Spreading Improvement A programme to spread successful improvement ideas, and generate evidence and learning about how to effectively disseminate and spread best practice


This programme is closed for applications.

  • Provides £1.5 million to support approximately 15 projects a year.
  • Facilitates greater spread of Health Foundation projects across health care and maximise the impact of our funding by supporting efforts to adopt, adapt and develop proven ideas, improvement approaches and solutions.
  • Aims to generate evidence and learning about how to effectively disseminate and spread best practice.

Funding streams

The Spreading Improvement programme has the following two funding streams:

  1. Supporting dissemination: to support teams to effectively disseminate their work and to maximise the uptake and impact of successful ideas, approaches and solutions across the wider health system at a local, regional or national level.
  2. Regional and national impact: to support and work with influential organisations (eg improvement organisations, improvement or clinical networks, national charities and professional colleges) to create a receptive context and infrastructure leading to wider diffusion, active spread and impact of improvements from existing Health Foundation initiatives nationally.


The programme supports projects that we have previously funded which have already demonstrated local benefit and that could be transferable to other contexts at a local, regional or national level.

Each year we invite applications from teams we have funded that have the potential to widen the impact of their projects. We select up to 10 successful projects that we think can be further disseminated. In addition, we select approximately five proposals from influential organisations who we think will be able to generate demand for, and further spread of, existing ideas, improvement approaches and solutions.

The dissemination projects are awarded up to £30,000 each and run for a maximum of 18 months. The regional and national impact proposals are awarded between £50,000 and £400,000 for a maximum period of three years.

Making FREED (First episode Rapid Early intervention for Eating Disorders) a national and international model

Improvement project

This project will continue the successful scale up of the FREED (First episode Rapid Early intervention for Eating Disorders) programme, which has been shown to reduce treatment waiting times and the ...

Saving lives through safer hip fracture care

Improvement project

Aiming to save lives and secure greater independence for hip fracture patients.

OASI2 Care Bundle

Improvement project

OASI2 is a project that will further investigate the mechanisms and strategies that support the sustainability and spread of the OASI Care Bundle, a quality improvement project implemented across 16 U...

Citizens Advice Ways to Wellbeing for All

Improvement project

This project will involve scaling up the Liverpool APP approach, which provides a social treatment option for primary care teams to address underlying causes of ill health, for example financial hards...

Scale, spread and embed

Improvement project

This three-year project will test and evaluate the scalability of using natural language processing to analyse patient feedback and provide information to point-of-care staff and quality improvement l...

Improving tracheostomy care: National quality improvement programme

Improvement project

Run by The Royal College of Anaesthetists, in partnership with the National Tracheostomy Safety Project, the Global Tracheostomy Collaborative and University Hospital South Manchester NHS Foundation T...

Sepsis Smart: An interactive educational video to highlight sepsis diagnostic errors

Improvement project

A Spreading Improvement project run by Royal Surrey County Hospital NHS Trust, the UK Sepsis Trust and film producer Martin Percy. A resource for use across the UK. Will develop and disseminate an int...

Spreading the capability to improve patients’ and carers’ experiences of end-of-life care in one NHS region using a collaborative peer-to-peer method

Improvement project

This Spreading Improvement project looks to improve end-of-life care using the methodology of the Patient and Family-Centred Care (PFCC) programme. This project, led by the Point of Care Foundation, w...

Novel Psychoactive Treatment: UK Network (NEPTUNE) II: From guidance to good practice: A multi-dimensional approach to spreading improvement

Improvement project

Delivered by the Royal College of Psychiatrists, in partnership with Central and North West London NHS Foundation Trust and other stakeholders, this is a national learning programme which aims to impr...

A programme to spread eGFR graph Surveillance for the early Identification, Support and Treatment of people with progressive Chronic Kidney Disease (ASSIST-CKD)

Improvement project

Led by Kidney Research UK, this project will drive large-scale, measurable, sustainable change that reduces the burden of chronic kidney disease (CKD) and support understanding of the clinical course ...

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We look for talented and passionate individuals as everyone at the Health Foundation has an important role to play.

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