The NHS Institute for Innovation and Improvement website is now being administered by NHS Improving Quality - the Productive Series and other products are still being provided by Delivery Partners and supported by NHSIQ, and all material relating to the Productive Series is still accessible.

The NHS Institute closed on 31 March 2013. If an item you are looking for is not available here, you'll be able to see all publicly available content on The National Archives website:*/
This site uses cookies to help performance and allow us to improve your browsing experience. You can click here to view the cookies we use on this website along with information on how to restrict cookies using your browser settings. By clicking on the Continue button, you accept the terms of our privacy policy on our website.

| | |



The Thinking Differently book will provide you with a range of practical approaches and tools that many NHS leaders and front-line teams have already used to fundamentally rethink pathways of care and service delivery.   This guide will not only help you to learn how to improve the services you provide, but how to transform them.

But don't just take our word for it... 

"We need to have imagination and courage in order to seize the opportunities there are to transform the provision of care in the NHS"

David Nicholson, Chief Executive, NHS England

"Thinking Differently has contributed enormously to the success of our trust over the last few years. The techniques have helped unblock barriers and, as importantly, the approach has supported our culture of continuous improvement. It has also been hugely rewarding for staff as well as patients"

Stephen Ramsden, CEO, Luton & Dunstable Hospital NHS Foundation Trust

So, are you ready to start Thinking Differently?

You can download a few sample chapters of the Thinking Differently book simply by clicking on the links provided below.

Flow diagram Flow diagram (17.80 KB)

Introduction and Concepts Introduction and Concepts (354.18 KB)

Sample tools Sample tools (467.90 KB) 


The Thinking Differently Book is available to all staff working in NHS England (up to 20 copies free, further copies available at a cost of £39.95).  To order your copy click here.

For enquires outside of NHS England, please contact