Recent work on health system strengthening suggests that a combination of leadership and
policy capacity is essential to achieve transformation and improvement. Policy capacity and …

Objective Across healthcare systems, there is consensus on the need for independent and
impartial assessment of performance. There is less agreement about how measurement and …

IPPR, the Institute for Public Policy Research, is the UK's leading progressive think tank. We
are an independent charitable organisation with our main offices in London. IPPR North …

In publicly funded health systems, reform efforts have proliferated to adapt to increasingly
complex demands. In Canada, prior research (Lazar et al., 2013, Paradigm Freeze: Why is it …

Governments across low-income and middle-income countries have pledged to achieve
universal health coverage by 2030, which comes at a time where healthcare systems are …

Public sector reforms have placed at the top of their agenda the notion of service and
delivery improvement (Andrews et al., 2019; Pollitt and Bouckaert, 2017), borrowing …

Background Evidence is mounting that patient-reported experience can provide a valuable
indicator of the quality of healthcare services. However, little is known about the relationship …

This research explores what organisations have done to respond to Francis and the lessons
to be drawn. The overall purpose is to help policymakers and practitioners to understand …

Purpose The purpose of this paper is to explore the relationship between frequent turnover
(churn) of the chief executive officer (CEO), quality manager and members of the governing …

As well as examining these challenges, this report sets out an organising framework,
supported by case studies. The framework describes steps that can be taken to improve the …