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Examines some of the quality initiatives occurring in the UK National Health Service. Contrasts quality practices in healthcare with TQM in industry and discusses the implications of adopting total quality in the NHS. Looks at current quality activity and discusses the key components to participative management and quantitative methods. Proposes a model for total quality in healthcare. Concludes that everyone be encouraged to make “breakthroughs” ‐ this means no one can be left out of the process.

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