Annex 4 - compilation of approaches

Change Model

Model for improvement

Quality improvement journey – NHS Scotland

Leading large-scale change

Human factors in healthcare

Root cause analysis

Systems thinking for health

Experience-based co-design

Lean in healthcare

Risk assessment made easy

Systems engineering

Human-centered design

Six sigma

Inclusive design

Risk management

System safety assessment

[Approach - template]

The NHS Change Model is an organising framework for sustainable change and transformation that delivers potential benefits for patients and the public. It was developed with senior leaders, clinicians, commissioners, providers and improvement activists to support health and care to adopt a shared approach to leading change and transformation.

As a way of thinking, the model is relevant to numerous change programmes and provides an approach that can be tailored to fit individual situations. It is a way of making sense at every level of the 'how and why' of delivering improvement, to consistently make a bigger difference.

The model has eight components that lead to a better understanding of how to create an environment and programme(s) that can make change happen:

  • Our shared purpose
  • Leadership by all
  • Spread and adoption
  • Improvement tools
  • Project and performance management
  • Measurement
  • Influencing factors
  • Motivate and mobilise

Share this page

Explore more...

Find out what's useful to you


Executive summary


Section 1

Healthcare as a ‘system of systems’

Section 2

Approaches to improvement

Section 3

Defining a systems approach

Section 4

A framework for thinking

Section 5

A framework for action

Annex 1

Applications of the approach

Annex 2

Case studies

Annex 3

Elements of a systems approach

Annex 4

Compilation of approaches


About the project