"Improvements in the quality of care do not occur by chance. They come from the
intentional actions of staff equipped with the skills needed to bring about changes in care, directly and constantly supported by leaders at all levels. They do not come free and will require a substantial and sustained commitment of time and resources."
Improving quality in the English NHS: A strategy for action
C Ham, D Berwick, J Dixon
The King's Fund
February 2016
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