This chapter presents a preliminary consideration of initiatives for quality assurance, accreditation and recognition of qualifications that might be taken by key stake-holders – higher education institutions, quality assurance and accreditation agencies, recognition agencies, professional bodies and governments – to better meet the challenges of growth and diversity of cross-border education provision and the emergence of for-profit providers. Key issues and possible initiatives are discussed, such as: how to enhance the protection of students/learners of higher education from degree mills and qualifications of limited value; the suggested establishment of an international database on recognised higher education institutions; the need for comprehensive quality assurance and accreditation systems at the national level; and ...