Building Q: learning from designing a large scale improvement community

Document type
O'Malley, Hannah; Pereira, Penny
Health Foundation
Date of publication
1 May 2016
Health Services
Social welfare
Material type

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The report describes the origins and development of Q, a varied and growing community of people with experience and understanding of improvement, committed to improving the quality of health and care across the UK.
It defines it as an initiative led by the Health Foundation and supported and co-funded by NHS Improvement, aiming to provide a sustainable infrastructure to identifiy individuals leading improvement and support them to share ideas, enhancetheir skills and make changes which bring benefits to health and care.
It notes that Q was born out of the 2013 Berwick report, published after the discovery of failures in care within the Mid Staffordshire Hospitals NHS Trust. This report called for an NHS ‘devoted to continual learning and improvement’ with a specific recommendation to establish improvement fellowships. Q was  established in 2015 when the first 231 members were selected following nomination by 48 organisations. The intention is to recruit thousands more in the future.The authors describe the founding cohort as a diverse group of people including managers, researchers, patient-leaders and policy-makers already involved in improvement, bringing a wide range of skills and experience to Q.

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