The SusQI Programme
The Centre for Sustainable Healthcare (CSH) is working to make sustainability a core part of all quality improvement education and practice in healthcare.
Following the SusQI Education project (2019–2022), funded by Health Education England, The Health Foundation and King’s College London, CSH developed the Sustainability in Quality Improvement (SusQI) programme to support health professionals to deliver improvement that benefits patients, populations and the planet.
The programme now focuses on embedding sustainability within existing QI teaching and practice, supporting real‑world improvement across healthcare systems in the UK and internationally.
There are several ways to engage with SusQI, depending on your role and interests.
Healthcare professionals: Start a SusQI project
You can build environmental and social sustainability into any improvement project using CSH’s open-access step-by-step toolkit. Read about SusQI in action and get inspiration from well over 100 SusQI project reports in our case library.
For more support, sign up to our SusQI course. You will learn to apply SusQI in your setting to identify high-impact areas for change, practise using tools, and explore up-to-date case examples. The course features self-study, interactive workshops, and follow-up ‘sustainability cafe’ sessions, with a strong emphasis on sharing learning and networking.
Healthcare educators: Teach Sustainability in QI
Including sustainability in QI teaching has been shown not only to enhance learners' QI practice but also to shape their daily professional practice in delivering sustainable healthcare.
Access our open-access Educator Pack for free materials to help you plan and run teaching sessions with different healthcare staff and student groups. Join the Teaching SusQI course for support and the opportunity to exchange learning with other educators.
Organisations: SusQI Academy
Embed sustainability into your organisation’s QI programme and broader transformation work.
Embed sustainability into your organisation’s QI programmes through the SusQI Academy. CSH provides bespoke support to healthcare organisations and education institutions to embed sustainability into their QI programmes and celebrate success. Organisations that have successfully embedded sustainability into their QI education and practice can gain recognition as a Beacon Site, joining sites in the UK, Ireland, Australia, New Zealand and Canada.
Organisations: Green Team Competition
Support your staff to implement SusQI projects, bringing sustainable value to your organisation.
The Green Team Competition is an award-winning programme in sustainable healthcare that transforms knowledge into action. Using the SusQI approach, it empowers organisations to bring sustainability and improvement together. Working directly with teams to improve clinical outcomes and equity, reduce organisational costs, boost staff motivation and wellbeing, the programme builds leadership at both team and organisational levels on the journey towards zero‑carbon care.
Partner with us
CSH works to influence QI policy, education and practice both in the UK and internationally. Key partnerships and initiatives include:
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Supporting the International Society for Quality in Healthcare (ISQua) in advocating for sustainable healthcare, embedding sustainability into guidelines, and developing training packages to support integration.
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Collaborating with the University of Toronto’s Centre for Quality Improvement and Patient Safety (CQuIPS) and CASCADES to develop an environmental sustainability extension of the International Standards for Quality Improvement Reporting Excellence (SQUIRE) guidelines.
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Contributing as a programme advisor to the IHI International Quality and Safety Forum (London 2024).
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Engaging the Health Foundation’s Q Community by promoting sustainable healthcare principles, facilitating resource-sharing and showcasing best practices, including convening the Sustainable Healthcare Special Interest Group and hosting Q Visits.
Please get in touch if you would like to partner with us on scaling sustainability in QI

