This report provides a detailed analysis of quality management within the health and social care sector, using Royal United Hospital (RUH) as a case study. It explores the perspectives of various stakeholders, including patients, staff, and the government, and examines the impact of poor service quality on each. The report identifies potential barriers to delivering quality services, such as lack of new technologies, trained staff, and financial constraints, while also discussing the role of external agencies like the CQC in setting standards. It further delves into approaches for implementing quality programs, including staff training and adherence to standards like NICE and NHS. Methodologies for evaluating service quality, both internally and externally, are discussed, along with the advantages and disadvantages of involving service users in the evaluation process. Finally, the report analyzes factors influencing the achievement of quality, such as funding and user expectations, and suggests ways to improve quality at RUH, emphasizing the importance of a comprehensive evaluation process to identify and address shortcomings.