title: Response to letter from Youngson et al.
authors.affiliation: Nuffield Department of Clinical Neurosciences, University of Oxford, Oxford, Oxfordshire, UK.
authors.forename: Paul
authors.initials: P
authors.lastname: Greig
authors.affiliation: Nuffield Department of Anaesthetics, Oxford University Hospitals NHS Trust, Oxford, UK.
authors.forename: Helen
authors.initials: H
authors.lastname: Higham
authors.affiliation: Department of Renal Medicine, Royal Berkshire Hospital NHS Foundation Trust, Reading, UK Royal College of Physicians, London, UK.
authors.forename: Emma
authors.initials: E
authors.lastname: Vaux
keywords: Continuous quality improvement; Healthcare quality improvement; Quality improvement