Why is quality improvement in health and social care systems so difficult? Why is it so challenging to bring in new and better ways of organising health and social care services?
Many reasons have been put forward: lack of money; lack of knowledge about either the actual quality of care delivered, or resistance to making changes to long-established ways of working; excessive and sometimes misunderstood regulations; and professional opinions and interests that are hard to influence when systems are working at or beyond capacity.
This course suggests that the main reason is complexity. Health and social care systems are inherently complex, with many interconnected activities and processes, and thus difficult to measure, analyse, change and improve.
The course is designed for people working in or interested in health and social care organisations; clinicians, allied health professionals, nurses, managers, administrators, analysts and researchers. People with a general interest in health and social care organisations, such as service users and carers, may also find the course of interest to them. The approach and the topics we cover are relevant to any health and social care system and any person working in that system.