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Monday 24th October 2016

NHS Improvement Agencies

14th May 2007

An array of organisations seems to have sprung up in the last two years to fill the gap left by the NHS Modernisation Agency. Here we summarise the key ones and what they are doing.


NHS Institute for Innovation and Improvement (NHS III)


The NHS III was set up as an Arms Length Body to the Department of Health after the dismantling of the Modernisation Agency. Its purpose is to “transform healthcare for patients and the public by rapidly developing and spreading new ways of working, new technology and world class leadership?. Its major programmes of work are:

  • Care outside hospital – to look at ways of delivering efficient and effective healthcare in the community. It plans to develop a delivery package to accelerate the shift from secondary to community based care.
  • No delays – providing a range of tools and techniques to deliver the 18 week wait.
  • Quality and value – looking at a range of approaches to improve services for patients and staff, including lean thinking and experience based design. It also aims to develop a single set of performance indicators for the NHS.
  • Share and network – to spread and sustain improvements by developing communities that can learn from each other.
  • Building capability – programmes to enhance capability within the service in areas such as leadership, technology and innovation.
  • Safer care – to develop a national programme to improve patient safety through training and building partnerships between groups.

NHS Integrated Service Improvement Programme (ISIP)


NHS ISIP has developed a ‘road map to transformational change’. This step by step guide to how to project manage a change programme is designed to be used by health communities wanting to remodel the way services are provided.

Service improvement on line (Rapport on line)


This web site allows registered NHS users to share information on improvements to patient journeys, including outputs from collaborative programmes (pathway maps, run charts etc). Conditions and specialties covered include cardiac, cancer, radiology and pathology.

Improvement Foundation


The Improvement Foundation incorporates the National Primary Care Development Team which ran the primary care collaborative across the NHS (claimed to be the world’s largest ever improvement programme). The Improvement Foundation has been set up as a not-for-profit company limited by guarantee. It provides consultancy services in using improvement methodologies and running improvement programmes in public services.

Health and Social Care Change Agent Team (CAT)


The health and social care CAT was originally set up to tackle delayed transfers of care from acute hospitals. Its remit has now grown to address other issues relating to the care of older people.

Care Services Improvement Partnership (CSIP)


The CSIP oversees the social care equivalent of the improvement work going on in the NHS. It is focused on improving services and the well being of vulnerable people with health and social care needs. It is running programmes in the following key areas:

  • Learning disabilities
  • Adult social care
  • Children, young people and families
  • Older people
  • Mental health
  • Criminal justice

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