About Us

The Quality Surveillance Team (QST), formerly National Peer Review Programme, lead an Integrated Quality Assurance Programme for the NHS and is part of the National Specialised Commissioning Directorates, Quality Assurance and Improvement Framework (QAIF).

The QST has in place four regional teams that align and engage with specialised commissioning hubs in the four NHS England regions; North, Midlands and East, London and South. The QST regional teams will be involved in the surveillance and review visits of all specialised and cancer services.

The role of the QST is to improve the quality and outcomes of clinical services by delivering a sustainable and embedded quality assurance framework for all cancer services and specialised commissioned services within NHS England.


The Quality Surveillance Team (QST) and The Quality Surveillance Programme (QSP) is the output of a taskforce review project initiated as part of NHS England’s Organisational Alignment Change Programme (OACP) / Specialised Commissioning Review with the aim of ensuring all elements of quality are considered across the system and utilised effectively to inform clinically driven change and improvement.

The aims of the project were to:

  • review existing NHS England quality assurance functions and regulatory functions
  • design a streamlined quality assurance mechanism for specialised services that:
    • Includes critical event recording
    • Measures performance against quality standards
    • Provides a seamless interface to the statutory and regulatory quality functions

The project worked with multiple stakeholders both nationally and regionally to design an appropriate quality assurance mechanism for NHS England specialised services and all of cancer services. The programme has taken the best elements of the former National Peer Review Programme and other NHS functions to develop an integrated process for quality assurance which covers all aspects of quality in particular; patient safety, patient experience, clinical effectiveness and outcomes.