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The UK's primary care sustainability network

Tips for success

These are our essential tips for successful Quality Improvement (QI).


Within every domain you will find an education section with short videos which give you the knowledge you need to undertake the quality improvement work. We recommend that these are viewed by the whole practice team.

Look at your baseline data

Get a picture of how your practice is performing before you start. A quick and easy way of doing this is to look at data available from Here you can view how your practice compares to others in the CCG or nationally. Look under the tags “Greener NHS” and “Respiratory” to see data that is available on the proportion of MDIs prescribed and on prescribing of Short acting beta agonsit (SABA) inhalers.

Whole team approach

Good QI requires a whole team approach. How is inhaler prescribing and asthma care currently managed within your practice? Think about the patient journey through diagnosis, management and review. You may need to adapt the project ideas to better fit the processes and resources within your practice and the specific needs of your patient population. Which members of the team are currently involved in asthma care? Consider the diagram below.

Which projects will have the greatest potential for improvement in care? Which staff members need to be involved? How will the information be sent out and who will arrange this? It’s a good idea to ensure there is a named clinician for each project so that staff know where to direct their own or patient queries.

Use a SUSQI approach

The Centre for Sustainable Healthcare describes sustainable clinical healthcare as that which reduces the carbon footprint of care whilst improving the quality of care. This can either be done by reducing the need for healthcare or making healthcare more efficient. They have developed a driver diagram to help plan quality improvement for sustainable clinical healthcare. We have added some ideas for sustainable quality improvement in asthma care. You can access a  blank diagram here.

SusQI driver diagram (Centre for Sustainable Healthcare)

Remember to measure improvement

QI is all about making small changes, monitoring improvement, and then changing again. This is reflected in the Plan-Do-Study-Act model of QI. Read more about the PDSA approach to quality improvement here. We have added in run charts to some of the projects to help you keep track of your progress.