Research, evidence and policy

From Leading Change, Adding Value to helping lead implementation of the new NHS Long Term Plan (LTP).

Leading Change, Adding Value (LCAV) was published in 2016 as a framework for nursing, midwifery and care staff to help explain how to identify and address unwarranted variation in practice, to improve outcomes, experience and use of resources.

Nursing, midwifery and care staff are well aware of the positive difference that their practice makes. However, there is less awareness that the same importance needs to be applied to ‘quantifying’ and ‘measuring’ outcomes as to ensuring that quality remains at the heart of their practice and care.

The great work from LCAV has resulted in the national Atlas of Shared Learning and the complementary ‘A Research Portfolio – transformational change by nursing, midwifery and care staff across health and care ’ that provide a foundation to showcase practice and demonstrate how nursing, midwifery and care staff can build on this work and help lead the successful delivery of the LTP.

The research portfolio has been developed in close collaboration with the Council of Deans of Health (CoDoH) and other partners to showcase research that demonstrates the professions’ key contribution to previous, ongoing and future transformational change. Also, to increase the visibility and impact of nursing, midwifery and care staff research.

The development of the portfolio was overseen by a Task and Finish Group with membership of senior practice and research leaders and co-chaired by the Council of Deans of Health.

The research portfolio is a collection of research examples that demonstrate the contribution that nursing, midwifery and care staff can make to the transformation of health and care and their key contribution to delivering the Long Term Plan.

The research studies showcased in the portfolio are not representative of all nursing, midwifery and care staff research but offer a cross sectional overview of studies that demonstrate practice and research leadership and impact at diverse research expertise levels. The number of studies presented in the individual sections will be variable.

Most of the links to the studies will be freely available. You may also wish to register for an Open-Athens account, which allows quick free access to a range of journals and other evidence-based resources for health and social care staff in England. This account is available to a wide range of users, including staff in NHS and non-NHS organisations and students in England. Depending on your organisation, you might also be able to access extra content. More details are available on the National Institute for Health and Care Excellence (NICE) website.

As agreed by the Task and Finish Group, it highlights emerging, ongoing and peer-reviewed small scale published research, as well as peer-reviewed published large-scale studies which is suggested to provide robust evidence base for clinical practice, care provision and policy development. The studies cover a range of health and care areas, clinical and care priorities and proposed enablers to support implementation of research and innovation.

It has been clear from the work submitted voluntarily to the previous work that sat under LCAV and reviewed, that nursing and midwifery staff are already leading, improving work and leading research in many of these areas, such as:

  • Learning disabilities and autism
  • Mental health
  • Digital technology
  • Heart disease
  • Cancer
  • A better start – children, young people and maternal health
  • Long term conditions
  • Prevention
  • Personalised care
  • Out of hospital care
  • Urgent and emergency care
  • Ageing well

The research portfolio provides an opportunity to demonstrate the professions’ key part in this transformational change and ensuring their leadership position going forward. Further to this is the suggestion that it will provide the opportunity to engage the professions in research at different levels, including the prospect of local, national and international collaborations.

Watch this video and learn more about ‘A Research Portfolio – transformational change by nursing, midwifery and care staff across health and care’.