Working in the NHS

As nursing, midwifery and care staff working in today’s NHS we are expected to deliver high quality care and be skilled in managing resources and leading change.

By using the framework we can work to identify and reduce unwarranted variation, ranging from small scale interventions up to large scale transformational change.

As a starting point, work is planned on programmes where nursing, midwifery and care staff can take the lead in addressing unwarranted variation in areas that cut across the NHS, independent care sector and local authorities. The intention is to encourage similar efforts in other areas, such as in care homes where staff can use the approach for both small and large scale projects and large ones.

There is a huge opportunity for nursing, midwifery and care staff to lead this work.


In this section you will find external resources which support the delivery of Leading Change, Adding Value within the NHS.

Falls improvement collaborative: provider stories: Read how pilot organisations that took part in an NHS improvement collaborative are identifying and addressing unwarranted variation to prevent and reduce instances of falls in hospitals and provide an update of their progress.

NHS Careers: Make a difference with a career in health. Get all the information you need to take the next step in your career.

NHS Employers:  The voice of employers in the NHS, supporting them to put patients first.

Transforming perceptions of nursing and midwifery – Find out how you can get involved in the work to transform the perceptions of the nursing and midwifery professions.