Developing People Improving Care


Evidence-based national framework to guide action on improvement skill-building, leadership development and talent management for people in NHS-funded roles.

Developing People Improving Care PDF, 1.6 MB

The first iteration of a national framework for action on improvement and leadership development in NHS-funded services.

A vision for improvement and leadership

Changing demands on health and care services are creating different development needs among staff in NHS-funded services across England. We want to equip and encourage staff to deliver continuous improvement in local health and care systems and gain pride and joy from their work.

Our vision is for team leaders at every level of the NHS to develop improvement and leadership capabilities among their staff and themselves. This will help protect and improve services for patients in the short term and for the next 20 years.

Purpose of the framework

The framework focuses on helping NHS and social care staff to develop four critical capabilities:

  • systems leadership for staff who are working with partners in other local services on ‘joining up’ local health and care systems for their communities
  • established quality improvement methods that draw on staff and service users’ knowledge and experience to improve service quality and efficiency
  • inclusive and compassionate leadership, so that all staff are listened to, understood and supported, and that leaders at every level of the health system truly reflect the talents and diversity of people working in the system and the communities they serve
  • talent management to support NHS-funded services to fill senior current vacancies and future leadership pipelines with the right numbers of diverse, appropriately developed people

Professor Don Berwick about the role of learning and leadership in driving improvement.

Our former Chair, Ed Smith, discusses 'Developing People Improving Care', exploring why he thinks it's important and how the NHS can work together to improve leadership across all levels.

Help us improve the framework

Tell us what you think of the framework: join the conversation on Twitter using #AllLeadAllCare

Who is behind the framework?

The framework has been co-developed by the Care Quality Commission, Department of Health, Health Education England, Local Government Association, NHS Clinical Commissioners, NHS Confederation, NHS England, NHS Improvement, NHS Leadership Academy, NHS Providers, NICE, Public Health England and Skills for Care.

Members of the National Improvement and Leadership Development Board describe their vision for the future.

Our commitment

To demonstrate our commitment to implementing the framework and making the required changes happen, we have all pledged to model inclusive, compassionate leadership in all our dealings with the service and in our own organisations.

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