QCT is a membership organization. This means that all the work undertaken by QCT is done on behalf of its members. In order to reach consensus about what they want, the members meet regularly, represented in each case by delegates of their choice. This takes place in monthly Executive meetings and twice a year in so-called General Meetings. Each of these meetings is a rich exercise in ecumenical dialogue. QCT's structure, in other words, creates many spaces for dialogue between its various members.

Each year QCT elects a new President. The President is a member of QCT's Executive Committee. The annual change of presidents ensures that all active members of QCT are able to fill this leadership role at some time. Our current president is Fiona Patterson.

The staff facilitate joint action of the members of QCT in various fields, in consultation with the governing bodies and commissions.