Programme results showing (A) box plot of improvement and reduction in variation for care bundle compliance for each pathway and (B), (C) and (D) show time series analysis showing improving care bundle compliance compared with improving length of stay for each pathway. Programme results showing (A) box plot of improvement and reduction in variation for care bundle compliance for each pathway and (B), (C) and (D) show time series analysis showing improving care bundle compliance compared with improving length of stay for each pathway. Fatai Ogunlayi, and Philip Britton BMJ Open Qual 2017;6:e000008 © Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/