One of the biggest questions facing every nation is how to maintain healthcare systems using stretched resources while caring for an increasingly ageing population. For many countries, simply maintaining the status quo in quality of care is a massive achievement. But to improve the quality of care it’s crucial that leaders know how they link improvement to the financial pressures, so improvement becomes the best way to reduce costs. Recently I was delighted to be invited by Healthcare Improvement Scotland to work with some of the most senior leaders across all the NHS boards in Scotland as part of a masterclass on leading for improvement. Although it’s true that in any large system things go wrong, the healthcare leaders in this country have achieved…