Scaling Up Improvement

Our Scaling Up Improvement programme supports teams to take successful interventions or approaches and deliver them at scale, to improve health care in the UK


This programme is closed for applications.

  • The programme supports teams with approaches or interventions that have been successfully tested at a small scale, shown to improve care and are now ready to be implemented more widely.
  • Each project team receives up to £500,000 of funding to deliver successful interventions at scale.
  • We fund projects that aim to scale and spread tested interventions or approaches to improve the delivery of health care services. 

Selected projects work to make improvements at scale at care pathway, health board, clinical network, organisational, regional or national levels, resulting in direct impact on patient outcomes. 

Applications come from teams with a strong track record in large scale change management, quality improvement, patient involvement, measurement and evaluation. Project teams partner with another organisation that can support spread regionally or nationally.  

Benefits for successful teams

  • Funding of up to £500,000 for each of the successful projects.
  • Protected time to implement an improvement project.
  • Opportunities to tap into improvement expertise and tailored coaching support.
  • Opportunities to deepen knowledge about evaluation of improvement interventions and the process of adoption and spread.
  • Opportunities to connect with other project teams, to strengthen existing networks and develop new networks.
  • Opportunities to be seen as leaders in health care improvement and to showcase work to a variety of key stakeholders.

Scaling up for safety: standardising the lessons learnt from a hip fracture quality improvement programme

Improvement project

Led by Northumbria Healthcare NHS Foundation Trust, this project replicated learning from a hip fracture quality improvement project and aimed to improve care for hip fracture patients via a multidisc...

InS:PIRE: Intensive care Syndrome: Promoting Independence and Return to Employment

Improvement project

InS:PIRE aimed to improve the health of intensive care unit survivors and increase how in control they feel about their health and wellbeing.

The 3 Dimensions for Long-term Conditions (3DLC): Integrating mental, physical and social care in long-term conditions

Improvement project

This project involved scaling up of a successful diabetes programme to other long-term conditions, with the aim of improving outcomes, mental health, quality of life, social functioning and service ut...

OASI Care Bundle: A multi-centre quality improvement project to reduce the incidence of obstetric anal sphincter injury

Improvement project

This project aimed to reduce rates of obstetric anal sphincter injury (OASI) following childbirth through use of an evidence-based care bundle, supported by an awareness campaign and multidisciplinary...

Improving medication safety in general practices in the East Midlands through the PINCER intervention

Improvement project

A pharmacist-led information technology intervention for reducing clinically important errors in medication management (PINCER) has been developed to identify and correct prescribing errors in general...

Huddling Up for Safer Healthcare (HUSH)

Improvement project

Led by Leeds Teaching Hospitals NHS Trust, this project involved the scaling-up of ‘patient safety team huddles’ – a successful approach to reducing harm and improving safety culture on hospital wards...

North of England back pain pathway

Improvement project

The North of England back pain pathway aimed to improve the management of patients with low back pain and radicular pain (sciatica) in the North East of England and Cumbria, building on an earlier pil...

Four Steps to Safety: Violence reduction programme on inpatient psychiatric wards

Improvement project

South London and Maudsley NHS Foundation Trust has developed and piloted a programme that uses a systematic approach to team working using evidence-based safety tools and predictive assessment. Follow...

Tackling acute kidney injury: a multi-centre quality improvement project

Improvement project

This project, led by Derby Hospitals NHS Foundation Trust, aimed to improve outcomes for patients with acute kidney injury by improving diagnosis, increasing awareness and improving basic elements of ...

Emergency Laparotomy Collaborative (ELC): improving outcomes after emergency laparotomy

Improvement project

Led by Royal Surrey County Hospital NHS Foundation Trust, with evaluation by the University of Kent, this project aimed to improve patient outcomes after emergency laparotomy through adoption of the E...

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Q is an initiative connecting people with improvement expertise across the UK.

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