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An integrated care system identified quality improvement (QI) capacity as a gap in advancing their integrated quality care priorities and improvement efforts. Here we describe the design and implementation of a QI capacity building program that aimed to (1) build QI capacity amongst diverse integrated care system members and (2) apply QI principles to advance integrated quality care priorities.

The integrated care system leaders, including community members, partnered with the University of Toronto Centre for Quality Improvement and Patient Safety to co-design and deliver the QI capacity building program focused on improving cancer screening rates. An existing acute care capacity building program was adapted. Content included QI tools, data to identify and monitor QI priorities, equity considerations, and empowering participants as change agents.

Participants were satisfied with the content and delivery of the program. Some described using QI tools and strategies in practice following the workshop. Challenges to using the tools included the current pressures facing primary care and the health system, resources, and data availability.

This QI capacity building program was challenging but feasible. Clarifying the target audience, being attentive to co-design, acknowledging post-pandemic system challenges and proactively addressing variable knowledge and barriers to QI work in practice will inform future iterations of this program.

While many examples of QI education programs exist, the majority target a single healthcare sector. We describe a novel QI capacity building model that bridges healthcare sectors and includes patient partners and community members as teachers and participants.

The Society of the White Cross of Geneva appears to have been founded with the object of organising on an international basis the attempts that are being made at the present time in civilised countries to bring under control, and if possible to stamp out, certain abuses, frauds, and other injurious factors more or less existent in modern civilised life. Among the subjects to be dealt with are mentioned “les empoisonnements alimentaires,” and adulteration generally, and the principal part of the business of the International Congress which met at Geneva last year and whose second sitting has just ended in Paris, appears to have related to food questions. The objects aimed at by the society are, no doubt, excellent, but they are hardly likely to be attained if the procedure followed in certain respects at the Geneva and Paris Congresses is adopted in the future. Many of the questions brought before these Congresses were of a highly technical nature, and, for this reason, it was not only very desirable, but absolutely necessary that the matters under discussion should have been dealt with, so far as time allowed, by a thoroughly representative international body composed exclusively of scientific and legal experts of recognised position in their respective countries—that is to say, if the conclusions arrived at were to be taken as representing a serious expression of authoritative opinion. It does not appear that the conclusions and resolutions of these Congresses were arrived at by meetings constituted on these lines, and it is probably for this reason that very little, if any, impression has been produced by the gatherings referred to. The initial mistake appears to have been the admission of a number of people who were obviously only interested in the commercial aspects of the subjects dealt with, and who were sufficiently numerous and persistent to influence the meetings in directions favourable to what were declared to be the “requirements” of trade.

DURING the past year no little stir was caused by Lord Rosebery's speech at the opening of the new Mitchell Library. Comments on the speech were world‐wide; the “Cemetery of Books” appealed to the imagination of all. The halfpenny papers and the high class literary journals alike opened their columns to innumerable letter writers. After it is all over now and the opinions calmed down the following sentence is not far wrong: “There is little doubt that Lord Rosebery was in facetious vein, but it is curious that (in spite of the ‘surgical operation’ supposed to be necessary) only the papers north of the Tweed seem to have realized this.”