Leading Change Adding Value Framework

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

Jane Cummings CNO for England describes it as ‘a framework every nursing, midwifery and care professional, in all settings, can use to ensure that we achieve the best quality of experience for our patients and people, the best health and well-being outcomes for our populations, and use finite resources wisely to get best value for every pound spent’

The Framework builds upon Compassion in Practice and is directly aligned with the Five Year Forward View (FYFV) in seeking to develop new ways of working that are person-focused and provide seamless care across the boundary that has traditionally separated health and social care.

There are 10 aspirational commitments to consider and a call to all nurses to champion and extend their prevention and health promotion role. Although General Practice Nurses will identify their prevention and health promotion roles in delivering immunisation and screening programmes the framework sets out further guidance on meeting the challenge of antimicrobial resistance and obesity.

One of the key tasks required is the reduction of unwarranted variation – between geographical areas, between specialties and between population groups. General Practice nurses often work in isolation and may need to create more opportunities to have conversations with colleagues from other practices in order to benchmark their practice and identify potential areas of unwarranted variation in care at a local level.

While the framework reiterates many themes from recent documents its focus is to support nurses to lead change and meet the challenges of the 5YFV.

Zoë Berry
Director General Practice Nurse Programme Thames Valley
zoe.berry@hee.nhs.uk