Guide on spread and sustainability

Document type
Ibanez de Opacua, Amaia
Healthcare Improvement Scotland
Date of publication
1 July 2013
Health Services
Social welfare
Material type

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One of the main problems faced by quality improvement initiatives is that they too often remain as localised pockets of excellence without spreading beyond their original boundaries. Sustaining changes over time is also a common challenge for quality improvements. Given the current climate, where financial constraints are pushing organisations to make the best use of their resources, having a better understanding of the factors affecting spread and sustainability of change has become of strategic importance. This justifies the increasing interest in these topics. 

The purpose of this guide is to summarise the existing resources and key pieces of research around spread and sustainability. The aims of this guide are: first, to increase the understanding of the key issues around spread and sustainability; second, to signpost readers to existing valuable resources on these topics; third, to assist quality improvement practitioners in the process of planning for spread and sustainability of improvement and its implementation and; finally to advise supporting organisations on initiatives that could facilitate spread and sustainability of improvements at a national level.