This workbook outlining the ENQUIRE system is intended to be a practical guide to establishing and running quality assurance programmes for health and social care. The workbook is based on a number of conceptual tools, which provide both a framework for quality assurance, and assistance in appreciating its full potential. The primary aim of the book is to provide managers, front-line workers, external and internal "inspectors", informal carers and service users, with a shared framework for consultation and evaluation of the quality of services. The workbook is predominantly concerned with community and long-term care, that is with health and social care provided by a range of agencies to people requiring long-term support. however, it has applications in acute and community services and can be used in residential and hospital provision. The ideas contained in this book can be developed in a variety of way, and it will be seen that the basic concepts are relevant to a wide variety of health and social services applications.