Promote service improvement through: quality, innovation, productivity and prevention (QIPP); supervision of the multidisciplinary team; effective management of incidents and complaints.

Domain of Clinical Practice	Leadership and Team Working
Level	Level 4
Code	LTW4.2
Descriptors	Understand the risk register and be able to asses risk. Understand grading of serious incidents and how to investigate; be able to take part in root cause analysis. Undertake service improvement activity or project to reduce risk / improve patient safety / improve quality / cost improvement. Involve the rest of the multidisciplinary team in service improvement work, supervise more junior trainees in activities.
Method of Assessment	GSAT Level 4
Other information	See the Level 4 Guide for examples of evidence that can be used.