Two hundred and seventy one national, regional and local patient/health advocacy groups across England and Wales participated in survey, exploring their opinions on the subject of patients' quality of life. Together4Health worked with PatientView and HSCNews International to undertake a survey of patients on the subject of their quality of life generating responses from 3,471 patients. The two surveys together rank among the world's largest on the topic of patients' quality of life. They were also unique in being the first surveys ever in which patients themselves defined what constitutes their quality of life. A peer-reviewed article on the QALYity Project/PatientView England and Wales survey was published in the British Journal of Healthcare Management (BJHCM), July 2008, vol 14, no 7. The QALYity Project led to the creation of Expect Health, a social enterprise that promotes quality living for people with a long term mental or physical health problem.