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Can you evidence improvement culture in your trust?

This checklist is designed to support reflection and discussion, not inspection.
It is intended to help Trust leaders understand whether current approaches to listening, learning and improvement can be clearly evidenced for internal assurance, Board oversight and regulatory review.
The questions focus on everyday practice rather than formal policy. They are designed to highlight where approaches feel embedded, where they are still developing, and where there may be gaps between intention and evidence.
For each statement, consider whether you could confidently:
1. Select yes if this is clearly in place and evidenced.
2. Select partly if activity exists but is inconsistent, informal or difficult to demonstrate.
3. Select no if this is not currently in place or relies on ad hoc approaches.

There are no right or wrong answers. Honest reflection is more valuable than a high score.

Capturing frontline insight

We have a clear, consistent way for staff to share improvement ideas or concerns at any time.

We have a clear, consistent way for staff to share improvement ideas or concerns at any time.
A
B
C

Frontline staff feel safe and encouraged to speak up, beyond formal incident reporting.

Frontline staff feel safe and encouraged to speak up, beyond formal incident reporting.
A
B
C

Insight is captured from a wide range of roles, not just vocal individuals or senior staff.

Insight is captured from a wide range of roles, not just vocal individuals or senior staff.
A
B
C