Supporting you with the Delivery and Continuous Improvement Review

See how we can support you to implement to recommendations outlined in the NHS Delivery and Continuous Improvement Review.

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Directory of Offers 2023-24

Now available for all members and customers. This provides an overview of all of the programmes and support being offered this year.

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Introduction to Human Factors

This entry-level programme will provide members with the fundamental knowledge and skills for Human Factors in health and care.

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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.

Aqua appoints three Special Advisors

Experts in their field, Special Advisors are highly credible individuals who have all held very senior executive posts across health and social care.

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System OD: Round Table

Aqua's experience of supporting integration in complex health and care systems for over a decade led us to ask what role OD can play in the context of dynamic systems rather than individual organisations.

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Welcome to the
Advancing Quality Alliance

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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

Personalised Care End of Year Report

Personalised Care introduces a shift from the traditional one-size-fits-all approach to health and care. It brings a patient-focussed way of thinking, giving people choice and control over their mental and […]

26 May 2023

Aqua is Accepted on to the NHS Faculty Framework

We are delighted to announce that we have been accepted on to the NHS Faculty Framework. Aqua joins a highly prestigious faculty framework of experienced practitioners, working to the needs […]

18 May 2023

Advancing Quality (AQ) Programme Shortlisted for HSJ Digital Award

We are delighted to announce that our Advancing Quality (AQ) programme has been shortlisted for the ‘Driving Change through Data and Analytics’ award at the Health Service Journal’s Digital Health […]

28 Apr 2023

Embedding a Culture and System for Continuous Improvement: A Practical Guide

Following the publication of the Delivery and Continuous Improvement Review by NHS England, we have developed a practical guide to help you to achieve the recommendations by embedding a culture […]

20 Apr 2023

Why Should Patient Safety be a Priority for Systems?

Following the recent publication of the Hewitt review we asked one of our Special Advisors, Professor Ted Baker, why, despite not featuring prominently in the review, patient safety should be […]

13 Apr 2023

The Hewitt Review: An Independent Review of Integrated Care Systems

The Hewitt Review, a comprehensive independent review of integrated care systems (ICSs), has been published today. The much anticipated review proposes greater freedoms and local autonomy, a focus on promoting […]

04 Apr 2023

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

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