Leading Change, Adding Value

Leading Change, Adding Value: an update

Leading Change, Adding Value, is the national framework for all nursing, midwifery and care staff in England. Since its launch in May 2016, events have been taking place across the country to raise awareness about the framework.

We are encouraging colleagues to read the associated documents and  consider what the framework means to you and how it can support you in working with individuals and populations.

Work is progressing on the implementation of the framework and we’re currently working with a number of partners to develop a new Leading Change, Adding Value website. The website will be a place where you can access tools and resources that will support you to identify and address unwarranted variation in practice. You’ll also be able to read helpful case studies and watch videos supporting implementation and application of the framework. Regular updates from our national and regional teams about their work around implementation of the framework will be posted for information.

We’ll be launching the new website in a few weeks, but in the meantime, please share the framework with colleagues and familiarise yourself with it. If you’d like to talk to us about anything to do with the framework, you can send us an email or tweet us @6CsLive using #Lead2Add.

A framework for nursing, midwifery and care staff


Leading Change, Adding Value is a new national framework for all nursing, midwifery and care staff in England, wherever you work and whatever role you might have.

Download: Leading Change, Adding Value – a framework for nursing, midwifery and care staff.

What does the framework do?

Leading Change, Adding Value is a framework aligned to the Five Year Forward View that nursing, midwifery and care staff, whatever their role or place of work, can use to lead on delivering the ‘triple aim’ measures of better outcomes, better experiences for patients and staff, in addition to making better use of resources.

It shows how nursing, midwifery and care staff can help close 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 while retaining the well-recognised ‘6Cs as being central to all that they do.

It 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.

It has been co-developed over the last nine months with colleagues from a wide range of national organisations, practitioners, people we care for, carers and the public.

Related documents

Leading Change, Adding Value videos

Jane Cummings talks about Leading Change, Adding Value; a framework for all nursing, midwifery and care staff.

Other colleagues from around the country talk about unwarranted variation and how their organisations addressed this and confirm areas that they are committed to.

Highlights from the Leading Change, Adding Value event hosted by NHS England (South Region) in June 2016. This event was attended by nursing, midwifery and care staff who were asked to think about the 10 commitments within the framework and how these can help identify opportunities to close the three gaps as identified within the Five Year Forward View.

Get involved

Join in the Twitter conversations by following us @6CsLive or by using #Lead2Add.

You can also email england.leading-change@nhs.net to ask questions or make comments.