“…For example, conventional research and implementation efforts have not been successful at tackling 'wicked problems' , such as health inequalities that are sustained and seem resistant to intervention. 11,12 BJPsych offers several debates and new evidence that contributes to quality improvement. The findings need to be carefully entwined in quality improvement initiatives, and in the design of future-focused systems of healthcare, ones that perhaps we cannot yet imagine, or ones which need to be repurposed to fit current contexts.…”