This phase in the innovation journey is about delivering and implementing, and then growing and scaling an idea. This involves taking an innovation out into the real world and trying to encourage engagement and uptake.

This phase involves the use of Quality Improvement (QI) methods or tools to engage local stakeholders and implement the idea into current practice, or change practices to accommodate the innovation. This will often involve an element of local testing (through the Plan, Do, Study, Act cycle) with impacts measured to support an ongoing evaluation.

If successful, the ongoing development of an evidence base, alongside QI and project management skills and techniques will support the scaling up of the initiative to more sites.

Explore new and better ways of organising health and social care services to improve quality on our free six-week online training course developed with the University of Bath and hosted by Future Learn. Learning is available year-round. Find out more about the Quality Improvement in Healthcare online course.

Resources to support improvement:

Online QI toolkit, workbook and ‘on demand’ QI webinars
Access our free library of Quality Improvement resources including our step-by-step QI workbook. These will help you carry out and sustain changes that enhance patient safety and improvements in your area of work/innovation. Watch our ‘on demand’ QI webinars and access accompanying resources to support your QI journey.


Developing emotional resilience – toolkit and videos
Our suite of tools to help you grow your emotional resilience. Watch four short videos to learn about each technique, try them out and share the videos with your team to support everyone’s wellbeing. View the resources.


Skills for leading change workshop
Our one-hour interactive online workshop equips you with skills for leading change programmes and bringing your team along on the journey.
Watch our workshop.


Improvement toolkit
From the North East and North Cumbria AHSN, this toolkit offers resources to improve quality of healthcare services and to review and improve team culture.
View the Improvement toolkit


The Innovation Exchange
Our Innovation Exchange provides the support you need at any stage of your innovation. Get access to all our business services in one place as well as local and national funding opportunities.
Visit the Innovation Exchange


Quality Improvement and Service Redesign Handbook From the NHS institute for innovation and improvement, this handbook offers a collection of proven tools, theories and techniques to help teams design and implement quality improvement projects.
View the QI and Service Redesign Handbook


NHSE Service Improvement Guide
From NHS England, this resource will provide the information you need for your first steps towards making quality improvements.
View the NHSE Service Improvement Guide


What is QI video
From the Institute for Improvement healthcare (IHI), Dr Mike Evans narrates an illustrated look at quality improvement in health care.
Watch the What is QI video



Sustainable values in QI – resources
Resources developed by the Centre for Sustainable Healthcare Support Improvers to address environmental challenges in healthcare as a core part of professional practice.
Visit the Sustainable Values in QI website.



Click here to explore the final step in your innovation journey: impact

Click here to return to the innovation journey’s introduction.