Quality, service improvement and redesign (QSIR)


The QSIR programmes focus on service improvement and are delivered to a range of staff involved in healthcare.

What is QSIR?

The QSIR programmes are delivered in a variety of formats to suit different levels of improvement experience and are supported by publications that guide participants in the use of tried and tested improvement tools, and featured approaches, as well as encouraging reflective learning.

Quality, Service Improvement and Redesign PDF, 165.1 KB

Outlines the QSIR programmes available and where to find out more.

QSIR College

The QSIR College programme offers NHS organisations and health systems a unique opportunity to develop quality and efficiency improvement capability within their organisation or across their system, enabling them to rapidly build up a sustainable local skills base.

Participants in QSIR College will learn how to train clinical and non-clinical colleagues in the QSIR practitioner programme, providing them with the know-how to design and implement more efficient patient-centred services. Based on tried and tested tools and approaches, QSIR covers the breadth of service improvement skills.

About the programme

QSIR College is designed to develop candidates to become associate members of the QSIR teaching faculty and go on to upskill other staff across their organisation or within their system. To ensure sustainability, it is necessary for applications from individual NHS organisations to feature at least three candidates. Health system applications are expected to include between 6 to 10 candidates drawn from the various organisations involved in their sustainability and transformation plan. 

Each successful candidate commits to delivering at least 3 cohorts of the QSIR programme by November 2019.

Who is the programme for?

The programme is designed for both clinical and non-clinical staff with significant experience in service improvement. Candidates need to be committed to working as a member of a local team to roll out the QSIR practitioner programme within their organisation or across their system.

The requirements of QSIR College

QSIR College candidates will be required to attend 5 QSIR practitioner development workshops before sitting a virtual assessment to test their level of quality and service improvement knowledge in relation to the QSIR curriculum. Successful candidates will then progress to optional webinars and an optional facilitation skills workshop in preparation for formal teaching assessments of candidates’ ability to teach QSIR practitioners. Only those who successfully meet all assessment criteria will be accredited as associate members of ACT Academy’s QSIR teaching faculty, and therefore qualified to deliver QSIR within their organisation or system.   

It is essential that each applicant organisation or system demonstrates they are prepared to support, enable and champion their candidates to fully benefit from the programme and also successfully roll out QSIR within their organisation/across their system.

How to apply

Find out more about the criteria for entering the programme and apply before the deadline of COP Friday 18 May 2018. Please note you will need to be available to attend all events listed here not marked as optional.

Events Date of event Venue
QSIR practitioner development workshops 28 June 2018
26 July 2018
13 September 2018
18 October 2018
15 November 2018
Holiday Inn, Camden Lock,
7 Jamestown Road, Camden Town,
London NW1 7BY
Virtual assessment 15 January 2019 This will be an on-line assessment.
Candidates can complete this in a place of their choice.
Optional webinars – ‘Top tips on delivery of QSIR’ 4 January 2019 Online
Optional facilitation skills workshop 29 January 2019 London venue TBC
Teaching assessments* Weeks commencing 1 and 8 April 2019 (exact dates TBC) Exact venue TBC
QSIR Connect – QSIR teaching faculty
associates network event and graduation ceremony
June 2019 (exact date TBC) Exact venue TBC

* Teaching assessments: Candidates will be asked to attend on two consecutive days during one of these weeks only for their teaching assessments and also to act as the audience for colleagues undergoing assessment. Previous candidates have found this to be a very valuable consolidation of the QSIR curriculum.

Find out more

As an associate member of the QSIR faculty, I feel part of the effort to build a broad and lasting quality improvement movement in the NHS. Having access to a national, centrally endorsed, accredited QI curriculum can only help with that, it creates a common language and set of skills. 
And, as a QSIR accredited trainer within my own organisation, QSIR gives me access to excellent, ready-made resources - exercises, handbooks, slide decks - that give us a really good platform from which to localise QI education to our own needs.

Dave Grewcock, Head of Improvement, UCLH Institute, University College London Hospital NHS Foundation Trust and associate member of the QSIR faculty.

Find out about our QSIR suite of programmes delivered and designed by the Advancing Change & Transformation (ACT) Academy.

Staff at Royal United Hospitals Bath NHS Foundation Trust describe the impact QSIR training has had.

Find out more about our Advancing Change programmes.

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