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Sustainability - NHS England

Improvement Leaders GuideSustainability and its relationship with spread and adoption General improvement 3/5/07 6:05 pm Page 1 Sustainability and its relationship with spread and adoption 1 Improvement Leaders GuidesThe ideas and advice in these Improvement Leaders Guides will providea foundation for all your improvement work: Improvement knowledge and skills Managing the human dimensions of change Building and nurturing an improvement culture Working with groups Evaluating improvement Leading improvementThese Improvement Leaders Guides will give you the basic tools andtechniques: Involving patients and carers Process mapping, analysis and redesign Measurement for improvement Matching capacity and demandThese Improvement Leaders Guides build on the basic tools and techniques: Working in systems Redesigning roles

Sustainability and its relationship with spread and adoption 7 There are two major frustrations that are often encountered with sustainability: The first is the improvement evaporation effect or initiative decay .

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