Sustaining and Spreading Change

Once improvements have been tested and implemented, mechanisms need to be established to sustain the improvement. Spreading improvement involved extending them to other areas of health care that would benefit from them.

Here are some useful guides to assist team with planning for spread and sustainability:

• NHS Spread and sustainability guide
• Institute for Healthcare Improvement A framework for spread: from local improvements to system-wide change
• Clinical Excellence Commission Enhancing project spread and sustainability
• Ontario Sustainability Planner