Before starting any project, answer these three questions:

  1. Objective: Define what you’re trying to achieve. Make objectives specific and quantifiable, like improving a PROM score by 10 points, rather than generic, unquantifiable goals, such as “achieve better patient wellbeing”.
  2. Measurement: Determine how you’ll measure improvement. Use our precise, pre-defined metrics to track progress. Quantitative data is more reliable than qualitative impressions.
  3.  Changes for Improvement: Identify what changes you will need to make to achieve your desired objective.

SMART Criteria: Use SMART objectives – Specific, Measurable, Assignable, Relevant, and Time-bounded.

  • Specific: Identify a clear area for improvement with precise objectives.
    Measurable: Set objectives that can be quantitatively measured.
    Assignable: Assign each objective to a person or team responsible for it.
    Realistic: Set challenging yet achievable objectives, considering available tools and uncontrollable factors.
    Time-bound: Define a clear timeline for achieving each objective.

PDSA Cycle – Plan-Do-Study-Act, a method for quality improvement:

  • Plan: Clearly define your goals and success criteria. Predict outcomes and plan data collection methods.
    Do: Collect data based on the plan.
    Study: Analyze the data to identify trends and compare results to predictions.
    Act: Implement changes based on the analysis and plan the next cycle.

PDSA cycles can be sequential or simultaneous. Sequential cycles are simpler, but if running simultaneously, ensure coordination to avoid impact overlap. Start small, learn, adapt, and gradually expand. Test ideas with supporters first to gather evidence before trying to convince skeptics.

All projects have a similar life-cycle:


Be clear about what you want to measure. Then we can help you design surveys and processes needed, including who does what, when and where.


Set up on our survey engine to maximise response rates.


Real-time interactive results dashboards show you how you are doing.


Interpret the results and make further improvements.