By the end of April 2018, we had 95 active projects registered within the QI team. The team is working closely with the Lothian QI Academy to ensure that staff, from all areas and disciplines, have access to training. The programme now has 92 practitioners trained through the QI Skills course and 18 through Planning for Quality. Through a system of formal coaching and support, the team is trying to ensure that this learning can be translated into effective projects delivering improvements in clinical services. Strategies have been developed to celebrate and disseminate the results of individual projects locally through a QI Network, a Newsletter and the Clinical Change Forum. The publication and presentation of projects at national learning events has been particularly encouraged.