We are consultants to and teachers for healthcare organizations on the subject of measuring and improving the quality of patient care.

Our independent status in the healthcare sector means that we can focus on genuinely helping individual clinicians and clinical teams to change the way they work.

We challenge doctors and others to use a 'hard-science' approach to measuring and improving their own clinical practice. We bridge the gap between research and practice by taking findings from research on quality improvement and translating the evidence into practical lessons and solutions busy clinicians can apply. Our work style is professional, flexible, nonjudgmental and helpful — not confrontational or patronizing.

We specialize in all subjects related to quality in healthcare including the following:

• Clinical quality improvement
• Clinical audit
• Clinically effective practice
• Clinical risk management
• Clinical governance systems
• Standards, guidelines and care pathways
• Involving patients and users in improving the quality of care or service
• Analysing and acting on variations in clinical practice
• Critical appraisal of evidence on clinical practice
• Accreditation and inspection — helping organizations prepare for external assessments.

We tailor our work to meet the needs of individual organizations. We also carry out national programmes and projects very successfully because we use our in-depth understanding of 'grassroots' issues.

Our consultancy staff represent considerable experience in the healthcare sector in the UK, the US and other countries and hold qualifications in the field of quality in healthcare. Our administrative staff work as a close-knit team committed to serving our customers.

This year we are celebrating our 18th continuous year of serving the healthcare field. Over the years we have worked directly with over 6,000 doctors and nearly 18,000 healthcare professionals in total. We have survived as a stable organization through times when the healthcare sector in most countries has changed dramatically. We believe our stability reflects our commitment as well as our responsiveness to the healthcare field.

Nancy Dixon, Managing Director

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