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Study Documents

Below you will find relevant documentation for the Perioperative Quality Improvement Programme. This page will be updated as and when new documents are available.  If you have any queries please contact us at

NIHR Portfolio: 

CPMS ID 32256

PQIP Local Team Action Timeline

Data Collection Flowchart 

Data Collection Form 

CRF (Word)

Guide for Follow Up Calls

6-month Follow Up Guide Script
One Year Follow Up Guide Script

Standard Operating Procedures

Standard Operating Procedures (Word)
Standard Operating Procedures (PDF)

Procedures included in PQIP

List of PQIP Procedures

Invitation Letter

Cover letter to accompany PIS if sites choose to post it out to eligible patients
PQIP Patient Participation Invitation Letter v3 24.04.2017

Health Research Authority – Ethics Approval

PQIP Research Database Ethics Approval Letter
PQIP Patient Research Study REC Approval Letter
PQIP Patient Study HRA Approval Letter
PQIP Patient Study IRAS Form
PQIP Patient Study Statement of Activities 
PQIP Patient Study Schedule of Events 
UCL Insurance Policy
UCL Insurance Letter of Confirmation 


Substantial Amendments

Notice of Substantial Amendment 1.0
Categorisation of Substantial Amendment 1.0 
REC Approval of Substantial Amendment 1.0 26.10.2016 
HRA Approval of Substantial Amendment 1.0  27.10.2016

Notice of a Substantial Amendment 2.0  01.12.2016
Categorisation of Substantial Amendment 2.0  23.12.2016
Acknowledgement of Substantial Amendment 2.0  19.12.2016
REC Approval of Substantial Amendment 2.0 05.01.2017
HRA Approval of Substantial Amendment 2.0 30.01.2017

Notice of Substantial Amendment 3.0 28.03.2017
REC Approval of Substantial Amendment 3.0 28.06.2017
HRA Approval of Substantial Amendment 3.0 19.07.2017

Notice of Substantial Amendment 4.0 20.10.2017
REC Approval of Substantial Amendment 4.0 26.12.2017
HRA Approval of Substantial Amendment 4.0 

Non-Substantial Amendments 

Notice of Minor Amendment 1.0  27.10.2016
Categorisation Confirmation for Minor Amendment 1.0 15.11.2016
Notice of Minor Amendment 2.0  01.12.2016 
Categorisation of Minor Amendment 2.0  09.01.2017      
Notice of Minor Amendment 3.0 02.02.2017
Categorisation of Minor Amendment 3.0 16.02.2017
Notice of Minor Amendment 4.0 02.03.2017
Categorisation Confirmation of Minor Amendment 4.0 02.03.2017
Notice of Minor Amendment 5.0 19.06.2017
Categorisation of Minor Amendment 5.0 30.06.2017
Notice of Minor Amendment 6.0 17.07.2017
Categorisation of Minor Amendment 6.0 04.08.2017
Notice of Minor Amendment 7.0 11.08.2017
Categorisation of Minor Amendment 7.0 25.08.2017
Notice of Minor Amendment 8.0 08.12.2017
Categorisation of Minor Amendment 8.0 15.12.2017 
Notice of Minor Amendment 9.0 16.02.2018
Categorisation of Minor Amendment 9.0 28.02.2018
Notice of Minor Amendment 10.0 10.08.2018
Categorisation of Minor Amendment 10.0 31.08.2018
Notice of Minor Amendment 11.0 29.10.18
Categorisation of Minor Amendment 11.0 03.12.18

Caldicott Guardian Agreement Form

Caldicott Guardian Agreement Form

Information Governance Documents

Information Governance Policy
Information Governance Procedures for PQIP
Information Sharing Agreement (Scotland)

Job Descriptions

Local PQIP Team Job Descriptions

How To Get Involved

How to make the most of PQIP - Introduction pack for local teams
Engagement Certificate


PQIP Database Protocol v1.2 26072016
PQIP Patient Study Protocol v1.6 20102017

Patient Forms

Consent Form (PDF)
Consent Form (Word)
Patient Questionnaire Booklet
Patient Information Sheet (PDF)
Patient Information Sheet (Word)

PQIP Patient Study Poster

List of Investigators

Coming soon

PQIP Presentations

Introduction to PQIP for local teams