Find Out More about the Guide

The NHS Sustainability Guide was developed as a direct result of request from NHS staff who were using the Model.

The structure of the Guide mirrors the ten factors identified within the NHS Sustainability Model. It creates a comprehensive package consisting of a diagnostic model and guidance for sustainability.

Information within the Guide was gathered from a variety of sources, including the available literature on change and sustainability, discussions with experts within and outside the NHS and small research studies commissioned to explore specific learning from ongoing improvement programmes within the NHS.

We have provided what we hope will be helpful, practical advice relating to each of the ten sustainability factors. We recognise that this is not exhaustive and that other sources of useful information do exist.

If you find something that works really well for you and is not in the Guide, we would be happy to hear about it. Contact us at

Click here to download or order the Sustainability Guide

Sustainability guide