44. Beyond Projects: Scaling Improvement Across England's NHS from East London

A hospital team launches a promising healthcare quality improvement project, achieves great short-term wins, but as soon as the pilot ends or the champion leaves, momentum vanishes. Why do so many healthcare quality improvement projects stall after initial success? In this episode, Amar Shah helps us explore how health systems can move beyond isolated projects to build continuous improvement systems at scale. We trace the evolution of healthcare quality, from early inspection models, the Theory of Bad Apples, and the trap of projectitis, to building learning health systems across complex health networks.

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