Together, to improve health and care
We are a large and vibrant membership community for people working to improve health and care across the UK and Ireland.
This is a place to share tips, tricks, challenges, plans, ‘strings’ and more around using ‘Liberating Structures‘ for health and care improvement.
We also meet online on the first Thursday of each month to experience and try out a particular structure – or a string of structures – in a supportive community.
The meet-ups are co-facilitated by members of the community, and while we all have different levels of experience with Liberating Structures, and facilitation more generally; no one is an expert! This is a peer-to-peer space where we can all feel safe to try something new and learn together through participation.
In co-produced health care, organisations work with people who use services, carers and communities in equal partnership. It’s easy to do it wrong and quite hard to get it right, but it isn’t rocket science, and brings huge benefits to everyone involved. Why don’t we talk about it?
RE: Next weeks Liberating Structure session – Critical Uncertainties
in Liberating Structures in healthcare
Try ‘Critical Uncertainties’ to work with complex challenges tomorrow (Thurs)
in Culture of Continuous Improvement
Try ‘Critical Uncertainties’ to work with complex challenges tomorrow (Thurs)
in Co-production
Find out more about Q
Through learning and collaboration, we make faster progress to improve the safety and quality of health and care for everyone, every day. We want to embed a culture and practice of improvement that supports high quality care for all.
Share, learn and collaborate
We offer networking and events, peer learning and groups, resources, and funding. This helps members to innovate, learn, and deliver their day-to-day work.
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EventsDiscover our events
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GroupsJoin a group
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ResourcesExplore our resources
Join the community
Members are at the heart of Q. Join our community for free access to learning resources, funding opportunities, events and networking.
Latest resources
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Energising mental health crisis support and co-production in Yorkshire
Case study 12 December 2025 6 minute readQ member Jenny Morton tells us about a project in Sheffield that is working with service users to improve local mental health services and has been shortlisted for the Seni Lewis award. -
Maternity, perinatal and neonatal quality improvement resources
Toolkit 27 November 2025 3 minute readA collection of resources, articles and groups on QI through the lens of maternity, perinatal and neonatal services.
What our members have to say
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“One of the best things about being part of Q is being around like-minded people. Everyone’s got that same focus and everyone’s got that same goal of making things better.”
Pete Donnelly
Founder, The Wheelchair Skills College -
“Q has been integral to my development. It’s opened my eyes and my heart… to a group of individuals who are so disparately spread across the country, all with the same aspiration, passion and belief.”
Hesham Abdalla
Director of Quality, Dubai Health -
“[Q] gives me the feeling that we are making a difference in different ways and that we are coming together with the different skills and experiences that we bring”
Chioma Obasi
Programme Manager/ PMO Lead, Bradford District Care NHS Foundation Trust -
“I get so much more out of [Q] than I ever thought I would! The welcome has been amazing and it’s been from members and people involved in the organisation.”
Sabia Dayala
Clinical lecturer, The University of Manchester -
“Q is the only community that enables people interested in quality improvement within the UK and Ireland to come together, learn and share. Whether you’re building your improvement skills or perhaps have more experience in improvement and are further developed in your career, the Q community is the best way to build your network.”
Amar Shah
National Clinical Director for Improvement, England, and Chief Quality Officer (East London NHS FT), NHS England -
“When you’re sitting out there going ‘what can I do?’, there’s usually somebody out there that has done it and can help you or guide you, be that critical friend. – Sarah Wood”
Sarah Wood
Senior Quality Improvement Project Manager, Cheshire and Merseyside ICS -
“The value of that access to the wider community around the five nations is so brilliant in terms of sharing, and learning from others. Not having to do everything yourself because other people sometimes know better.”
Lou Waters
Head of Continuous Improvement, Betsi Cadwaladr University Health Board -
“There’s such a wealth of knowledge in the thousands of members within Q across all aspects of health and outside of health. What is there not to value about that? You can’t buy that sort of knowledge and information off people.”
Chris Richmond
Director, GLR Consulting
Updates, opinions and insights
We find and share insight, skills, and ideas widely to create the culture and conditions for improvement efforts to succeed.
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Opinion piecesRead the latest views and opinions from members
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Insight projectsTake inspiration from members’ improvement experiences
Latest news, opinions and insights
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Managing quality during change
8 minute readWe know that large scale change often poses risks to quality. A Quality Management System, or the use of its principles, can provide a structured approach to help address that challenge. -
From innovation to widespread adoption: key principles
10 minute readBased on the best evidence and Q’s experience supporting adoption and spread over the past decade, we set out here eight key principles to guide this work. -
How disruptive innovators could lead the way for neighbourhood health
Opinion piece 8 January 2026 7 minute readQ member Mani Dhesi explains how radically redesigning patient care pathways for community settings can both improve the patient experience and free up valuable clinical time in secondary care. -
How micro-funding can unlock health improvements for communities
Opinion piece 9 December 2025 6 minute readQ member Karla Rimaitis considers the shift to neighbourhood health in light of her experiences with improvement and innovation in primary care.
Improving health and care
Everyone should have access to high quality health care. Right now, they don’t. We know there are thousands of people working hard to change this. But without connections between them, we lose ideas and energy needed to solve the complex challenges we face.
Together, we make faster progress to improve health and care for everyone, everyday.
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Measuring our impact
What we have learned about Q’s impact so far, and how we evaluate our work.
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Q community demographics
Find out who is in Q, where they work, and the kinds of roles they have.
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Meet our partners
We work with partners across the UK and Ireland. Find out more about who funds Q.
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Member directory
Explore our member directory. Discover who is in the community and make new connections.