Welcome to the
Advancing Quality Alliance

Aqua’s manifesto is to be the agency of action transforming care, inspiring quality and effecting change to make the next 10 years even more impactful than the last.

– CEO, Lesley Massey

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

We operate as a membership organisation within the NHS, providing quality improvement expertise, specialist learning and development, and consultancy.

We develop tailored, efficient solutions, informed by data and co-designed with service users to deliver maximum impact.

Get in touch

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.  They become part of an established UK-wide network, forged around long-term relationships, with organisations who hold the same values and are committed to the sharing of best practice and innovation to promote system-wide transformation of care.

We also work with organisations including NHS Trusts, CCGs, local authorities, care associations and housing providers, offering project-by-project consultancy and transformation services to non-members. Providing organisations with the skills, frameworks and expertise to deliver safe high-quality care in any setting.


Our People

Our workforce have a range of experience, from lived experience and front line clinical practice to board level, spanning sectors including acute & community trusts, mental health, primary care, local authority, military and academia.

Work With Us

Working at Aqua gives individuals the opportunity to be at the centre of improving quality in health and care. There are lots of ways to get involved, including working for us, becoming an affiliate or a lived experiences affiliate, as well as joining our fellowship programme.

Our Values

We are committed to the values and principles of the NHS and to helping members and customers to deliver the best health, wellbeing and quality of care for all. Our values shape who we are and how we work with colleagues, partners and customers.


We are deeply committed to excellence in all we do, through values-led and evidence-based approaches to your learning journey, growth and development. We work with our staff, members, customers & partners to set high standards, seek new & creative solutions & share expertise.


We show respect through valuing and recognising everyone’s input into our organisation and the relationships we build with our members and partners. We seek to ensure we reflect the world in which we live in and understand and value difference.


Our integrity can be seen not just in our words but our actions which are open, honest, challenging and purposeful.


We are collaborative through actively promoting and demonstrating an open minded, engaging and inclusive approach. We seek and build partnerships to improve the value of our work.

News and Insights

Aqua appoints three Special Advisors

The Advancing Quality Alliance (Aqua), the UKs leading improvement agency, is pleased to announce the recent appointment of Jackie Bene, Philip Lewer and Professor Ted Baker as Special Advisors to […]

14 Dec 2022

System OD: Round Table and Tweet Chat

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 […]

05 Dec 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 […]

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 […]

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 […]

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 […]

07 Oct 2022

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

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