The NHS Institute closed on 31 March 2013. This website is being maintained in the short term so that registered users can download documents and view videos (but webinars are no longer available). A number of key resources will transfer to the NHS Improving Quality’s website. Once this website is closed you'll be able to see all publicly available content on The National Archives website: http://webarchive.nationalarchives.gov.uk/*/http://institute.nhs.uk.

Please note that from May 1st 2013 the ability to order our hard copy materials will be temporarily suspended as we finalise the closedown of the NHS Institute and complete the transition to NHS Improving Quality (part of NHS England). It is currently anticipated that many of the materials will be passed onto NHS England and should become available again later this year.

Further messages on its future will be posted here over the coming weeks.
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The most successful organisations are those that can implement and sustain effective improvement initiatives leading to increased quality and patient experience at lower cost. The Sustainability Model and Guide has been developed to support health care leaders to do just that.

Health services around the world need to consistently deliver high quality care at lower cost and against rising expectations and demand. To achieve this we need to continually improve our existing health systems and processes. Any change requires a significant investment of time, financial resource and leadership effort. There is evidence that up to 70% of all organisational change fails to survive and that is just not acceptable when undertaking health care improvement.


The Sustainability Model is a diagnostic tool that will identify strengths and weaknesses in your implementation plan and predict the likelihood of sustainability for your improvement initiative.

The Sustainability Guide provides practical advice on how you might increase the likelihood of sustainability for your improvement initiative.