This report examines the progress that has been made since High Quality Care for All was published a year ago. Lord Darzi has found that there has been progress across each dimension of quality - patient experience, patient safety and clinical effectiveness. Major improvements highlighted in the report include the opening of 50 new GP led health centres, the introduction of personal care plan for 9.3 million patients with long term conditions and the growth in keyhole surgery. It also reports that focus on quality has moved up the agenda for staff and organisations, supported by the promotion of innovation through the introduction of tools and funds such as NHS Evidence, the Innovation Fund and the Challenge Prizes. Further plans to drive up the quality agenda even further are outlined. (Department of Health - publications) [Introductory letter from Professor Sir Ara Darzi]