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

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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