Quality, Innovation, Productivity and Prevention (QIPP)

Quality assured examples of improvements
in quality and productivity
across the NHS and social care.


Search NHS Evidence
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The Quality, Innovation, Productivity and Prevention (QIPP) collection is intended to be a resource for everyone in the NHS, public health and social care for making decisions about patient care or the use of resources.  The collection comprises:

  • QIPP case studies are examples of how health and social care staff are improving quality and productivity across the NHS and social care.  Case studies are evaluated based on quality improvements, savings, evidence and implementation and are peer reviewed. 
  • Cochrane quality and productivity topics which are drawn from systematic reviews by the Cochrane Collaboration that may help inform local initiatives address the quality and productivity challenge
  • Links to other tools and resources that support the quality and productivity challenge.

Click here to view the Process Manual which describes the processes for the quality assurance of QIPP case studies and Cochrane quality and productivity topics.

Click here for a full list of all published QIPP case studies including a tool that allows potential savings to be calculated and sorted based on quality gains.

To receive a monthly alert detailing new QIPP case studies published to the collection, please email your contact details to: qipp@nice.org.uk.

If you have a good initiative that you are currently implementing or have implemented already, we want to hear from you.  Our analysts will be happy to talk to you and provide advice on the suitability of your initiative for the collection and the type/level of information required.  Go to "Help us to build the QIPP collection" to find out more about completing a submission. 

Recommended QIPP case studies

Improving the quality of care for patients with type 1 diabetes: dose adjustment for normal eating (DAFNE)

  Type 1 diabetes requires hour-by-hour self-management in order to maintain optimal glycaemic control and reduce the risk of developing long-term conditions that are associated with diabetes. Patients therefore require skills-based training in
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The productive ward

The NHS Institute has supported ward leaders and nursing teams with innovative methods to improve the ward environment and process. Over 60% of NHS Acute Trusts are implementing the Productive Ward programme. Key improvements from the programme
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Cervical Cancer screening - improved efficiency

Efficiency in screening has been used in 13 regions to improve detection of cervical cancer. Quality is improved by the optimal treatment of patients with suspected cervical cancer, thereby reducing the risk of death. Productivity is increased by
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Enhanced recovery for elective surgery

Enhanced recovery programmes use evidence based interventions to improve pre-, intra-, and post-operative care. They have enabled early recovery, discharge from hospital, and more rapid return to normal activities. Quality is increased by reducing
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Stroke pathway: delivering through improvement

The NHS Institute supported Chief Executives and senior leadership to champion change and improvement across NHS organisations in all areas of the stroke pathway. Quality was improved by reducing mortality, time in A&E, and delay in CT scanning.
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Fractured neck of femur: rapid improvement programme

Ten pilot trusts have successfully implemented service re-design for the Fractured Neck of Femur patient pathway. This improved quality by: improving multi disciplinary and cross agency teamworking, reducing mortality, and time to theatre, and
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Help us to build the QIPP Collection

Submit Your Ideas

We wants to hear from you if you have an example you think should be part of the QIPP collection.

PC Screen The QIPP User Guide outlines the level of supporting information you need to provide in your submission. Then use the QIPP Submission Template to submit your example.

Please email your completed submission form or any questions you may have to qipp@nice.org.uk

Get Involved

We would like to hear from health and social care professionals who are interested in becoming external advisers for the QIPP collection. External advisers support our quality assurance process by helping to assess new examples which have been submitted to us. More information is available on the external adviser role description QIPP Submission Template..

If you would like to apply to become an external adviser, please complete the following forms: External Adviser role description

and submit these to qipp@nice.org.uk


Cochrane quality and productivity topics

The Cochrane topics in the NICE QIPP collection come from the ‘implications for practice’ section in systematic reviews written by health professionals working internationally and published by the Cochrane Collaboration. They are presented here with relevant background information, including costing analysis. The Cochrane topics may help to inform local initiatives to address the quality and productivity challenge.