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The Commitments

Policy & Management

Leading Change, Adding Value

This is a new new framework,  aligned to the Five Year Forward View (https://www.england.nhs.uk/ourwork/futurenhs/) 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, and better use of resources.

The framework shows how staff can focus on unwarranted variation  in health and care outcomes, patients’ experience and use of resources that cannot be justified by reasons of geography, demography, or infrastructure, and help close the three gaps identified in the Five Year Forward View:

  • The health and wellbeing gap
  • The care and quality gap
  • The funding and efficiency gap

The framework builds upon and complements the 6Cs, and comprises 10 'aspirational' commitments which will help to close these gaps and assist in demonstrating the Triple Aim outcomes. These commitments can be applied locally in any environment (primary and secondary care) and at any level.

The commitments are:

  • Commitment 1 - We will promote a culture where improving the population’s health is a core component of the practice of all nursing, midwifery and care staff
  • Commitment 2 - We will increase the visibility of nursing and midwifery leadership and input in prevention
  • Commitment 3 - We will work with individuals, families and communities to equip them to make informed choices and manage their own health
  • Commitment 4 - We will be centred on individuals experiencing high value care
  • Commitment 5 - We will work in partnership with individuals, their families, carers and others important to them
  • Commitment 6 - We will actively respond to what matters most to our staff and colleagues
  • Commitment 7 - We will lead and drive research to evidence the impact of what we do
  • Commitment 8 - We will have the right education, training and development to enhance our skills, knowledge and understanding
  • Commitment 9 - We will have the right staff in the right places and at the right time
  • Commitment 10 - We will champion the use of technology and informatics to improve practice, address unwarranted variations and enhance outcomes