Skip to content

Resources from legacy organisations

The NHS Institute for Innovation and Improvement website has now closed. 

Responsibility for the website has been transferred to NHS England's Sustainable Improvement team (formerly NHS Improving Quality). 

Please see below for links to a number of improvement tools and products that were available on the website.

You can also access material relating to Productive General Practice and Productive Endoscopy by clicking on the links below.

For further information or enquiries, please contact

  • 15 Steps Challenge

The 15 Steps Challenge is part of the Productive Care resources.

This series of toolkits have been co-produced with patients, service users, carers, relatives, volunteers, staff, governors and senior leaders, to help look at care in a variety of settings through the eyes of patients and service users, to help capture what good quality care looks, sounds and feels like. There are five toolkits that make up the 15 Steps Challenge:

- The 15 Steps Challenge for acute services

- The 15 Steps Challenge for mental health inpatient care

- The 15 Steps Challenge for children and young people's inpatient services - this document should be used alongside the adult inpatient toolkits but is designed specifically for use by children and young people

- The 15 Steps Challenge for community services

- The 15 Steps Challenge for clinic and outpatient settings 

  • Fundamentals for Quality Improvement

Quality and service improvement tools applied to a healthcare setting can help NHS organisations to improve the quality, efficiency and productivity of patient care they provide.

Handbook of Quality and Service Improvement Tools

- View more tools, and case studies    

You will be surprised how complicated it is when you map a patient's journey. Process mapping is an exercise that enables teams to visualise current processes and find improvements that have the greatest impact. This guide helps you engage with the staff who really know how thinks work, to set objectives and work together to redesign it. 

This book will provide you with a range of practical approaches and tools that many NHS leaders and front-line teams have already used to fundamentally rethink pathways of care and service delivery. 

The aim of the NHS Institute's Delivering through Improvement programme was to support chief executives with their transformational change programme. The purpose of this report is to demonstrate the achievements against measures agreed at the start of the project and the improvements that have been made for patients and the staff delivering their care. 

The Sustainability Model is a diagnostic tool that will identify strengths and weaknesses in your implementation plan and predict the likelihood of sustainability for your improvement initiative. The Sustainability Guide provides practical advice on how you might increase the likelihood of sustainability for your improvement initiative. 

  • Creating the Culture for Innovation

Creating the Culture for Innovation - A Practical Guide for Leaders and A Guide for Executives provide organisations and teams with practical steps that they can take to create a more effective culture for innovation.  

  • Leading Large Scale Change

Through its Academy for Large Scale Change the NHS Institute explored what it takes to deliver transformational change.  Much of the learning has been captured in Leading Large Scale Change Part 1 and Leading Large Scale Change Part 2

This guide aims to provide knowledge and demonstrate how 'social movement' approaches have been used to deliver improvement at previously unseen levels of depth and scale - which can be utilised and adapted in order to unleash the energy in your organisation. 

The ebd approach (experience based design) is an exciting way of bringing patients and staff together to share the role of improving care and re-designing services. It was developed to help frontline NHS teams make the improvements their patients really wanted. 

  • Patient Safety 

Quality Improvement in General Practice - published by The King's Fund. 

-   360 Degree Patient Safety Appraisal model 

- SBAR Resources

SBAR is a structured method for communicating critical information that requires immediate attention and action. It can be used to improve communication, ensure effective escalation and increase safety, and it has 4 steps - Situation, Background, Assessment and Recommendation.

 The AUKUH Safer Nursing Care Tool

The Safer Nursing Care Tool (SNCT) is one method that can be used to assist Chief Nurses to determine optimal nurse staffing levels. It is an evidence based tool that enables nurses to assess patient acuity and dependency, incorporating a staffing multiplier to ensure that nursing establishments reflect patient needs in acuity/dependency terms.  

  • Trigger Tools

Trigger Tools are a means of conducting rapid structured casenote review to measure the rate of harm in healthcare.  Because they are a metric, they can also be used to track improvements in safety over time. 

Paediatric Trigger tool

Business Case

Data Collection forms

- Primary Care Trigger tool

Acute Trigger tool 

The Engagement Cycle helps organisations undertake meaningful patient and public engagement for maximum impact. It is a tried and tested, practical resource, used by dozens of Clinical Commissioning Groups (and others) to plan, design and deliver great services for, and with, local people.

  • Tackling tough choices

These powerful tools and case studies have been developed to enable you to apply Public Value to practice. 

Public Value Lens image

The Strategic Triangle

Public Values Lens questions

Creating a Public Values process

Public Value Stream - image 1

Public Value Stream - image 2

Case study-Developing a Home Oxygen Service that delivers demonstrable public value 

  • Better Care Better Value

The Better Care, Better Value indicators identify potential areas for improvement in efficiency. These indicators can be used locally to help inform planning, to inform views on the scale of potential efficiency savings in different aspects of care.

Converting the potential into reality: 10 steps commissioners can take to realise the benefits of Better Care Better Value Indicators

Converting the potential into reality: 10 steps providers can take to realise the benefits of Better Care Better Value Indicators