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This book illustrates the application of a variety of quality approaches to commissioning, management and practice. It provides a critical appraisal of quality models before considering quality issues relating to consumer feedback and the contracting process. There is a practical guide to using the Dynamic Quality Improvement System, as well as chapters on achieving quality in specific situations. Whilst acknowledging the expertise of community nurses, the book challenges them to find and use the most appropriate quality approaches and tools for their specific area.