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Q is an initiative, led by the Health Foundation and supported and co-funded with NHS England, connecting people skilled in improvement across the UK. Q will make it easier for people from all parts of the health care system with expertise in improvement to share ideas, enhance their skills and make changes that bring tangible benefits for patients. 

Q began as an initiative to recruit ‘5,000 Safety Fellows’ following a recommendation of the widely respected 2013 Berwick report A promise to learn, a commitment to act. Now Q is carrying forward the vision to embed continual learning and improvement in the NHS.

Q is bringing together a diverse range of people from front-line clinicians, managers and researchers to policy makers, patient leaders and those bringing expertise from other industries. Together the Health Foundation and NHS England have committed an initial £2m of funding for 2015 to develop and deliver this long-term initiative.The founding cohort will contribute collaboratively to the long-term design and structure of Q. The aim is to connect a critical mass of people with around 5,000 participants by 2020.

The founding cohort

12 founding cohort participants have been chosen in the Greater Manchester area. GM AHSN worked with the Health Foundation worked with partners in the health service to appoint these participants, will help to design, refine and test Q during the remainder of 2015. Most of the design work will take place during three two-day design events throughout 2015. This design process will inform a wider recruitment campaign which will start in 2016.


Greater Manchester Academic Health Science Network leading growing the community from May 2017

Q is an initiative connecting people with improvement expertise across the UK. Through Q people are coming together to form a community - sharing ideas, enhancing skills and collaborating on...

Latest opportunity to join Q

A report, summarising learnings from the first year of the Q initiative was published in May. Following this, we are supporting the application process for the next, pilot stage of the programme.

Jane Macdonald

Jane’s current role as a member of the Executive team at Greater Manchester AHSN is to design and implement large-scale improvement programmes across Greater Manchester utilising knowledge of...

Abigail Harrison

Abigail is the Associate Director of Measurement and Innovation at Haelo, an innovation an improvement science centre in Salford.

Alison Dwyer

Alison is a Consultant Nurse who specialises in the management of acute and chronic pain. She has an MSc in Pain Management and joined Manchester and Salford Pain Centre in 2003.

Caroline Poole

Caroline Poole is Strategic Lead for Long-Term Conditions at Pennine Care NHS Foundation Trust. The role involves driving change in models of healthcare delivery to meet the needs of a growing...

Lesley Lappin

Lesley’s current role is in academia, as a Lecturer/Module Leader within the directorate of Multi-Professional Post Graduate Studies at the University of Salford.

Maria Ahmed

Maria is a NIHR Academic Clinical Fellow in Primary Care and a GP Registrar, combining clinical training in General Practice with academic research. Her core interests and expertise lies in patient...

Katie Pieroni

Katie trained as a doctor in Tower Hamlets, one of the most deprived boroughs in the UK and qualified in 2003. She worked in East London and Scotland before moving to Manchester in 2005 to start...

Andrea McGuinness

Andrea’s background is pure NHS! She is a Registered General Nurse with over 25 years NHS experience and has an MSc in Strategic Leadership and Change Management. Andrea has worked in a variety of...

Chelliah Selvasekah

Mr Selvasekar is a consultant colorectal, laparoscopic and robotic surgeon at The Christie NHS Foundation Trust.

Michael Spence

Michael is currently a Programme Manager working for the NIHR Collaboration for Leadership in Applied Health Research and Care (CLAHRC) Greater Manchester, which aims to improve the health of...

Vanessa Gardener

Vanessa is Director of Transformation at Central Manchester Hospitals NHS Foundation Trust. She studied Physiology at undergraduate level, and has a master’s in Health Care Policy.