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1. Plan - Planning the Improvements. Measures for success are agreed. Gap analysis is undertaken and a plan produced to close the gap through a series of step improvements.

2. Do - Implementation of Improvements. A project is instigated and conducted to implementation to close the gaps identified in the Plan phase. The project may include a number of step changes to improve a service or process.

3. Check - Monitoring, Measuring and Reviewing. The results of the implemented improvements are compared with the measures for success identified and ratified in the Plan phase.

4. Act - Improvements implemented. The improvements that have been identified are fully implemented.

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