Joriam Ramos shares the latest developments from across Q's Special Interest Groups (SIGs), including some great upcoming events to join.

Many of us will be familiar with the use of hospital passports for those with learning disabilities. At a care home in Scotland, a student nurse has come up with a way of adapting hospital passports more widely to encourage a holistic, person-centred approach for those living with dementia. Carol Dale tells us about this development and the impact it is having on improving system flow across care settings.

Exploring failure, rigour, breaking rules, improvement approaches, QMS and equity, Penny and the team highlight some of the key themes and learning from across the 2024 BMJ/IHI International Forum.

Leading Improvement in Health and Care, is a new improvement podcast co-hosted by Penny Pereira, Managing Director at Q, and Matthew Taylor, Chief Executive of NHS Confederation. The first episode is all about staff morale.

Hosting an Experience Day for 39 international conference delegates in the Golborne Community turned out to be an inspirational, emotional and highly educational experience for Q member Sabrina Das. She reflects on the day and how trust built in a local community that had suffered historical trauma contributed to its success.

Last February we invited proposals for improvement projects to reduce delays accessing health and care services. Mid-way into their projects, we’re finding common themes in approaches to improving equity while tackling delays across a huge range of patients and conditions.

Afra Kelsall, Senior Advisor at the Mental Health Implementation Network (MHIN), shares her learning about how valuable the Communities of Practice model can be as a quality improvement tool bringing people together for shared decision making.

Q member Caitlin Bateman finds that time for teams to work on projects, divisional ownership and effective team working are key to the success of advanced health care improvement training, as she reflects on the learning from University Hospitals Bristol and Weston’s QI Gold programme.

People with severe mental illness are known to experience both digital exclusion and increasing health inequalities. Q Exchange project lead Rachael Middle shares Isle of Wight NHS Trust’s learning from their project to test and evaluate potential solutions to promote inclusion.

People working in improvement need to be sceptical about health care. They often question and examine longstanding practices. Polly Mitchell, Alan Cribb, and Vikki Entwistle argue that the institutionalisation of improvement can get in the way of this scepticism, allowing costly or even harmful activities to slip under the radar. They explore the role that philosophy can play in upholding an active culture of scepticism in health care improvement.