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Widespread change is necessary to make the health sector fit for the future. Organisations need to be able to reduce waste and unhelpful variation, while developing new models of prevention-focused care. And it is vital that the health sector makes good use of the improvement ideas and expertise that already exist in every part of the UK.

Three years after it started, the Q initiative is growing rapidly and providing an insightful picture of the range and location of people involved in improvement efforts.

This report reflects the commitment of the Health Foundation and NHS Improvement to share progress and learning from the Q initiative as it develops. It accompanies the publication of RAND Europe’s interim evaluation of Q and the report on the first Q Lab project.

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