Shape Change,
Inspire Quality,
and Transform Care.

We support health and care organisations to identify, refine and embed sustainable strategies for high-quality care and regulatory excellence.

Shape Change

Our programmes equip individuals and teams to use proven quality improvement methods and implement best practice.

View our programmes

Inspire Quality

Our members benefit from access to expert advisors as well as a comprehensive programme of courses and events to help build internal capability and develop cutting-edge approaches to care quality.

Become a member

Transform Care

Our workforce has a range of experience, offering expertise and a wealth of knowledge, ensuring our customers are at the heart of what we do.

Get in touch

Welcome to the
Advancing Quality Alliance

Find out more

Welcome to Aqua – an NHS health and care quality improvement organisation working across the NHS, care providers and local authorities to identify, refine and embed sustainable strategies for high-quality care and regulatory excellence.

Established in 2010, we operate as a membership organisation within the NHS, providing quality improvement expertise, specialist learning and development, and consultancy.


To support our work, we host a number of events, collaboratives and webinars that are free for members to attend.


We work with organisations including NHS Trusts, CCGs, local authorities, social care and housing associates, offering project-by-project consultancy and transformation services.


Our resources include a range of publications, toolkits, videos, case studies and documents that we have developed from programmes we’ve worked on or our other areas of work.

News and Insights

Aqua appoints new Chief Executive Officer

Following a recent interview process, we are pleased to announce that Sue Holden has been appointed as the new Chief Executive Officer for the Advancing Quality Alliance (Aqua). Sue, who is currently the National Director for Intensive Support at NHS England and NHS Improvement, will take up the post in June following the retirement of […]

18 Mar 2022
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International Women’s Day 2022: Q&A

  International Women’s Day offers us time to reflect on the incredible achievements of women across the world, as well as the chance to understand the steps we can continue to take on the journey to equality. With this in mind, we took the opportunity to speak to a couple of the inspiring women that […]

08 Mar 2022

North West Ambulance Service And Aqua Partner To Improve Hospital Handover At Emergency Departments

Aqua are pleased to be partnering with North West Ambulance Service NHS Trust (NWAS) to try and improve hospital handover in emergency departments (EDs) and patient flow. The national performance standard for ambulance handover at Emergency Departments (ED) is 15 minutes; it has been very difficult to achieve and sustain this in England due to […]

24 Feb 2022

Just Published: Personalised Care End of Year Report

Our Personalised Care End of Year Report has just been published, detailing the progress and reach of our Personalised Care offer throughout 2021.     This year our Personalised Care work has reached over 425 people, across 19 programmed member offers. We have been proud to deliver training to 109 people under PCI accreditation. The […]

21 Dec 2021

Just Published: AQ Insight Reports

We are publishing two new insight reports which show how a structured approach can help hospitals tackle health inequality and improve care and outcomes for patients. North West England includes eighteen of the twenty most deprived neighbourhoods in the country. People in deprived areas have lower life expectancy and poorer health. Deprivation and health: improving […]

09 Dec 2021

Starting a Social Value Journey – Donna McLaughlin

In this reflection we hear from Donna McLaughlin, Director of Social Value at the Northern Care Alliance NHS Group (NCA) about her thinking as to why and how the NCA is embracing the ‘Anchor’ agenda by committing and acting to reduce poverty, support workforce challenges and transform individual lives. Aqua has being privileged enough to […]

05 Nov 2021

If you’d like to find out more, or have comments and enquiries please get in touch.

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