Leading Change, Adding Value - NHS England

1 Leading change , Adding Value A framework for nursing, midwifery and care staff May 2016. Contents Contents Foreword Part 1 Contents 2. Towards the future Part 2 Foreword: Professor Jane Cummings, Chief Nursing Officer for England 3. Explaining the framework Part One Towards the future 5. Part 3. How the framework can be used to deliver the Part Two Explaining the framework 9. Triple Aim and reduce The 10 Commitments 13. the three gaps Part 4 Part Three How the framework can be used to deliver the Triple Aim Message from the and reduce the three gaps 34. Editorial Board Section 1 Within NHS funded services 35. Section 2 To address public health challenges 39.

2 Part 5. Tools to support the Section 3 Within social care 46. framework Section 4 An introduction to the Right Care programme 48. Appendix A. National resources: Part Four Message from the Editorial Board 50. documents, tools and references Part Five Tools to support the framework 54. Appendix B. Case studies Appendix A. National resources: documents, tools and references 56. Appendix C. Impact Measurement Framework Appendix B. Case studies 68. Appendix C. Impact Measurement Framework 112. NHS England publications gateway approval number: 05247. This information can be made available in alternative formats such as easy read or large print and may be available in alternative languages upon request.

3 Please contact 0300 311 22 33 or email Leading change , Adding Value - May 2016 2. Contents Foreword Foreword Professor Jane Cummings, Part 1 Chief Nursing Officer for England Towards the future Part 2 It is four years since I took on the role of Explaining the framework Chief Nursing Officer for England and it remains a huge privilege to work with and Part 3. How the framework can lead the nursing, midwifery and care staff be used to deliver the within this country. Triple Aim and reduce I remain immensely proud of our professions, the three gaps the way in which we continue to strive to improve care experiences and outcomes, Part 4. Message from the adapting our approach as needed to ensure Editorial Board we do our very best in each situation.

4 I. want to particularly thank you all, for what Part 5 has been achieved over the last three years Tools to support the through Compassion in Practice and I want framework each one of you to be proud of how we have together restored public confidence and pride Appendix A in our professions. 2016 sees the conclusion National resources: of Compassion in Practice and with your help documents, tools and references its legacy and the learning gained from it, has helped to shape this new framework. Appendix B As Chief Nursing Officer for England and on behalf of other senior Case studies professional leaders in England , I am delighted to launch Leading change , Adding Value .

5 It is a framework every nursing, midwifery and care Appendix C professional, in all settings, can use to ensure that we achieve the best quality Impact Measurement of experience for our patients and people, the best health and well-being Framework outcomes for our populations, and use finite resources wisely to get best Value for every pound spent. We are a huge community of practitioners who make a difference to people's lives, health and wellbeing every day. We have just over 543,000 registrants in England . 50,000 of these registrants work in adult social care alongside their million care assistant colleagues. The impact and leadership ability of our workforce is phenomenal.

6 Together we need to recognise the potential to manage the challenges of today and shape the future. Everyone can influence and lead improvement, whether in the 3,500 care homes in England or when delivering care and support to the 1 million people who are treated every 36 hours within NHS funded services. Leading change , Adding Value - May 2016 3. Contents This framework encourages us all to reach further both individually and collectively. To do this we need to focus on what is important and connect Foreword with each other so we achieve more for patients and people and also for our professions. Part 1. Towards the future The key leadership contribution of nursing, midwifery and care staff is crucial to maintaining high standards and delivering change .

7 Leading Part 2. change , Adding Value sets out our shared ambitions and commitments that Explaining the framework demonstrate our leadership potential and the role we can and must play. I am excited about what this new framework will help us achieve in the Part 3 coming years. How the framework can be used to deliver the Professor Jane Cummings, Triple Aim and reduce Chief Nursing Officer for England the three gaps Part 4. Message from the Editorial Board Part 5. Leading change unwArrAnted VAriAtion Adding Value Tools to support the framework Health an d wellbein g Appendix A. National resources: Better documents, tools outcomes and references Better Care and quality experience Appendix B Better use Case studies of resources Appendix C.

8 Iency Impact Measurement d effic ng an Framework Fundi Leading change , Adding Value - May 2016 4. Contents Foreword Part 1. Towards the future Part 2. Explaining the framework Part 3. How the framework can be used to deliver the Triple Aim and reduce the three gaps Part 4. Message from the Editorial Board Part 5. Part One Tools to support the framework Appendix A. Towards the future National resources: documents, tools and references Appendix B. Case studies Appendix C. Impact Measurement Framework Leading change , Adding Value - May 2016 5. Contents Part One Foreword Towards the future Part 1. Towards the future We live in a changed world - technologically, socially, environmentally - Part 2 from that inhabited by our parents and grandparents.

9 The pace of change Explaining the framework is sometimes so great it is hard to imagine what the future will look like. Though the world has changed, our values haven't. As nursing, midwifery Part 3. and care staff we know that compassionate care delivered with courage, How the framework can be used to deliver the commitment and skill is our highest priority. It is the rock on which our efforts Triple Aim and reduce to promote health and well-being, support the vulnerable, care for the sick the three gaps and look after the dying is built. In just 20 years from now, the UK's population will include million people Part 4. over the age of 85, and many will be over 100 (Office for National Statistics).

10 Message from the Editorial Board Technology will assist us in caring for this ageing population, by measuring vital signs, indicating when individuals need to exercise more, eat less, take Part 5 medication or seek help - often from their own homes, without needing to Tools to support the cross the threshold of the GP surgery or hospital department. framework The digital technology underpinning the health and care system will have developed significantly. The health and care system will look very different. Appendix A. National resources: People's confidential health records will be held securely but remain documents, tools accessible, with the individual's consent, to professionals directly involved and references in their care; quickening response times and improving emergency care.