Sustain

Having implemented new changes, organisations need to establish a range of practices to ensure that the change becomes the new way of doing things.

Team Huddles

Team huddles are way of communicating with your team to proactively manage quality and safety. This sustains changes made by proactively maintaining progress.

Standard Operating Procedures (SOPs)

These outline agreed policies and practices, providing clear and explicit guidance for a process. Reducing the risk of things changing to a pre-change state.

Measurement planning

Ongoing and visible measurement of the process is a useful approach to ensure that the changes are being carried out consistently. Information and learning can be gleaned from measurement during and after implementation. Some measures used in testing and implementation cycles may be used after implementation to demonstrate sustained improvement.

Readiness for Spread

Check if the improvements have sustained, after you have tested and implemented your change idea. If so, it may be time to spread to new areas, teams or other parts of your system.
Successful spread involves developing a spread plan and a spread aim. This will help you measure and review progress. Using the “Readiness for Spread” checklist can help you to assess if your change idea is ready to spread.

As an improvement team, ask yourselves five questions to spread improvement.

Five questions to help you spread improvement

Last Updated: 13 June 2025
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