The 'second conversation', led by a junior doctor, gives patients, carers and family members the time and space to reflect on significant news and ask questions.

Royal College of Physicians Quality Improvement (RCPQI) aims to bring together existing quality improvement work within the RCP, as well as developing new infrastructure and approaches, to support and promote a continuously improving healthcare system.

Learning to Make a Difference was a programme designed to empower junior doctors through the development of quality improvement skills, which can then be put into practice to make a real difference in patient care.