Special supplement | Stories of change
The Next Generation Advisory Panel brings early career perspectives into the planning and delivery of the International Forum on Quality and Safety in Healthcare, ensuring those closest to day-to-day care help shape improvement conversations, not just implement them. The panel emerged at the International Forum in Copenhagen in 2023 during discussions on multigenerational improvement. Early career clinicians often led change without influence over priorities. For Jamie Smyth and Emily Audet , both registrars, this highlighted the need to strengthen participation across career stages. Working with fellow International Forum Fellows, Riddhi Shenoy , Emma Tonner , Victoria O’Brien , Tom Hine-Thomas , and Maja Troj Larsen , and with support from the conference convening bodies, BMJ Group and the Institute for Healthcare Improvement (IHI), they formed NGAP from shared experience rather than formal design. The London International Forum 2024 marked the panel’s first formal year, chaired by Audet, with a provocation session bringing early career voices into senior discussions. In Utrecht 2025, the panel was embedded within the programme. Chaired by Smyth, NGAP has supported early career contributors to present, connect, and return as speakers, strengthening sustainability through multigenerational collaboration. From International Forum fellows to advisory panel Supporting early career voices in improvement work
For the first time, I felt my experience was being treated as expertise, not something I had to wait years to earn. Emily Audet Palliative care specialty registrar, Severn Hospice, UK
Empowering future generations of patients and professionals is essential. Only multigenerational collaboration can address the challenges facing health systems. Jamie Smyth Specialty registrar in public health, Imperial College Healthcare Trust, UK
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