Your browser is no longer supported

For the best possible experience using our website we recommend you upgrade to a newer version or another browser.

Your browser appears to have cookies disabled. For the best experience of this website, please enable cookies in your browser

We'll assume we have your consent to use cookies, for example so you won't need to log in each time you visit our site.
Learn more


How to take part in our challenge top down change campaign

  • Comment

‘Challenge Top-Down Change’ is a three month campaign by Nursing Times, our sister title HSJ, and our partner organisation NHS Improving Quality.

Our aim is to challenge the NHS – its workforce, leaders and patients - to think about how to introduce and support change ideas that come from all levels.

In large organisations, change is often delivered in a top-down way but we believe that drawing ideas from a wider pool of people can only enhance the transformation process and lead to a better number of solutions to everyday and complex problems the NHS is facing.

With the help of the crowdsourcing platform Clever Together we are seeking views on how to achieve and support ‘bottom-up’ change in the NHS.

We will structure our campaign in three stages. First, we will ask for your ideas on how to enable meaningful and implementable change in the NHS.  All ideas will be shared anonymously. Next, we’ll ask you to help us filter the best ideas (by voting them up or down and by commenting directly). Finally, in March 2015, we’ll publish the best solutions in a free interactive guide.

Get involved. Let’s discover what the collective brilliance of the NHS can deliver.

Go to

The site can be accessed from any computer or mobile device at any time and all comments and ideas shared are anonymous and so treated equally. You will receive an invitation email with login details to take part, but if you’re not receive an invite please email

  • Comment

Have your say

You must sign in to make a comment

Please remember that the submission of any material is governed by our Terms and Conditions and by submitting material you confirm your agreement to these Terms and Conditions. Links may be included in your comments but HTML is not permitted.