Sustainable cost improvement programmes for the NHS

Examples from across the NHS on how hospital trusts can reduce costs while improving patient care, patient satisfaction and safety.


Delivering sustainable cost improvement programmes

This file may not be suitable for users of assistive technology. Request an accessible format.

If you use assistive technology (such as a screen reader) and need a version of this document in a more accessible format, please email Please tell us what format you need. It will help us if you say what assistive technology you use.


This guide is for anyone working at an NHS foundation trust or NHS trust, who has responsibility for cost improvement programmes (also known as ‘CIPs’, ‘transformational change programmes’ and ‘improvement programmes’).

Published 19 January 2012