A process evaluation of the first year of Leading Change, Adding Value

Kate Zubairu, Kate Lievesley, Sergio Silverio, Stephen McCann, Jill Fillingham, Axel Kaehne, John Sandars, Lynda Carey, Susan Aitkenhead, Jeremy Brown

Research output: Contribution to journalArticle (journal)peer-review

3 Citations (Scopus)
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BACKGROUND: Leading Change, Adding Value (LCAV) is a national framework to support transformational change across health and social care. DESIGN: a qualitative approach of semi-structured interviews was used to capture information on how LCAV has been disseminated in its early stages from the perspective of key stakeholders and partners. This also included looking at how it might be embedded into everyday practice. METHODS: data collection took place over a 3-month period between January and March 2017. Twenty semi-structured telephone interviews were conducted with key LCAV partners and stakeholders from across health and social care. Perceptions were sought as to how LCAV has been, and may be, used by frontline staff following initial dissemination and any potential barriers and enablers to taking the framework forward. RESULTS: a thematic framework analysis of data identified a three-theme paradigm to evaluate LCAV: past-where has this come from? Present-where is it now? Future-where is this going?. CONCLUSION: a programme of dissemination events and examples of good practice in the form of case studies have been valuable tools to engage nursing, midwifery and care staff across health and social care. Continuing to establish networks of frontline staff engaging with LCAV and supporting each other will help facilitate best practice sharing, and multi-professional and cross-boundary working.
Original languageEnglish
Pages (from-to)817-824
JournalBritish Journal of Nursing
Issue number14
Early online date26 Jul 2018
Publication statusE-pub ahead of print - 26 Jul 2018


  • Five Year Forward View
  • Leading Change
  • Adding Value
  • Process evaluation
  • Triple aim outcomes
  • Unwarranted variation


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