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

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

World Patient Safety Day 2021: Reflections from Andrea McGuinness

We see, hear, and talk about safety being “everybody’s business” and “safety starts with me”, but what does that actually mean? Do you know anyone who goes into any situation in health and care services deliberately looking to create unsafe conditions?  I don’t. Why then do we still revert to finding a single person, a […]

17 Sep 2021

World Patient Safety Day 2021: How can Aqua support you?

World Patient Safety Day works to ‘‘enhance global understanding of patient safety, increase public engagement in health care safety, and promote global action to prevent and reduce avoidable harm in health care.” Each year there is a different theme set for the day, this year’s theme sets out to prioritize and address safety in maternal […]

17 Sep 2021

World Patient Safety Day 2021: Working to support Maternity and Neonatal care

For World Patient Safety Day, 17 September 2021, WHO urges all stakeholders to “Act now for safe and respectful childbirth!” with the theme “Safe maternal and newborn care”. Here at Aqua we have been working alongside The NHS England and NHS Improvement Women’s Health Policy Team to scope, co-design and deliver a bespoke Safety Culture Programme for Maternity […]

17 Sep 2021

My experience of Human Factors – Brook Howells

I first came across human factors in 2013, when I did some training at the simulation centre at Aintree Hospital, and was gripped from the start. I was fascinated to learn of the scale of error in healthcare and the opportunities for improvement and learning. I’ve continued to study human factors ever since, completing an […]

09 Sep 2021

Safety Culture Programme for Maternity and Neonatal Board Safety Champions

Aqua are delighted to be working with NHS England and Improvement on the Maternity Transformation Programme. We have been commissioned to deliver the  Safety Culture Programme for Maternity and Neonatal Board Safety Champions. The national programme is scheduled as; Board Safety Champions can book a place by contacting us at aqua@nhs.uk or @Aqua_NHS to book […]

13 Aug 2021

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

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