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Cholecystectomy Quality Improvement Collaborative – Extended Reach (CholeQuIC-ER)

CholeQuIC-ER (Cholecystectomy Quality Improvement Collaborative-Extended Reach) aims to reduce variation and improve the quality of care for patients with acute gallstone disease.


Between 2016 and 2018, the Royal College of Surgeons Cholecystectomy Quality Improvement Collaborative (Chole-QuIC) supported 13 hospitals to improve care for patients with acute gallstone disease.

Our analysis suggests that participating trusts  saved an average of £38,586 a year as a result of increased emergency cholecystectomies.1

Evaluation publications

Our published evaluation papers (listed below) demonstrate that participating hospitals substantially improved outcomes for patients by significantly reducing time to surgery for patients needing an emergency cholecystectomy. 

  • Understanding the influences on successful quality improvement in emergency general surgery: learning from the RCS Chole-QuIC project -  Implementation Science.
  • Effectiveness of a quality improvement collaborative in reducing time to surgery for patients requiring emergency cholecystectomy - BJS Open.


CholeQuIC-ER launched in July 2019. The project is working with 25 trusts/health boards across the UK to radically improve outcomes for their patients with gallstone disease by implementing the learning from Chole-QuIC.


What are the benefits?

  • support from clinical and QI experts through on-site coaching sessions, email support and teleconferences;
  • peer collaboration with colleagues at participating sites;
  • attendance at webinars and collaborative events;
  • advice and support from Chole-QuIC Alumni;
  • specially designed programme to meet your trust or health board’s specific needs;
  • bespoke “improvement pack” for your trust or health board;
  • the opportunity to deliver improvements that save your service money.




Feb 19 – May 19

1) Initiation: recruitment, payment and set-up

May 19 – Jul 19

2) Launch and testing

Aug 19 – Apr 20

3) Demonstrating improvement

May 20 – Jun 20

4) Close and sustainability


CholeQuIC-ER sites


Aneurin Bevan University Health Board


Belfast Health and Social Care Trust


Brighton and Sussex University Hospitals NHS Trust


Cardiff & Vale University Health Board


Croydon Health Services NHS Trust


Cwm Taf Morgannwg University Health Board


Dartford and Gravesham NHS Trust


East Lancashire Hospitals NHS Trust


Gloucestershire Hospitals NHS Foundation Trust


Great Western Hospitals NHS Foundation Trust


Imperial College Healthcare NHS Trust


Kingston Hospital NHS Foundation Trust


Manchester University NHS Foundation Trust


North Cumbria University Hospitals NHS Trust


North Middlesex University Hospital NHS Trust


Royal Devon and Exeter NHS Foundation Trust


Royal Free London NHS Foundation Trust (Royal Free London Group)


Royal Surrey County Hospital NHS Foundation Trust


South Tees Hospitals NHS Foundation Trust


The Dudley Group NHS Foundation Trust


The Royal Bournemouth and Christchurch NHS Foundation trust


United Lincolnshire Hospitals NHS Trust


University Hospitals of North Midlands NHS Trust


Western Health and Social Care Trust


Wrightington, Wigan And Leigh NHS Foundation Trust


CholeQuIC-ER site requirements

The cost per trust or health board to participate in CholeQuIC-ER is £8,000. In addition, sites and health boards need to cover their travel and expenses.

The named project lead should be allocated at least ½ PA in their job plan to lead the project locally.

Registration closed on 17 May 2019.


Contact details

If you have any questions call 0207 869 6264 or email 



1 Analysis from the Chole S study and our own calculations based upon tariffs suggests a minimum saving of £38,000 per annum (analysis available on request). This is likely to be a conservative estimate as it does not account for savings made from preventing the multiple re-admissions that a third of acute biliary patients suffer pre-surgery



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