Learning framework for Leading Change

A new way of working

Improving outcomes, experience and use of resources, by identifying and addressing unwarranted variation in practice is a key principle within Leading Change, Adding Value. However it is understood for many that this is a new way of working and there is a need to help build those knowledge and skills within the nursing, midwifery and care workforce in order to support colleagues to identify unwarranted variation in practice, and lead the changes required to address this and evaluate and evidence impact. Therefore work is progressing to develop a learning and development framework in partnership with Health Education England (HEE).

Developing a learning framework – building consensus

In order to develop a framework that can be meaningful across all health and care sectors, it has been important to start to build a consensus around the knowledge and skills that will be required.

A series of workshops have been held, with a broad mix of colleagues attending from provider and commissioning organisations, across a variety care settings and with different backgrounds such as newly qualified nurses, students, specialist nurses, educators and academics.


Feedback from those workshops has highlighted a number of key themes that are being translated in to a draft framework with a group being established to further develop the work, working with an academic partner to provide academic rigor and credibility, and identifying the next steps in supporting rollout of the framework.

Updates on the progression of this work will be posted here and we will also be looking for colleagues to comment, and test this work over the next few months – if you are interested in being involved please contact us at england.leading-change@nhs.net.