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If there are any resources you can’t find please contact us via email: england.icbd@nhs.net


Current work by the NHS England Sustainable Improvement Team includes:

Leading Large Scale Change

Working together with the Horizons Team, we have refreshed and updated the Leading Large Scale Change: A Practical Guide, to reflect today’s unique health and care landscape and challenges. The refreshed guide provides a vital and comprehensive round-up of all the latest thinking and practical approaches and tools that can be used in advancing large scale change programmes.

Change Model

The Change Model is a framework for any change programme which is seeking to achieve transformational, sustainable change. The model has eight elements that should be considered when leading change:

These eight elements help to create an environment where change programmes can make a real difference and deliver transformational, sustainable change.

Impact Framework

In today’s challenging health and care landscape, it is more important than ever to evidence the value of our work. Yet traditional approaches to evaluation can often underestimate the impact and value of improvement work.

Drawing from traditional and more innovative evaluation approaches, NHS England’s Sustainable Improvement team has developed an Impact Framework designed to capture the full value of improvement work. It uses theory of change and a narrative approach to bring rich sources of evidence to life.

The framework is applicable to quality improvement and transformational change programmes where evidence is harder to capture.

Source 4 Networks

Source 4 Networks provides an easy way to keep up-to-date with best practice, case studies, methodology, and access to network development tools, and to be a part of a thriving community of network leaders from across the health and care system.

The platform is comprehensive and evidence-based, and aims to enable network leaders to undertake comprehensive diagnosis of the effectiveness and impact of their networks.