Healthcare quality questclinical-governanceclinical-auditquality-improvementrisk-managementclinically-effective-practicefacilitation-skillspatient-safety

About us

How we work

We develop …

Multiprofessional teams in healthcare organizations to —

  • agree on what needs to be improved for patients
  • test commitment to making the improvements needed
  • establish valid and reliable baselines that show the effects of current practice on patients
  • analyse the root causes of problems affecting practice and act on the causes
  • measure again rapidly to show the impact of action.

In-house healthcare quality, patient safety, risk management and clinical governance specialist staff to —

  • develop multiprofessional teams to carry out improvement projects and governance functions
  • use quality and safety measurement and improvement tools correctly
  • change staff attitudes and behaviours relating to quality and safety improvement, managing risk and governance
  • redesign processes and systems to benefit patient care
  • achieve measured improvements in practice.

Healthcare organizational capability to be accountable for the quality and safety of patient care through —

  • identifying organizational problems related to being accountable for the quality and safety of patient care and helping organizations overcome the problems
  • formulating practical and workable strategies for developing teamwork and effective support for teams to deliver improvements
  • clarifying lines of accountability for patient care quality and safety
  • drafting evidence-based policies and standards
  • developing the right structures and systems to deliver accountability for quality and safety
  • using internal indicators to evaluate success.
Our principles of doing business

We …

  • do everything we can to continuously improve the quality of the products and services we offer
  • try to take the time needed to provide the best possible service each and every time we work for an organization
  • act professionally, honestly and ethically in every circumstance we face
  • operate as efficiently as we can. Every one of our staff is involved directly in providing services
  • price our services fairly and honestly at rates that enable us to stay in business year after year.
Our experience

We were founded in 1986, so we have over 20 years' experience serving healthcare organizations. Over that time, the healthcare sector in the countries where we work has changed dramatically. Throughout these changes, we have responded rapidly to changing expectations and helped the organizations we work with to be better prepared for new challenges related to the quality and safety of patient care.

We provide about 175 educational or consultancy services a year. Our customers have included public sector healthcare organizations, government bodies, Royal Colleges, private sector healthcare organizations, and others. Each year, we provide services for more than 50 healthcare organizations, in most cases directly with the staff that provide direct patient care services.

We have extensive experience working in university hospitals, community hospitals, primary care settings including individual general practices, mental health care settings for a full range of mental health services, services for people with learning disabilities, and other healthcare services.

We have worked directly with more than 7500 doctors and more than 20,000 healthcare professionals in total. We have trained more than 1000 clinical audit or clinical governance or quality improvement managers and facilitators. We have worked with groups in more than 50 clinical specialties in all types of settings.

Meet the team

These are the key members of the HQQ team. Each leads a specific area of our work.

NANCY DIXON leads our development and consultancy work. She is a specialist in the subject of measuring and improving the quality and safety of healthcare services. She holds a number of qualifications in this field including: Certified Professional in Healthcare Quality (CPHQ), a US-based accredited qualification; Fellow of the National Association for Healthcare Quality (NAHQ) in the US, 1 of 44 individuals with this recognition; and Fellow, Chartered Quality Institute (CQI) in the UK.

Nancy has been a member of the Board of the International Society for Quality in Health Care (ISQua) and a member of the Fellowship Review Board for NAHQ in the US. Before coming to the UK, Nancy worked for a number of years for the Joint Commission on Accreditation of Healthcare Organizations in the US and has had working experience in other countries.

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LIZ COX leads our business activities. She is responsible for everything related to managing the business, leads our programme and project planning and manages all of our quality control systems.






JANINE BRATHERTON leads our customer services and marketing activities. She liaises with our customer organizations on tailoring services to meet their needs and on arrangements for the provision of those services.


EVA JIMENEZ leads the design and  roduction of all of our educational manuals, workbooks, slides and information leaflets.


GEMMA EACOTT leads the products and services for our customers and produces our consultancy and publication materials.



We are a small, effective staff team. We complement our staff team with a small group of associates who have worked with us over years and are experienced in specific areas related to quality and safety of health care. We call on our associates to help us with large–scale projects as needed.

For a full copy of our UK Terms and Conditions of Business, click here.

For a full copy of our International Terms and Conditions of Business, click here.