The timeline can help you to develop an insight into:

• Why changes to the structure and administration of the NHS are implemented to improve quality
• The challenges of funding the NHS and the need for implementing change that reflects value for money 
• The rationale for new ways of working in and across health and care systems to improve efficiency, effectiveness, safety and patient outcomes

Some of the things that you could reflect on are:

• How effectively did you communicate with your patient/ client to ensure that you understood and respected their unique needs in the planning, implementation of their care?
• What evidence base did you apply to the care of your patient to help ensure the best outcomes for them?
• During your care what actions did you take to ensure that you minimised risks and improved the safety to your patient?
• What feedback mechanisms did you use to evaluate the patients experience of your care?
• What changes would you make to improve the quality of care?