Sustainability in Quality Improvement

The Sustainability in Quality Improvement framework (SusQI) is an approach to improving healthcare in a holistic way, by assessing quality and value through the lens of a “triple bottom line”. In SusQI, the health outcomes of a service are measured against its environmental, social and economic costs and impacts to determine its “sustainable value”.  The framework was developed by CSH with partners, including the Royal College of Physicians.

SusQI embeds the CSH principles of sustainable clinical practice: prevention, patient empowerment and self-care, lean clinical pathways and low carbon alternatives.

Including sustainability and resource stewardship in QI allows health professionals to respond to ethical challenges such as climate change and social inequalities. It also benefits the QI process itself: inspiring new energy for change, highlighting wastes and opportunities otherwise overlooked, and directing projects systematically towards the highest value improvements.

“This framework has radically altered how I approach quality improvement, in how I deliver quality improvement to the students I teach, in my own practice and in how I appraise the work of others.”  Noreen Ryan, Domain Lead for Quality Healthcare, Imperial College London School of Medicine

The Academy of Medical Royal Colleges has developed a model QI curriculum which incorporates sustainable healthcare principles and sustainable value. SusQI can be seen working in practice through the CSH Green Ward programme, and CSH may be able to provide support for integrating the approach to NHS Trusts or any organisations working in healthcare improvement.

Sustainability in Quality Improvement Courses

sustainable_quality_improvement_logoSustainable 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. 

teaching susqiTeaching Sustainable Quality Improvement

This course uses the ‘SusQI’ framework, to help health professions educators and students to integrate sustainability concepts into mainstream quality improvement teaching.



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Learning Resources:

Sustainablity in QI Education Project:

  • CSH is running a two-year PDF icon project to support the integration of sustainability into undergraduate and postgraduate education on QI
  • Sustainable Healthcare Special Interest Group for the Health Foundation Q Community (non-members of Q are welcome as guests)
Courses and Training: