The Leading Change, Adding Value framework for nursing, midwifery and care staff is halfway through its three-year programme. Its initial impact was greatest with senior managers, but now the focus is on how front-line staff can make a difference

Nursing staff often have ideas on how to improve care and provide it more efficiently, but don’t get the chance to put these ideas into action. Lack of support, lack of knowledge on how to bring about change and sometimes even a sense that no one will listen to them, or that it is not their job, can prevent staff taking ideas further.