This report examines the critical aspects of quality management within the healthcare sector, focusing on the Royal United Hospital as a case study. It begins by exploring stakeholders' perspectives on quality, analyzing the impact of poor service quality on these stakeholders, and assessing the role of external agencies in setting standards. The report then delves into potential barriers to delivering quality services, various approaches to implementing quality systems such as Total Quality Management and Six Sigma, and the existing standards used to measure quality at the hospital. Furthermore, it evaluates methods for assessing quality, including the involvement of service users in the evaluation process. The analysis extends to other factors influencing quality achievement and evaluates the effectiveness of existing systems, policies, and procedures. Finally, it suggests criteria for improving quality, offering a comprehensive overview of quality management practices within a healthcare setting.