Primary Care Quality Improvement Collaboratives

UCLPartners is running quality improvement (QI) collaboratives with over 80 GP practices, across four CCGs: Redbridge, Havering, Enfield and Haringey.

UCLPartners is working with GP practices and CCGs to embed quality improvement knowledge and capability within primary care, to enable staff to lead their own projects to improve the way care is delivered in their regions.

General practice is the first port of call for the majority of patients and members of the public in England. However, it is widely recognised that primary care in England is facing unprecedented challenges in providing the care that patients expect and deserve.

As part of the Primary Care Development Programme, UCLPartners consulted with leaders in primary care in the region to establish what support they might need to be able to do things differently to provide the highest quality care for patients.

UCLPartners has developed a 12-month quality improvement collaborative programme to help CCGs and GP practices to embed continuous improvement in the way they deliver services.

The key components of the QI collaboratives are:

  1. Engaging clinical leaders and practices in quality improvement
  2. Building sustainable quality improvement skills locally
  3. Supporting collaborative-wide improvement across areas of immediate need.

Seven collaboratives have been established across Redbridge, Havering, Enfield and Haringey, focussing on improving outcomes for patients with diabetes, hypertension and atrial fibrillation – clinical areas of high need in the region.

How does the programme work?

The collaborative follows a set learning structure based on the Institute for Healthcare Improvement’s Breakthrough Series model, adapted for the needs of primary care in our region. The 12-month programme consists of six face-to-face learning sets, for participants to learn quality improvement skills, combined with action periods to undertake quality improvement projects in their practices. Practices are supported throughout by local QI leads and the UCLPartners team, as well as the Queen Mary University of London Clinical Effectiveness Group (CEG) who provide data dashboards and analysis for our collaboratives.

To encourage sustainability of the improvement efforts in the region, UCLPartners has established eight local QI leads across the four boroughs. These GPs and practice managers are provided with training and mentorship over the 12-month programme so they can support practices and go on to lead collaboratives in the future.

Programme leadership 

Professor Martin Marshall, Programme Director for Primary Care at UCLPartners

Kate Hall, Director of Capability Development at UCLPartners


Chiya Shikalislami, Improvement Projects Manager