Journal of Surgical Simulation 2017; 4: A: 9 - 9

Published: 19 January 2017


Oral presentation

Special Issue: Building an improvement system and movement Trust-wide

Amar Shah
Corresponding author: Amar Shah, East London NHS Foundation Trust, Trust Headquarters, 9 Alie Street, London E1 8DE, UK. Email:


This presentation describes the key elements of an organisation-wide approach to quality improvement, and how to engage and involve everyone in developing a movement and sustainable infrastructure to support the application of quality improvement at all levels of an organisation. It draws on the work at East London NHS Foundation Trust (ELFT), which has spent several years focusing on embedding a culture of continuous improvement throughout the organisation. ELFT now has one of the highest levels of staff satisfaction in the country across all providers, is named one of the top 10 best employers in healthcare in the NHS and is achieving unprecedented improvements in outcomes and experience of care. This has contributed to its recent CQC rating of Outstanding in 2016.


quality improvement; improvement science; mental health; organisation-wide QI; sustainable infrastructure

Additional Information

This presentation was given at the 6th Annual Homerton Simulation Conference: Safety Engineering and Simulation in Healthcare, Homerton University Hospital, London, UK, on 1 December 2016.

Conflicts of interest: none declared.