Sign in
Project report

Learning in communities

Learning is at the heart of Q. We are inspired by the Berwick Review’s vision of an NHS devoted to continual learning and improvement.

Designing Q

When we were first invited to develop Q, we could have used the available funding to run a new large scale training course, but we decided early on to take a much broader view of capability building. 

Being capable is linked to issues of identity, context, confidence and connectedness. Because of this we have development programmes and resources available for members within Q. 

We came to realise that all aspects of what it means to join and be part of Q can support learning for individual members and – in some cases – the system more widely.

Why did we commission this work?

Well, the ongoing design of Q is a live example of learning while doing. Research informs what we do at every stage, but this has mostly happened as part of the fast-moving, social, often messy process of co-design. We’ve relied on our friends and members to filter and make sense of what’s most likely to be useful.

We were led by our founding members, and the experts that advised us, to think about learning as a process that was systemic, and interwoven for our members with the daily practice of making change. 

By more systematically reviewing relevant theories, we are challenging and refining the provisional conclusions we came to about what is most likely to help people doing improvement. Where we discover our approach is consistent with evidence about how people learn and improve, this work helps us – and individual members – articulate the rationale for investing time and resources in Q.

The team at NHS Horizons has produced a report capturing different learning theories for you to apply in your own improvement work.

See more resources

Discover more

  • Five key principles for supporting peer learning

    Project report
    29 April 2025 
    1 minute read 
    This infographic shares five principles for supporting peer learning for system improvement. It was developed from the learnings in the report. 
  • Learning in communities

    Project report
    1 September 2023 
    2 minute read 
    Learning is at the heart of Q. We are inspired by the Berwick Review’s vision of an NHS devoted to continual learning and improvement. 
email hidden; JavaScript is required
Q, The NHS Alliance, 2nd Floor, 18 Smith Square, London, SW1P 3HZ
© 2026 The Health Foundation
Website: William Joseph