Leading Change, Adding Value:
A framework for nursing, midwifery and care staff
Leading Change, Adding Value is a framework for all nursing, midwifery and care staff. It can be used by everyone, wherever you work and whatever your role. It has been developed with a wide range of national organisations, staff representatives, people we care for, carers and the public.
About the framework
Nursing, midwifery and care staff have a crucial role to play in closing the three gaps identified in the Five Year Forward View – the health and wellbeing gap, the care and quality gap, and the funding and efficiency gap, by making sure the activities we do are of high value. The 6Cs remain the value base in all that they do.
The framework highlights the need to focus on unwarranted variation – variations in health and care outcomes, patients’ experience and use of resources that cannot be justified by reasons of geography, demography, or infrastructure.
Nursing, midwifery and care staff form the largest proportion of the health and care workforce, they have a key, leadership role in delivering a positive impact on outcomes, experience and better use of resources – the triple aim outcome measures.
Watch a short video about Leading Change, Adding Value
Short video from Chief Nursing Officer for England Professor Jane Cummings about how nurses, midwives and care staff can make a huge difference by leading change and adding value.
There are a number of tools and resources available that will help you understand, promote and implement Leading Change, Adding Value.
You can download the Leading Change, Adding Value Framework, associated summary documents, and promotional material that will help to let people know about the framework.
Video case studies
Hear nursing, midwifery and care staff talk about their experiences of identifying unwarranted variation and taking a lead in making the changes necessary to deliver improved outcomes, better experience and better use of resources.
Links to national organisations working together in developing and implementing Leading Change, Adding Value.