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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)

  • Laha78

    HA!! Genuinely wouldn't know where to begin!

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  • A good start would be for NHS staff to feel they are respected and their job is worthwhile. So, a pay increase in line with inflation, including the pay we have missed for the past few years, would be a good start. How about the opportunity of career progression with better access to training.

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  • I would make the NHS independent from any government changes like the Bank of England. Anyone deciding on changes to be made should not be doing it for political reasons. Those who work within the NHS are best placed to know how to run it.

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  • A big help for the nhs especially A & E would be for GP and practice nurses to work 7 days a week on parr with the rest of the health service. Patients would not waste time going to A & E as would have access to their gp and seeing the practice nurse at weekends as well would free up district nurses to care for there all ready busy caseload.

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  • Clare Goodyear | 8-Jan-2015 8:09 pm

    as most of society now works on a 7/7 basis it seems to make good sense and should be possible to arrange without all the usual excuses of funding, staffing, etc.

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  • When there is too little diversity on boards and too little evidence-based research consulted, too much weight is given to scaremongering… Consequence - employment of low calibre staff on funded care teams to ensure that appropriate funding gets withheld in residential care.The elderly have been deprived of intelligent residential care making it too costly and inhumane quite unnecessarily. Knock on effect - too many ailments that could have been nipped in the bud through "intelligent residential care" ending up needing costly medical care often with avoidable emergency hospital admissions.

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  • Get rid of the many layers of bureaucratic layers of none clinical staff and spend the money on nurses

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  • Far too many chiefs and not enough

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  • Far too many chiefs and not enough

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  • Remove the NHS from governmental influence.
    Form an adequately representative, open, transparent and accountable Independent body of elected and possibly unpaid personnel from all branches of the Health Services, Financial, Business, Philanthropic, Charity, Religious and Governmental sectors.
    The Independent Body can be free to:
    1. Evaluate all the global Care models.
    2. Ask 'The People' what they want from their
    health Services and how much they are
    prepared to pay for it.
    3. Give all health Care Workers the salary,
    working conditions, and patient/staff ratio
    that they deserve and are entitled to.
    4. Present their proposed model.
    5. Tell 'the people' how much this will all cost,
    how much we will all have to pay, when it
    will begin and the stages of

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