This document discusses developing quality improvement action plans for antenatal and newborn screening services. It explains that a good action plan clearly identifies issues to address, involves stakeholders, uses clear language and formatting, prioritizes targets and outcomes, focuses on improvements, and includes monitoring indicators and criteria for recognizing progress. It also outlines the process of constructing, implementing, evaluating, and auditing an action plan. Leaders must have oversight of implementation and ensure resources are available to execute, assess, and audit the quality improvement plan.