Here you will find all the resources you need to carry out a SusQI project.

Click here if you would like to receive further training on the SusQI approach, or contact us here

What is SusQI?

The SusQI Framework 
This paper by Mortimer et al sets out the SusQI Framework in detail

The Triple Bottom Line
Here, CSH explains the concept of triple bottom line analysis

Principles of Sustainable Healthcare 
This paper by Frances Mortimer sets out the CSH principles of sustainable healthcare

Sustainability in quality improvement: measuring impact
This paper by Mortimer et al  using cases studies to discuss how different varaibles of sustainable value may be measured in practice 

Step-by-step Guide 

Study the System 

Value process mapping overview
This guide will help you to design your own value process map

Examples of value process maps in various clinical settings:
Value process mapping: outpatients example
Value process mapping: sexual health services example
Value process mapping: unilateral tinnitus example

Scanning for Waste 

Here you will find a scanning-for-waste resource use table blank for your use. This will help you identify the types of waste which might be occuring in your department or system.

Recognising Resource Use 

Here you will find a recognising resource use table blank for your use. This will help you identify waste hotspots that could be the target for your improvement idea

Scanning for Social Impact
Here you will find a scanning for social impacts table blank for your use. This will help you to identify the negative and positive social impacts on different groups of your current system and your proposed intervention idea. 

Scanning for Social Determinants 
Here you will find a scanning for social determinants table blank for your use. This will help you identify the socially-determined roots causes for a problem, that might enable you to target interventions to prevent these problems occuring. 

Design Improvement

Driver Diagram example 
This diver diagram is blank for your use and can be filled in to help you think about potential change ideas in your setting

Examples of Driver Diagrams in various clinical settings:
Driver Diagram: anaesthetics 
Driver Diagram: renal services 
Driver Diagram: diabetes services 
Driver Diagram: ICU 


Measure the Impact 

Environmental outcomes: carbon footprinting for healthcare 
This document will show you how to work out a carbon footprint of a service, system or pathway using updated greenhouse gas  emission factors 

Measuring environmental impacts
This table will help you to organise how you measure the environmental impacts of your system and improvement idea

Note: The Scanning for Social Impacts table above can be used after designing or implementing your intervention. This will help you to understand if you have have had an overall increase or decrease in negative social impacts and for which group.


These templates will help you organise your project, report your designs and outcomes, and present it as a poster at a conference 


Project Developmet Template 
This will help you get started on a project. It provides guiding questions to get you thinking and pointers of where to use the tools above for each stage of your process

Project OverviewTemplate 
This will help you to keep track of your project ideas and how it develops
Project Report Template
This will help you to report your project for a publication, or other report. Please feel free to send us your reports at so we can display them on our case study page and share good practice within our CSH Networks. 

Poster Template

This provides a strcuture for presenting your project at a conference or meeting