Prem Kumar is a quality improvement advisor at the Health Quality & Safety Commission in New Zealand. He provides advice on a number of national quality improvement programmes led by the Commission, including a focus on identifying opportunities and networks to build quality improvement and patient safety capability across the health sector. Prem is a member of the teaching faculty that the Commission draws on to support the quality improvement training programmes it delivers and facilitates. Over the last 10 years, Prem has worked as an improvement advisor on many national, regional and local quality improvement projects in both primary and secondary care. He is keen to look at how these skills can now be applied to support the aged residential care sector. Prior to joining the health sector, Prem worked with General Electric. He has experience in the application of quality improvement methodologies including six-sigma, lean and the model for improvement, all widely used in the healthcare sector and other industries. Prem is passionate about making a difference to individual health outcomes, and how system and process improvements, together with capability building impact this.