Step by Step Resources

These resources, based on the SusQI framework, can be used to help you to add sustainable healthcare principles into your own QI project by assessing quality and value through the lens of a “triple bottom line”.   The tools can be used to complement the courses at the Centre for Sustainable Healthcare.

Use the tabs below to help you on your own SusQI journey. These steps can be integrated into existing QI teaching frameworks such as the Model for Improvement Framework.


Set sustainable goals for your quality improvement project, within the overarching goal to deliver maximum health gain with minimum financial cost and harmful environmental impacts, whilst adding social value at every opportunity.

Recognise the use of environmental and social resources in your current service, and identify opportunities to improve.

Design your project using sustainability principles (prevention, empowerment, lean pathways, low carbon alternatives) to achieve the greatest benefit.

Measure the impact of your project on sustainable value. This includes tools for measuring social value and calculating carbon footprint.

This website has been created through the Sustainability in Quality Improvement Education project, which is funded and supported by Health Education England, The Health Foundation and Kings College London