Improvement Insights 24 Jun 2025 Supporting Robust General Practice: Cardio-Metabolic Multi-Morbidity Care This article presents the case for integrated multi-morbidity for cardio-metabolic conditions. Showing the common care process steps that can be… Nick Downham
Improvement Insights 04 Mar 2025 Sources of Failure Demand in Healthcare This article gives a short introduction to failure demand and the sources of it in healthcare. Nick Downham
Improvement Insights 20 Oct 2020 Innovation in primary care and primary care networks – supporting discussions on new models of care This article illustrates unique, simplified methods to segment and understand the demands placed on primary care. To help make decisions… Nick Downham
Improvement Insights 20 Oct 2020 Understanding the work of healthcare This article describes the two dominant types of work within Healthcare. Two types of work that require very different organisational… Nick Downham
Improvement Insights 20 Oct 2020 The reality of patient social context in general practice This article illustrates the case for person centred services within healthcare. It explored the implications of social determinants of health… Nick Downham
Improvement Insights 10 Oct 2020 Characteristics of linear and relational work in General Practice: This article is a continuation of the previous article 'Understanding the Work of Healthcare'. It looks at the concepts of… Nick Downham
Improvement Insights 11 Sep 2020 QI and Lean competency / accreditation frameworks This article explores the case for flexibility in Lean and Quality Improvement training. It states the case to ensure the… Nick Downham
Improvement Insights 29 Oct 2018 Quality Improvement Traps Using the English NHS as an example, this article focuses on the weaknesses of much current Quality Improvement (QI) thinking… Nick Downham
Improvement Insights 15 Oct 2018 Variation and General Practice This article gives both an introduction to variation and specific insight to what it means to General Practice. Marc Etches
Improvement Insights 26 Apr 2018 The role of standards in reducing variation A few years back I was captivated by surgeon Atul Gawande’s superb Reith lecture on the role of systems and… Nick Downham
