100 Voices: How Better Feels

Dr Andrea Gibbons
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  • Health & Fitness
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What does it feel like to make healthcare better? 100 Voices: How Better Feels shares honest conversations about the human side of improving healthcare and the things we don’t talk about often enough. What happens when you see something that could be better and decide to try to change it? When you speak up and aren’t heard? When things don’t go to plan? When you get something wrong, learn something unexpected, or wonder whether to carry on? These aren’t polished success stories. They’re honest conversations about trying to improve care: making healthcare safer, improving people’s experiences, challenging how things are done and learning what really helps change happen. Because quality improvement isn’t just about methods and measures. It’s about people, and the different experiences, perspectives and knowledge they bring. Sometimes hearing someone else’s story can help us see something differently, feel less alone or find the courage to try something ourselves. If you care about making healthcare better, these stories are for you. You might work in the NHS or another health system, be involved in quality improvement, patient safety or healthcare leadership, bring your own experience as a patient, carer or family member, or simply be curious about how change really happens. 100 Voices: How Better Feels. Because improvement isn’t only something we measure. It’s something we experience. Hosted by Dr Andrea Gibbons, Founder of The QI Hub, and generously supported by the Q Community. Find out more and explore additional resources at theqihub.com/100-voices.

Episodes

  1. Nov 4

    Don’t Persuade the Whole Room: Jason Leitch on Who Goes First

    How do you lead change when you can’t persuade everyone? Professor Jason Leitch reflects on healthcare improvement, patient safety, improvement science and what he has learned about leading change at scale. Jason Leitch’s career didn’t follow a straight line. From treating broken jaws in Glasgow to helping lead Scotland’s national patient safety movement, and becoming one of the country’s most recognisable public voices during COVID-19, his journey has been shaped by curiosity, opportunity and hard-earned learning. In this episode of 100 Voices: How Better Feels, Jason Leitch reflects on the moments that changed his path: a sudden decision in his teens, a fellowship in Boston that introduced him to improvement science, and the challenge of leading change inside government. He shares what it really takes to shift systems at scale, why trying to persuade the whole room is often a mistake, and why finding credible early adopters who are ready to go first can be the key to making change happen. He also reflects on how Scotland’s patient safety work grew beyond a programme into a movement that people wanted to join. Jason Leitch also speaks candidly about the intensity of the COVID-19 pandemic, the personal toll of public visibility, and the importance of focusing on what you can control in the face of complexity. This is a conversation about how change actually happens: in healthcare, in systems and in people. This conversation was recorded in 2025, before Jason Leitch’s appointment as Chief of Defence Medical at the UK Ministry of Defence in November 2026. Why it matters For anyone working to improve healthcare, this episode offers practical insight into how change spreads, how to work with resistance and early adopters, how measurement supports improvement, and how to build shared ownership rather than trying to persuade everyone at once. Key themes Why you should start with early adopters rather than trying to persuade the whole systemMoving from repairing problems to thinking about prevention and population healthQuality improvement and improvement scienceHow data and measurement make harm and improvement visiblePatient safety and the Scottish Patient Safety ProgrammeHow improvement programmes can become movements that people want to joinWhat it’s like to communicate and lead during a national crisisWhy workforce experience matters alongside patient and family outcomesLessons in leadership, influence, communication and humility Guest Professor Jason Leitch, dentist, former oral surgeon and healthcare leader, appointed Chief of Defence Medical at the UK Ministry of Defence in November 2026. Host Dr Andrea Gibbons, Founder of The QI Hub. Find out more 100 Voices: How Better Feels: theqihub.com/100-voices

    Don’t Persuade the Whole Room: Jason Leitch on Who Goes First

  2. Nov 4

    “What’s Breaking Your Heart?”: Guddi Singh on Inequality and Doing What Matters

    What does it take to improve children’s health when some of the biggest causes of ill health lie far beyond the clinic? Dr Guddi Singh explores health inequalities, child poverty, the social determinants of health and what healthcare can do differently. Guddi Singh is a consultant neurodevelopmental and social paediatrician whose work sits at the intersection of medicine, inequality and creativity. From damp housing and poverty to racism and mental health, she describes the everyday realities shaping children’s health and the frustration of knowing that clinical tools alone cannot fix them. In this episode of 100 Voices: How Better Feels, Guddi Singh reflects candidly on moral distress, burnout and the moment she realised that maybe the problem wasn’t her, it was the system. We explore how she has used quality improvement to challenge the status quo and create space for change from within the system. She shares how asking one powerful question,“What’s breaking your heart?”, transformed the way people thought about improvement by starting with what they cared about and wanted to change. Through WHAM and Powering Up, a youth co-production project involving more than 100 young people, Guddi Singh shows how creative arts, citizen science and storytelling can bring different voices into healthcare. She explains why stories and lived experience can sometimes be more powerful than data alone in helping people understand what inequality is actually like to live with. Why this matters Across the NHS, staff are under pressure to deliver care in systems that cannot always meet the real needs of patients and communities. This episode explores that tension: why people working in healthcare can experience moral distress and burnout when they can see what needs to change but have limited tools, time or permission to act. Guddi Singh offers practical, human insights into how we can rethink improvement, address health inequalities, centre lived experience, share power and create space for more honest conversations about what really shapes health. Key themes Health inequalities and the social determinants of healthChild poverty and the wider causes of ill healthMoral distress and the limits of traditional medicineUsing quality improvement to create space for changeCo-production, creativity and lived experience in healthcareSharing power and widening whose knowledge countsWhy stories can help people understand what data alone cannotWhy sustainable change should not depend on heroic effort or come at the cost of the people trying to make it happen If you care about improving healthcare, reducing health inequalities or creating more human health systems, this is essential listening. Guest Dr Guddi Singh, consultant neurodevelopmental and social paediatrician whose work explores child health, inequality and the wider systems shaping health. Host Dr Andrea Gibbons, Founder of The QI Hub. Find out more 100 Voices: How Better Feels: theqihub.com/100-voices

    “What’s Breaking Your Heart?”: Guddi Singh on Inequality and Doing What Matters

  3. Nov 4

    From Bed to Board: Jono Broad on Giving Patients Real Power

    What happens when lived experience is treated as vital evidence for improving healthcare, rather than patient involvement becoming a tick-box exercise? Jono Broad brings a unique “bed-to-board” perspective to NHS quality improvement, patient leadership and co-production. At 11 years old, Jono Broad was paid five pounds in chocolate to lie in a hospital bed while medical students tried to guess his diagnosis. More than 3,000 bed days later, he’s still in the NHS, but now he works inside NHS England, using the experience of a lifetime with cystic fibrosis and long-term conditions to help change the system that kept him alive. In this episode of 100 Voices: How Better Feels, Jono Broad talks about what happens when organisations stop treating “patient stories” as a tick-box exercise and start treating lived experience as meaningful evidence. If you’re tired of hearing about “hard-to-reach groups” and want to design improvement with people rather than for them, this one’s for you. Jono Broad reflects on: Growing up with cystic fibrosis in the NHS, clocking thousands of bed days and why he still describes the NHS as a wonderful place to be looked after when you’re unwell.How being paid £5 to take part in medical student exams at age 11 became part of a much longer journey into volunteering and giving back.Discovering quality improvement through the Academic Health Science Network, being the only patient in a room of around 60 professionals, and why plain English helped the science of improvement click.Using the Plan-Do-Study-Act (PDSA) cycle not just in services, but in his own health, and why he became so convinced by quality improvement that he started teaching it.Moving from unpaid “helping out” to a formal role in the Academic Health Science Network, becoming a patient and public lead, and helping secure funding to train 50 members of the public in improvement methods so they could work alongside staff.Being the lone patient voice in senior conversations, refusing to “represent everyone”, asking the questions others may be reluctant to ask, and challenging the acronyms and professional language that shut people out.Why patients aren’t hard to reach, they’re easy to ignore, and how language, timing, travel costs and payment can exclude the very people organisations say they want to hear from.The hidden personal costs of involvement, from spending money on a bus fare and being unable to afford lunch to the “third harm” of repeatedly reliving difficult healthcare experiences without enough support.What it means to “smash a window” when doors won’t open, and why patients should learn quality improvement alongside staff and be involved from the start rather than added on at the end.Why lived experience should be treated as evidence about services, not simply as a “patient story”.Along the way, Jono Broad talks candidly about being discouraged from working “for his own good”, the opportunities that changed his life, and the practical changes organisations can make so people aren’t left financially or emotionally worse off because they chose to get involved. Guest Jono Broad, Long Term Conditions Patient, President of the Patient Safety Section at the Royal Society of Medicine, and Senior Manager at NHS England. Host Dr Andrea Gibbons, Founder of The QI Hub. Find out more 100 Voices: How Better Feels: theqihub.com/100-voices

    From Bed to Board: Jono Broad on Giving Patients Real Power

  4. Season 1 Trailer

    100 Voices: How Better Feels | Official Trailer

    What does it really feel like to try to make things better? 100 Voices: How Better Feels is a podcast about healthcare improvement, told through the experiences of the people who live it. Patients, carers, staff, clinicians, improvers and leaders share the stories we don't hear often enough. Not polished success stories. Not the textbook version of improvement. The doubts. The courage. The mistakes. The moments that change us. The people who help us keep going. And the reasons we carry on. Because making care better isn't only about methods, measures and processes. It's about people. These are stories from people who have lived it, tried it, struggled with it and kept going. Across the series, you'll hear honest conversations about quality improvement, patient safety, patient and carer involvement, health inequalities, leadership, culture, data, change and improving care. Stories to help us learn from one another, see things differently and, perhaps most importantly, feel a little less alone. This is 100 Voices. This is How Better Feels. 🎙️ Hosted by Dr Andrea Gibbons, Founder of The QI Hub. 🙏 Generously funded and supported by The Q Community, 🔗 Find out more about 100 Voices at www.theqihub.com/100-Voices

    100 Voices: How Better Feels | Official Trailer
  • 1 Trailer
    3 Episodes

Trailer

About

What does it feel like to make healthcare better? 100 Voices: How Better Feels shares honest conversations about the human side of improving healthcare and the things we don’t talk about often enough. What happens when you see something that could be better and decide to try to change it? When you speak up and aren’t heard? When things don’t go to plan? When you get something wrong, learn something unexpected, or wonder whether to carry on? These aren’t polished success stories. They’re honest conversations about trying to improve care: making healthcare safer, improving people’s experiences, challenging how things are done and learning what really helps change happen. Because quality improvement isn’t just about methods and measures. It’s about people, and the different experiences, perspectives and knowledge they bring. Sometimes hearing someone else’s story can help us see something differently, feel less alone or find the courage to try something ourselves. If you care about making healthcare better, these stories are for you. You might work in the NHS or another health system, be involved in quality improvement, patient safety or healthcare leadership, bring your own experience as a patient, carer or family member, or simply be curious about how change really happens. 100 Voices: How Better Feels. Because improvement isn’t only something we measure. It’s something we experience. Hosted by Dr Andrea Gibbons, Founder of The QI Hub, and generously supported by the Q Community. Find out more and explore additional resources at theqihub.com/100-voices.

Information

  • Creator
    Dr Andrea Gibbons
  • Years Active
    2026
  • Episodes
    4
  • Rating
    Clean
  • Copyright
    Copyright © 2026 Dr Andrea Gibbons and The QI Hub. All rights reserved.
  • Show Website
    100 Voices: How Better Feels

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