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Despite the large number of books and articles on the subject, the principles of total quality management are simple:
- Overview of performance against objectives and resources
- Keeping the focus on users of the service
- Fostering ownership through consultation and participation
- Planning and decision-making based on data
- Process of continuous improvement through monitoring
- People-based management
- Problem-solving using quality improvement teams
- Planned management action - led from the top
- All staff involved in quality improvement
- Prevention of problems rather than "fire-fighting"
- Climate of commitment and freedom from fear
- Keeping to agreed aims
- Setting priorities and areas for review
- Setting targets for improved performance, cost reduction and efficiency
- Establishing transparency and accountability
- Fostering commitment by both providers and users of the service