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 […]

18 Mar 2022

Acute Medics as Improvers: Fundamental Quality Improvement Skills for Clinicians

Aqua is working in partnership with the Society of Acute Medicine to deliver key training to junior doctors, advanced clinical practitioners and physician associates. The programme is open to anyone working in the above roles and will give attendees an understanding of the principles of quality improvement, helping them identify […]

15 Nov 2022

Appreciating Health and Care – share your case studies

Advancing Quality Alliance (Aqua), Appreciating People, and West Midlands Academic Health Science Network (WMAHSN) are currently working in partnership to produce “Appreciating Health and Care,” a book and practical resource for anyone involved in health and social care. The book will look to build on the many great examples of […]

01 Nov 2022

Patient Safety Incident Response Framework (PSIRF) – events to support you!

Patient Safety Incident Response Framework (PSIRF) will replace the current Serious Incident Framework (2015). The framework represents a significant shift in the way the NHS responds to patient safety incidents and is a major step towards establishing a safety management system across the NHS. It is a key part of the NHS patient […]

26 Oct 2022

Hospital Acquired Pneumonia Research Project

Project Introduction Hospital acquired pneumonia (HAP) is the most frequent hospital acquired infection in England, but little is known about the national burden of the condition. Developing HAP has a pronounced detrimental effect on patient outcomes, increasing length of stay and mortality, and is associated with antimicrobial resistance. This collaborative […]

07 Oct 2022
International Women's Day Banner

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 […]

08 Mar 2022

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

  • This field is for validation purposes and should be left unchanged.

Sign Up For Updates

  • This field is for validation purposes and should be left unchanged.