Advancing Quality (AQ)

The aim of Advancing Quality (AQ) is to reduce unwarranted clinical variation in the care delivered to patients, helping care organisations to reduce avoidable hospitalisation, ill health, and premature death.

We use a reliable clinical data set to demonstrate what good practice looks like and gain consensus on care standards, providing a meaningful evidence base from which organisations can target areas for improvement.

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Forums allow peers to come together supportively in the pursuit of best practice, sharing learnings and benchmarking performance. We embed learning solutions in to participating organisations and encourage the sharing of best practice to create a culture of continuous improvement.

Additionally, we can help to evaluate the impact of quality improvements enabling care organisations to evidence that they are delivering high quality care.

The AQ Methodology

The AQ programme collects data and supports improvement work in 6 Clinical Focus Areas, highlighting good practice and identifying unwarranted variation to enhance patient care, outcomes and experience. Each focus area has a set of metrics, developed by our Clinical Expert Groups and supported by our specialist Clinical Leads, defining what good care looks like.

AQ data is validated to ensure diagnostic accuracy and is a unique resource for condition-specific insights targeted on improvement.

We hold collaborative events (both in-person and virtual) and produce regular reports, analysis and case studies.

Our Senior Improvement Advisors provide bespoke support in initiating, implementing and sustaining quality improvement work.

Programme Offer

Gain Consensus on Care Standards

Gain Consensus on Care Standards

  • Support & coaching to engage with relevant stakeholders
  • Access to AQ’s Clinical Expert Group
  • Access to clinical expertise across the AQ regional network
  • Access to the AQ web-based data collection tool Patient Intelligence & Quality System (PIQS)
  • Support setting up Clinical Focus Areas (CFA) & internal AQ steering groups
  • Peer support from other AQ participants
Identify Unwarranted Variation

Identify Unwarranted Variation

  • Data quality & analytics support
  • Access to PIQS to input clinical pathway data
  • National benchmarking and sharing of good practice
  • Cross-organisational, data driven identification of areas for improvement
  • Independent data audit that can be used as part of governance process
  • Consistent methodological approach
Improve Quality of Care

Improve Quality of Care

  • Quality improvement insights from the AQ regional network
  • Coaching support for teams & individuals to develop capability
  • Access to collaborative QI training
  • Support to mobilise and collaborate with internal teams
  • Support to develop evidence to demonstrate quality
  • Standardisation of clinical practice
Learn and Share Best Practice

Learn and Share Best Practice

  • Support to capture & spread high quality, reliable clinical interventions
  • Access to large scale regional webinars for each CFA
  • Support to identify & develop case studies
  • Support to share data in an accessible way
  • Opportunities to share best practice at AQ Collaborative Actions Series workshops

Clinical Focus Areas

We support Trusts to improve the reliability of their clinical practices and reduce variation across six clinical focus areas. Our current Clinical Focus Areas are acute kidney injury (AKI), community acquired pneumonia (CAP), decompensated liver disease (DLD), elective hip and knee replacement, hospital acquired pneumonia (HAP) and sepsis. Since the foundation of the programme in 2008, we have covered 16 conditions in total, including acute myocardial infarction (AMI), chronic obstructive pulmonary disease (COPD) and stroke. We have decided to retire focus areas when audit and improvement work has been picked up by national programmes, to avoid duplication. Details of our current 6 focus areas are below.

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

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