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

The WHO Surgical Safety Checklist:to reduce harm by consistent use of best practice

To reduce harm during the perioperative period by encouraging theatre teams to consistently apply evidence-based practices and safety checks to all patients, and by improving teamwork and communication by following the Five Steps to Safer Surgery
Read more

Heart Failure: Use of BNP/NTproBNP testing in primary care to facilitate early diagnosis

To assist the primary care organisations still to implement Serum Natriuretic Peptide (Serum NP: either BNP or NTproBNP) testing as part of the primary care diagnostic pathway for heart failure, through the spread of evidence, good practice and
Read more

Oesophageal Doppler-guided fluid management during major surgery: reducing postoperative complications and bed days

This initiative from the NHS Technology Adoption Centre (NTAC) examined the effects of introducing oesophageal Doppler monitoring (ODM) for fluid administration during major or high risk surgery on length of stay. Barriers to procurement and
Read more

Avoiding unnecessary referral for glaucoma: use of a repeat measurement scheme

To reduce the number of unnecessary suspect glaucoma referrals to the hospital eye service in Bexley Care Trust, thereby improving quality of referral, generating savings and releasing capacity. A glaucoma repeat measurement scheme, in which the
Read more

Prevention of inpatient falls: systematic risk assessment and reduction programme

This case study describes how a Trust is aiming to prevent inpatient falls by developing a stepwise approach underpinned by information from national sources. It is calculated that in an average 800-bed acute hospital trust, there will be about 24
Read more

Atrial fibrillation - detection and optimal therapy in primary care

Opportunistic screening by pulse palpation of patients over 65 has been used in 18 regions to improve detection of atrial fibrillation. Quality is improved by the optimal treatment of patients with atrial fibrillation reducing risk of stroke.
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.