 In 1991, Zairi was appointed as a member of the European Foundation for Quality Management (EFQM) Working Group, UK for 2 years.In 1993, Zairi was appointed by the UK Government as a Non Executive Director at Huddersfield NHS Trust since its inception as a Trust.During a period of six years (1993-1999), he has made significant contributions in various aspects such as support in the development of a Risk Management Strategy based on Quality Principles, which later became one of the flagships of the Trust and was adopted widely by other Trusts; the encouragement of the Trust to gain ISO 9000 Certification in several of its support services and the contribution of various papers and debates for the development of a seamless and patient orientated healthcare delivery approach.