There are international pressures on healthcare delivery because of increasing demand and rising costs. Maintaining quality while containing costs is a challenge in both privately and state funded services. If service quality decreases patients suffer and staff are often unhappy. Recruitment and retention become a challenge in services with perceived reduced quality. Continuous Value Management offers a method of managing the tensions between cost, quality, and staff engagement. This book describes a method of managing quality while containing costs. Value Management, developed by Brian Maskell and colleagues, links quality and finance and gives frontline staff greater control of quality and improved information on cost. The Institute of Healthcare Improvement (IHI) have developed this method for healthcare. A collaboration with NHS Scotland tested Continuous Value Management’s application in practice, and the system was then applied to other international healthcare settings including the Middle East, the USA, South American, and South-East Asia. Information on the system was previously available only through conferences, academic papers, and training from IHI. This volume makes the principles and application of Continuous Value Management available to a wider healthcare audience.