The Scottish Approach to Change includes eight steps and five enablers. Together, they create strong support for successful and lasting change.

© Healthcare Improvement Scotland. Published: 2025
The image shows the Scottish Approach to Change framework. The enablers of quality and change are clear vision and purpose, process rigour, people-led, leadership and culture, and learning system. The blue circular layout at the centre and the outer purple ring represent quality management systems. The outer boxes are the steps of change.
If you would like to learn more about the Scottish Approach to change, listen to this podcast which explores what the Scottish Approach to Change is, how it works, and how it supports positive change by combining evidence-based methods and tools with practical approaches.
Select the menu below to read more about each section of the framework.

