Healthcare Quality and Improvement

MIAA’s Healthcare Quality and Improvement Team brings together NHS clinical expertise, governance and assurance capability, and hands-on improvement experience to help organisations improve quality, strengthen assurance, and deliver sustainable transformation.

We provide a unified offer supporting Integrated Care Systems (ICSs), trusts and national bodies to embed outcome-focused, total quality management system (QMS) aligned approaches to assurance and improvement. Our focus is on delivering measurable outcomes—helping organisations not only demonstrate quality but continuously improve it.

Our Approach

Our approach is built around integration—bringing together strategy, assurance, control and improvement into a single, cohesive offer.

• Outcome-focused and QMS-aligned
• Grounded in real NHS experience
• Designed for system-wide impact
• Focused on sustainable transformation

We work alongside organisations as partners—providing practical delivery support while building long-term capability and confidence

Our Services

Quality Strategy & Planning

Supporting organisations to design and embed robust, NQB-aligned Quality Management Systems that underpin effective decision-making.

We offer:

• Quality strategy development
• QMS design (planning, control, assurance and improvement)
• Governance maturity and well-led support
• Quality risk frameworks and control systems
• Board, executive and clinical leadership capability development

Quality Improvement

Supporting organisations to redesign services, transform pathways and embed continuous improvement capability.

We offer:

• End-to-end improvement programme design
• Pathway transformation and redesign
• Improvement collaboratives across systems
• Flow and throughput optimisation
• Reduction in unwarranted variation
• QI training and capability development
• Waiting list and prioritisation improvement
• Value for money and economic evaluation

System-Wide Quality Support

Working across ICSs and partnerships to develop integrated, system-level approaches to quality, assurance and improvement.

We offer:

• System quality frameworks
• Shared governance and joint assurance models
• System-level quality risk management
• Population health and inequalities insight
• Support for ICS quality committees and boards

Quality Control

Enabling real-time insight and data-driven decision-making through analytics, reporting and digital tools.

We offer:

• Outcome-focused reporting development
• Real-time quality dashboards
• Data governance, quality and assurance
• Predictive analytics and workflow optimisation
• Patient experience systems (including NHS App alignment)
• Data transparency and benchmarking enablement

Quality Assurance

Providing independent assurance and review services that strengthen governance, support improvement and enable confident decision-making.

We offer:

• Clinical quality and safety internal audit
• Governance reviews and effectiveness assessments
• Quality assurance mapping
• Thematic deep dives aligned to national priorities
• CQC readiness and assurance reviews
• Well-led reviews and development support
• Board capability and cultural assessments

Louise Cobain

Executive Director Assurance

Louise brings extensive experience of NHS Assurance Services. As Assurance Director, Louise leads the management and delivery of MIAA’s Internal Audit and Counter Fraud Services. This includes all aspects of delivery and compliance with professional standards.