In this special episode, Matthew Taylor sits down with Sam Allen and Penny Pereira to explore the nuts and bolts of improvement at system level, its role in large-scale change and propelling transformation. Get to grips with improvement fundamentals, the factors needed for it to flourish and why building community is key to making it stick. This episode follows the launch of a new partnership between the NHS Confederation, Health Foundation and Q community to support health and care systems to learn and improve. Sam Allen is chief executive of North East and North Cumbria Integrated Care Board and Penny Pereira, managing director of Q at the Health Foundation.

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