Quality, Innovation, Productivity and Prevention (QIPP)

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


Search NHS Evidence
Three people meeting


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

Peer-reviewed referral management: saving money and increasing quality by improving referral practice

The initiative improves the quality of elective referrals in primary care by: capturing and categorising GP referral data by clinical reason for the referral evidence-based peer reviewing of individual referrals, providing timely feedback to GPs
Read more

Reducing hospital admission rates for people with diabetes: a systematic approach to improving primary care outcomes

  In 2008, people with diabetes living in Greenwich had some of the poorest outcomes in the country as measured through Quality Outcomes Framework (QOF) achievement rates. Only 53.7% of patients with diabetes had an HbA 1c  
Read more

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
Read more

Safety Express: a national pilot to deliver harm free care

  The QIPP Safe Care workstream launched its pilot, ‘Safety Express’, in January 2011. Over 1000 frontline staff in England worked collaboratively with a shared aim to deliver ‘harm-free’ care, defined as the absence of pressure ulcers, falls,
Read more

Cholecystectomy services redesign: Reducing length of stay in hospital

The NHS Institute undertook a Rapid Improvement Programme for cholecystectomy to increase day-case rates. The programme was based on the ‘Focus on: Cholecystectomy’  document (NHS Institute, 2006), which provides best practice in referral to after
Read more

Prevention and treatment of adult malnutrition: appropriate prescribing of oral nutritional supplements

To improve the management of malnutrition and prescribing of oral nutritional supplements in London community organisations. The London Procurement Programme (LPP) Clinical Oral Nutrition Support Project facilitates London community organisations
Read more View All Recommended

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.