Case studies and insights

Theory into practice

This section brings together real-world examples of how change is being delivered across Scotland. Each case study illustrates how the Scottish Approach to Change has been applied.

The case studies featured in this section are shared for learning and reflection purposes. Healthcare Improvement Scotland was not directly involved in the delivery of some of these projects. The content has been provided by the respective teams and organisations, and reflects their experiences, approaches, and outcomes.


Early Intervention in Psychosis, Healthcare Improvement Scotland

This case study outlines how the Scottish Approach to Change has been used by the early intervention in psychosis programme, showing how the steps and the enablers of quality and change have been used in practice to deliver change.

Reducing Drug-related Harm, Healthcare Improvement Scotland

This case study outlines how the Scottish Approach to Change has been used by the Proactive Outreach in the Emergency Department (DR HOPE) project, which aims to achieve a reduction in non-fatal overdoses and drug-related deaths through the use of a trigger checklist and assertive outreach.

Development of Near Me, NHS Highland

This case study outlines how the Scottish Approach to Change has been used in the development of Near Me in NHS Highland in 2018. Near me is a video consulting service used across NHS Scotland, local authorities and the wider public sector in Scotland.

Focus on Frailty, Healthcare Improvement Scotland

This case study outlines how the Scottish Approach to Change has been used to support health and social care teams to improve access, experience, and outcomes of health and social care for older people living with frailty.

Care Home Improvement Programme, Care Inspectorate

This case study outlines how the Scottish Approach to Change has been used by the Care Inspectorate in the Care Home Improvement Programme to support staff to apply quality improvement to improve outcomes for people experiencing care.

Reducing Psychoactive Medication – “Find the Why”, Care Inspectorate

This case study outlines how the Scottish Approach to Change has been used in the Reducing Psychoactive Medication – “Find the Why” project led by the Care Inspectorate in partnership with HC One Care Homes, to improve dementia care and reduce inappropriate use of psychoactive medicines for people with dementia.

Early Learning and Childcare Improvement Programme, Care Inspectorate

This case study outlines how the Scottish Approach to Change has been used in the Early Learning and Childcare Improvement programme led by the Care Inspectorate, to support funded settings across Scotland to improve the quality and meet the national standard and provide support for those settings not meeting this.