Kirkham R, et al. – The Northern Territory (NT) Diabetes in Pregnancy Partnership was established to enhance systems and services to improve health outcomes. Using a process evaluation, researchers reported on health professional’s perceptions of models of care and related quality improvement activities since the implementation of the Partnership. Through supporting the development of improved systems that enhance models of care, the Partnership had facilitated quality improvement. Persisting challenges were identified for delivering care to a high–risk population, however, improvements in formal processes and structures, as demonstrated in this work thus far, played an important role in work towards improving health outcomes.