Continuous Value Management in Healthcare

'Continuous Value Management in Healthcare' is a great tool for individuals and teams to undertake vital work of quality improvement in healthcare organisations. The book presents a range of complex and challenging ideas in a highly engaging and easily understandable manner, balancing a mix of theory and case studies to produce a resource applicable for all organisational contexts. The book is an excellent resource for professionals addressing wicked problems in rapidly changing clinical, administrative and interprofessional environments.

Professor David Greenfield, School of Population Health, Faculty of Medicine and Health UNSW SYDNEY, Australia

"Continuous Value Management in Healthcare" is a timely and transformative contribution to the field of organizational improvement. Drawing from real-world application within NHS Highland and beyond, this book offers a compelling methodology that bridges strategic intent with operational execution—ensuring that value is not only created but continuously sustained.

The authors present a clear, actionable framework that empowers leaders and teams to align around shared outcomes, make data-informed decisions, and adapt dynamically to changing needs. What sets this book apart is its grounding in lived experience: NHS Highland’s journey of adoption of CVM demonstrates how even complex, resource-constrained systems can achieve measurable, meaningful change.

Whether you're a healthcare leader, public sector innovator, or enterprise strategist, this book provides the tools and insights needed to embed value at the heart of your organization’s culture. It’s not just a methodology—it’s a mindset shift.

A must-read for anyone serious about delivering lasting impact.

David Park, Deputy Chief Executive NHS Highland, Scotland

As a passionate advocate for quality and safety, I see this book as an essential guide for healthcare systems pursuing meaningful, team-driven transformation. It aligns daily operations with strategic intent and inspires healthcare leaders to deliver value that truly matters

Dr. Anuradha Pichumani, Executive Director, Sree Renga Hospital, Chengalpattu, TN India Board Member, ISQua & ASQuaAssociate Faculty, | Ariadne Labs | Brigham and Women’s Hospital | Harvard T.H. Chan School of Public HealthPrincipal Assessor, NABH, Chairperson - Quality Professionals Wing, CAHO

I embarked on my first Continuous Value Management project a number of years ago and I think it is fair to say that I did so with a healthy dose of scepticism! Having been in the NHS for 40 years I felt that I had heard it all and seen enough of top-down command structures to justify that scepticism.

I had identified a few separate issues within my cardiology department that my Value Management lead helped me align. Our staffing establishment lacked structure and opportunity for staff with a very limited cohort of senior band 6 posts available. A separate issue was a delay in time to discharge patients, often resulting in a bottleneck when emergency beds were required. Our Value Management project created an association whereby we demonstrated that redistributing staffing funds to create more band 6 posts also resulted in them taking a more proactive role in patient discharge processes and reducing the time to discharge. Ultimately, we ended up with more senior opportunities and therefore better staff retention while also improving efficiency in discharging patients and vacating emergency beds.

So, while Value Management cannot fix all ills my experience was that it improved productivity and creativity within our department. Importantly, by being imaginative, we did so without additional funding.

Charlie Bloe, Lead Nurse for Cardiology, CCU, Raigmore Hospital, Scotland

'Continuous Value Management in Healthcare’ addresses the universal challenge of maximising value in healthcare. The book offers a practical and empowering framework designed to help staff achieve meaningful, measurable, and sustainable change. With relatable case studies and insights that redefine how quality and cost can work together, readers will find evidence-based strategies to reduce waste, optimise resources, and engage staff at every level. Providing a practical toolkit for building resilient, high-performing healthcare systems that benefit both patients and professionals, this book is a compass for navigating today’s complex healthcare landscape.

Victoria Saffin, Assistant Director of Quality Management, Oxleas NHS Foundation Trust, England

I first became aware of value management whilst working as an NHS Accountant. Finance reports are often dull, complex and hard for staff to interpret. However, by using value management I was able to present this information to staff in a more visual and easier to understand format. This clearly demonstrated the interrelationships between activity, performance, capacity and cost. I had never been so popular as an Accountant! I soon found staff were keen to take ownership of this data which empowered them to find and test solutions to the problems which they had identified. Without value management this data would have remained within these dull finance reports, and I would have returned to my spreadsheets instead of feeling part of a team delivering much needed quality improvement work.

Adrian Conroy, Medical Division Service Manager, NHS Highland, Scotland

Healthcare costs need efficiently managed to minimise waste. This is a universal problem which requires constant vigilance. Continuous value management is arguably the most effective approach to this challenging issue, and this book gives a superb, practical approach that will help you to manage your service better.

Hugo van Woerden, Visiting Professor, Ulster University, Northern Ireland

This book captures the essence of Continous Value Management—empowering healthcare teams to drive impactful improvements across diverse settings, while focusing on what truly matters: patient care and efficient use of resources.

Vicky Woods, Director of Quality, Oxleas NHS Foundation Trust, England