Developing a culture of quality within the United Kingdom healthcare system

It is established that there are three levels of quality, technical, generic and systemic with systemic being the preferred goal for Salford Royal Hospitals NHS Trust (SRHT). In an effort to achieve their goal SRHT embarked on using the EFQM Excellence Model to provide one overarching framework for all their quality initiatives. The article explains SRHT’s approach to implementation and integration in addition to providing a flavour of the outcomes observed from the journey so far. In essence, many benefits were realised, some aspired to, some unexpected and all worthwhile and welcomed. However, even after seven years the organisation still does not have full deployment, which confirms that efforts to assure excellence need to be relentless if there is to be a sustainable culture change that puts quality at the heart of day‐to‐day decision making.