“The organisational ability to intentionally and systematically use improvement approaches, methods and practices, to change processes and products/services to generate improved performance.”[48] The key word here is ‘use’. While capacity provides the potential for improvement, it is the active application and use of improvement approaches and practices that determine whether improved results will be realised.[49] [48] Furnival J., Boaden R. & Walshe K. (2017): Conceptualizing and assessing improvement capability: a review. International Journal for Quality in Health Care, p.1-8, Available from: [49] NHS Improvement, Building capacity and capability for improvement: embedding quality improvement skills in NHS providers, 2017, Available from: