Online Foundation Training

6M Foundations of Improvement Science in Healthcare (FISH)

FISH FISH is a blended learning programme specifically designed for improvement in healthcare.
FISH FISH is an on-line course designed to teach the core principles of healthcare improvement.
FISH FISH leads into the ISP programme which develops the skills of improvement-by-design.
FISH FISH and ISP build experience and confidence with real improvement projects to focus the learning.

There are still a limited number of free FISH training places available ...
... earn CPD points while learning valuable knowledge and skills ...
... for testimonials and details how to register and click HERE

One Day Workshops

6M One-Day Learn-By-Doing Flow-Design Workshops to develop experience and confidence.

If you want to accelerate your learning then the One Day Workshops are designed you.

After this intensive day of hands-on learning-by-doing you will feel confident to use the FISH techniques with real improvement challenges and to get results quickly.

For full details, benefits, programme, and calendar just click HERE

"I just wanted to say thank you for a brilliant day. Although I already believe that systems engineering is the key to unlocking the gridlock in the NHS, seeing it in real time action in a clinic sim is a slightly unnerving but amazing experience. The workshop today is an inspired way to demonstrate the power of the tools and learning by doing. The faculty were all excellent and knowledgable with a real enthusiasm for the material. I am really energised, so thank you to you all for letting me attend at short notice and sharing so many nuggets." JND, Consultant Plastic Surgeon, Sept 2016.

Improvement Science Practitioner (ISP) Programme

6M ISP builds on FISH to develop individual, team and organisational improvement-by-design capability.

This coached programme uses a tried-and-tested framework called 6M Design®.

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6M Design® is a robust framework for building processes and systems that deliver any feasible performance.

6M Design® is a synthesis of both familiar and innovative techniques into an integrated methodology.

6M Design® is used at all scales to improve steps, stages, streams and whole systems.

The ISP programme is intended to support Safety, Flow, Quality and Productivity improvement projects.

The ISP programme comprises three levels of design capability that build one the other.

The ISP programme is designed to develop system-wide improvement-by-design capability.

Click HERE for more information.


6M Convert your time-series data into a picture that tells a story in one click.


  • Provides rapid access to a powerful improvement tool - the XmR Chart.
  • Includes a host of innovative design features.
  • Specifically designed for Improvement Science Practitioners.
  • To read case studies of BaseLine© in action HERE
NB: BaseLine© is currently only available for PC-computers/Windows®

Download the BaseLine© installer and purchase an Activation Code HERE