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Leading Change, Adding Value: an update

29 November 2016

Hilary Garrett Deputy CNO and Director of Nursing at NHS recently led a workshop at the NCF Managers Conference 2016 on Leading Change Adding Value. Her presentation can be located here. This applies to nursing and care staff irrespective of where they are located and practice. 

Further resources



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.

NHS England is 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 they’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.

NHS England will 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 discuss anything to do with the framework, you can send NHS England an email or tweet @6CsLive using #Lead2Add

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 well-being 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. 

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