Improvement Science London
About ISL
Wide recognition of the gap between what we know and what we put into practice, increasing public expectations and scrutiny, tighter budgets and significant changes in the ways that services are configured, all combine to determine that we cannot carry on doing what we have always done and expect to deliver improvements at pace and at scale. We need to do things differently and the practical application of scientific knowledge has much to contribute.
Improvement Science London (ISL) was established in early 2012 by the London Academic Health Science partnerships of Imperial Academic Health Science Centre, King’s Health Partners and UCL Partners.
ISL aims to promote and embed the science of improvement and thereby encourage a more evidence-informed approach to improving the way that health services are organised and delivered for patients.
ISL was initially funded for a time-limited period, to function as a catalyst and facilitator to promote and embed the science of improvement across the founding partners. We are now moving to the next phase of our development; using IS to deliver real change for people on the ground
Recent blog posts
I’m an Uncertainty Specialist
Wed, 10 May 2017 10:26:14 +0000
I had a fascinating discussion with a middle-aged woman in my practice recently. She had been told by our practice nurse that she had pre-diabetes and had been prescribed metformin, a drug used to reduce blood sugar levels. She wanted to speak to me to understand what ‘pre-diabetes’ meant. She was really angry. ‘Have I […]
Read more...The general practice rescue package: celebrate, briefly, and then the work of implementation begins
Fri, 22 Apr 2016 09:12:25 +0000
Professor Martin Marshall Lead, Improvement Science London. The 21st of April 2016 will go down as a good day for general practice, perhaps one of the best in recent decades. A few tweets ago I said that the announcement had to be sufficiently substantial and […]
Read more...A discourse of lament and a discourse of joy
Fri, 01 Apr 2016 13:26:31 +0000
Professor Martin Marshall Lead, Improvement Science London I recently had a chat with a health manager from New Zealand who was in London for a three month sabbatical. He told me that prior to his arrival he had read about how unhappy doctors are in […]
Read more...Confused about general practice?
Fri, 12 Feb 2016 13:29:24 +0000
Professor Martin Marshall Lead, Improvement Science London. When I first became a GP, general practice was organised in a way that was so easy to describe to people. We had practices serving defined local communities and we had Family Practitioner Committees (FPCs) which provided a […]
Read more...NHS integration: can accountable care organisations deliver a truly GP-led NHS
Thu, 07 Jan 2016 10:38:37 +0000
Professor Martin Marshall Lead, Improvement Science London. General practice must engage with Accountable Care Organisations Sometimes it makes a lot of sense for GPs to keep their heads down when ‘new’ ideas are trumpeted by government. It is good to remind ourselves of Rudolph Klein’s […]
Read more...Making time for improvement
Tue, 22 Dec 2015 13:22:46 +0000
Professor Martin Marshall Lead, Improvement Science London The habits of improvers Paul Batalden, a much respected quality guru, once described how people who deliver health care have two roles – to do the day job and to improve how they do the day job. This is a neat […]
Read more...NHS integration: Can accountable care organisations deliver a truly GP-led NHS?
Tue, 15 Dec 2015 15:34:16 +0000
Professor Martin Marshall Lead, Improvement Science London Sometimes it makes a lot of sense for GPs to keep their heads down when ‘new’ ideas are trumpeted by government. It is good to remind ourselves of Rudolph Klein’s sage aphorism: ‘innovation is a function of amnesia’. Too […]
Read more...Evaluation: rigour, relevance and naivety
Thu, 25 Jun 2015 13:01:50 +0000
Martin Marshall, Professor of Healthcare Improvement; Laura Eyre, Research Fellow, UCL The Nuffield Trust, like many similar organisations, is inundated with requests from people working in the NHS who want help to evaluate improvement initiatives; a subject already touched upon in a recent blog by the Nuffield Trust’s Alisha Davies. These […]
Read more...The 10 minute consultation; the unacceptable face of general practice
Wed, 06 May 2015 16:55:14 +0000
Professor Martin Marshall Lead, Improvement Science London ‘Perfunctory work by perfunctory men’. That’s how an eminent physician once described general practice. ‘A ridiculous claim’ cried GPs, rising to the defence of their discipline, ‘specialists just don’t understand the nature of general practice. They don’t value our ability to make quick decisions based on a deep […]
Read more...Monkey Business
Wed, 26 Nov 2014 16:51:37 +0000
Professor Martin Marshall Lead, Improvement Science London I recently listened to a fascinating presentation at the annual conference of the Dutch Royal College of General Practitioners. The speaker was the curator of Amsterdam Zoo and an expert in chimpanzee behaviour. She’s spent most of her career observing troops of chimps and has become fascinated by […]
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