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.

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

NHS Quest Hot Topic: NHS Anchor Organisations

“Work to tackle racism and discrimination within the health and care system must continue at pace with a clear commitment for increasing diverse leadership at all levels in health and […]

29 Nov 2023

NHS Quest CEO Breakfast Session: Using Data to Design Integrated Models of Care

On Friday 4 August we were joined by representatives from 6 NHS Trusts. Focusing on how to use data to design integrated models of care, this Breakfast Session was led […]

29 Nov 2023

NHS Quest CEO Learning Event 9 – 10 October 2023: Reflections on Military Leadership

Introduction We visited the Royal Military Academy Sandhurst (RMAS) to hear from key personnel on life as a regular and reservist officer in the British Army, and from Major General (Rtd) Andrew Sharpe, […]

29 Nov 2023
Aqua at the HSJ Awards 2023

Aqua at the HSJ Awards 2023

On 16 November, we attended the Health Service Journal Awards in which two of our programmes were shortlisted. The HSJ Awards are a highly prestigious set of awards given to […]

17 Nov 2023

Leading Integrated Teams: Another Successful Programme

We have recently completed another very successful cohort of our Leading Integrated Teams (LIT) programme! Delivered alongside Affina OD, Aspire and PACE, over 150 participants from a range of roles […]

16 Nov 2023

Aqua Chair Sir David Dalton Steps Down from Role

After four and a half years of dedicated service, Sir David Dalton, Chair of the Aqua Board, has notified the Board of his intention to step down from the role. […]

25 Oct 2023

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

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