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Tell Nursing Times how the NHS can better deliver change


Nursing Times is launching a campaign in collaboration with sister title Health Service Journal to help the NHS achieve transformational change and challenge top-down leadership.

“Challenge Top Down Change” aims to identify a series of ideas and solutions to help NHS organisations drive real and sustainable change.

Over the next 10 weeks we will be asking NHS employees at all levels, as well as patients and other interested parties, to share their ideas on how the NHS could work better.

NHS IQ logo

Working together with NHS Improving Quality and our sister title HSJ, we will aim to challenge the NHS, its workforce and its leaders to think about how to introduce and support change across all levels of the organisation.

In March, our campaign will culminate in the publication of an interactive guide to help NHS organisations deliver “bottom-up” change.

With the help of the crowdsourcing tool Clever Together, which was co-created with frontline staff, we are inviting readers and others to join our conversation in three steps. We will ask for your ideas on how to enable meaningful and implementable change in the NHS. All ideas will be shared anonymously.

You can help us filter the best ideas (by voting them up or down and by commenting directly). Then in March we will publish the best solutions in a free interactive guide.

More from the Challenge Top Down Change campaign

While the NHS has been at the forefront of innovation in terms of new technologies and processes, these have often failed to filter through the system and there has been a lack of sharing collective intelligence amongst teams and organisations.

The latest policy vision for the health service, the NHS Five Year Forward View, points to “the great strengths” of the NHS, however it also says that “sometimes the health service has been prone to operating a ‘factory’ model of care and repair, with limited engagement with the wider community” and a “short sighted approach to partnerships”.

So how do we help bring about positive change that can be disseminated throughout? Your expertise is essential to this debate.

The campaign will launch this Friday and readers will receive an email inviting them to share their ideas via the Clever Together website. 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.

Invitations will be sent to Nurisng Times’ readers this week. You can also send your suggestions to


Readers' comments (11)

  • Let us address good old restrictive practice, ring fencing of back pain by Physiotherapy, open up this area to Nursing Care, too often innovative concepts are resisted by disbelief that simple Nursing practice can relieve Referred Leg and Chronic Lower Back Pain using the Mysingy Protocol, people can be pain free in one session treated in Primary Care or their own home, relieving pressure on A&E and reducing the £1.6 Billion back pain bill by 70%.

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