This report explores the challenges that face the NHS from the perspective of junior doctors, and it is drawn directly from their experiences.

Here Learning to Make a Difference (LTMD) trainees can find information and examples on how to get quality improvement projects started and keep them going until completion, as well as details of online monthly support sessions for trainees.

The 'LTMAD: Beyond CMT – supervisor pack' gives guidance on how to support trainees in getting quality improvement projects started and successfully completed.

The 'LTMAD: Beyond CMT' trainee pack gives guidance to speciality trainees on how to start quality improvement projects and keep them going until completion.