With burnout and staff turnover in health care continuing to rise at alarming rates, this white paper describes four steps leaders can take to improve joy in work; a framework with nine critical components for ensuring a joyful, engaged workforce; key change ideas; and measurement and assessment tools.

East London Foundation Trust features as a case study organisation in this report exploring the role of quality improvement in driving up the quality of mental health care. Mental health organisations are beginning to embrace quality improvement approaches, with some promising results.

Breaking the Rules for Better Care - Don Berwick, Saranya Loehrer & Christina Gunther-Murphy

Building a Culture of Improvement at East London NHS Foundation Trust

(but too often fail to put into practice)

Understanding Variation