This report provides a comprehensive analysis of quality management within the health and social care sector, specifically focusing on the Royal United Hospital Bath NHS Trust. It begins by identifying key stakeholders, including patients, doctors, nurses, the Care Quality Commission (CQC), and management, and discusses their perspectives on service quality. The report then explores the roles of external agencies like the National Institute for Health and Care Excellence (NICE) and CQC in setting standards and ensuring quality. It examines the impact of poor service quality on stakeholders and details existing standards used to measure quality, such as those related to best practices, performance indicators, and patient rights. The report also outlines approaches to implement quality systems, including Total Quality Management (TQM) and benchmarking, while addressing potential barriers to delivering quality services, both internal and external. Furthermore, it assesses the effectiveness of implemented policies and procedures, such as safe wandering and trust policies, and explores methods for evaluating health and social care service quality, concluding with an overview of the impact on the evaluation process.