: 08/06/2026

Next review date: 08/06/2028

Author(s): Excellence in Care National Team.

Version: 2.0

Author email(s): phs.excellenceincare@phs.scot.