Sustainable Quality Improvement

This intensive course introduces health professionals and educators to the concept of ‘sustainable value’ and the ‘SusQI’ framework for integrating sustainability into quality improvement. 

  • Workshop: 27 June (Mon) 10.00-14.00 BST
    • Self-study period opens: 6 June
    • Work-in-progress workshop: 7 September (Wed) 14.00-16.00 BST
  • Workshop: 28 September (Wed) 9.00-13.00 BST
    • Self-study period opens:7 September
    • Work-in-progress workshop: 25 January (Wed) 15.00-17.00 BST
  • Workshop: 17 November (Thur) 13.00-17.00 GMT
    • Self-study period opens: 27 October
    • Work-in-progress workshop: 25 January (Wed) 15.00-17.00 GMT

If you have booked on a course click here for access.

Pricing structure: £150 - £190 + VAT

Course description

Sustainability has been recognised by the Royal College of Physicians as a domain of quality in healthcare, extending the responsibility of health services to patients not just of today but of the future. As a domain of quality, it follows that sustainability should be explicitly addressed as part of ‘quality improvement’ activities. But how? 

This intensive course introduces health professionals and educators to the concept of ‘sustainable value’ and the ‘SusQI’ framework for integrating sustainability into quality improvement. Learning from real examples, participants explore in depth how the framework can be applied in practice to develop preventative, holistic, lean, low carbon care. The course includes 4-6-hours of multi-media self-study, a 4-hour interactive workshop and a follow-up interactive masterclass 1-2 months after the workshop to discuss projects-in-progress.  

Learning objectives

By the end of this course you will be able to implement a 'triple bottom line' quality improvement project. This includes:

  1. Defining a problem and setting sustainability goals
  2. Studying the system and assessing resource use locally
  3. Applying the principles of sustainable clinical practice
  4. Measuring ‘sustainable value’ using a multi-dimensional approach of environmental, social, financial and patient outcomes at the micro and population-level

Part I. Self-study online

All course content is presented in an interactive online module.  You will need about 4-6 hours to go through this round-up of theory and practice.  A discussion forum allows you to meet fellow participants and get to know each other's areas of interest and work.  At the end of the module, you are invited to sketch out a plan of work that you might want to undertake, in preparation for the workshop discussions.  All online content will be available to you until your Work-in-Progress session.  

Part II.  Live workshop online

This 4 hour virtual workshop consolidates your understanding of the course materials. Small group discussions with CSH experts and colleagues from around the world allow further exploration of topics that interest you and tips on how to translate your ideas into action.   The timetable includes pre-session technical assistance and networking, followed by a review of the self-study material review with Q&A.  In breakout groups you will then share your ideas for a sustainability intervention in your setting and make plans to address it, using the range of resources, tools and methods developed by CSH and partners.

By the end of the workshop you should feel equipped to get started on putting SusQI into action in your workplace.  Don't worry if you don't feel that you have a perfect, in-depth understanding of SusQI by the end of the workshop.  We know that people become proficient in SusQI by running their own SusQI projects or by teaching others get started with SusQI. 

Part III: Work-in-Progress

To support you after the initiation of your project we offer the opportunity to meet again as a group 1-2 months after the Workshop. In a two-hour session you will hear how others have progressed, and can present what you've done so far, answer questions and take feedback from participants and expert facilitators. 

Participant feedback

"The most holistic approach to QI that I have come across and great to spend the day surrounded by enthusiastic, like-minded individuals.”

"Being able to ask questions of presenters as we worked through material was really valuable. Knowing what trusted sources of information are and where to find them."

"The self-study material] gave me the time to explore some of the core concepts myself instead of learning everything from scratch on the day.  [It gave a] good overview of Sus QI with a systematic approach to implementation.  [There was a] good mixture of information and activities.  The [supplementary] material was great; it’s good to have the option to explore things in more detail."

"Conversations in the breakout rooms were invaluable [for] networking, reflecting with others, exploring real life examples in practice, being able to share and ask questions and getting some advice from the facilitators."


Pricing Structure

Book here

Book a course with peace of mind: We realise that healthcare workers may have to change their plans at short notice. If you are unable to attend a workshop, we can offer you a workshop at a later date for no charge. We can also offer a refund as long as you cancel before the course opens for self-study, which is 3 weeks before the workshop. There will be an admin fee of £30 for refunds.


Dr Frances Mortimer, Medical Director 

Frances led the development of CSH's principles of sustainable clinical practice and the innovative Sustainable Specialties programmes. She has a particular interest in engaging health professionals in clinical transformation and sustainable leadership.

Siobhan QI Education LeadSiobhan Parslow-Williams, QI Education Lead

Siobhan is our QI Education Lead at CSH working on a national project supporting the integration of sustainability into quality improvement healthcare education. She is   a  registered nurse with a background in emergency nursing, primary care, clinical research delivery, management and teaching. Siobhan graduated from the NIHR   Advanced Leadership Programme in 2019. She is the founder of the grass-roots movement Parents for Future in Norwich and also co-founded Eco Action Families.

Ingeborg Steinbach – Project Manager, Centre for Sustainable Healthcare

Ingeborg Steinbach has worked for CSH since 2008 and leads the work on carbon modelling and triple bottom line analysis in healthcare, including NHS organisations and clinical pathways. After a first degree in nutrition from the Justus Liebig University in Giessen, Germany, she worked in an Integrated Rural Nutrition Programme in Zambia before doing her Master in Analysis for Healthcare Decisions at the London School of Economics and London School of Hygiene. Ingeborg is a steering group member of Good Food Oxford, Oxford’s sustainable food network which is part of the Sustainable Food Cities initiative.

catherine headshotCatherine Floyd- Clinical Specialities Lead

With a background in nursing in UK and India, Catherine has held a range of NHS health improvement, health protection and clinical governance roles. She has a Master’s in Public Health and PG Diploma in NHS Management. Whilst developing her interest in sustainable travel, Catherine has recently been working in Consultant Public Health roles in Wales, focussing on COVID-19, screening, healthcare improvement and addressing health inequalities.

hayleyDr Hayley Pinto- Education and Training Lead

Hayley was a lead consultant addiction psychiatrist with nearly 30 yrs experience in the NHS and publicly funded services.  She is a medical educator, and currently senior honorary lecturer at the University of East Anglia, and has been involved in climate education, outreach, and activism for several years. Hayley also has a degree in psychology and completed general practice training before pursuing a career in psychiatry.


About CSH

The Centre for Sustainable Healthcare is a registered charity working since 2008 to help the NHS reduce its carbon footprint. Its is the world's foremost institution for sustainable healthcare research and practice. The team draws on knowledge and experience from public health, clinical practice, environmental consultancy, research and public policy to develop methodologies and metrics to transform models of care. CSH collaborates with partners inside and outside healthcare to engage professionals, patients and the wider community in understanding the connections between health and environment, and to reduce healthcare’s resource footprint. For more information about its work see, click here.