Leading Change Adding Value - elearning for healthcare
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About Leading Change, Adding Value

Leading Change, Adding Value (LCAV) is the national framework for nursing, midwifery and care staff within England. It builds on the successful Compassion in Practice vision and strategy (2012) with the 6Cs remaining as the inherent core values. However, LCAV was developed to enable nursing, midwifery and care staff to also apply an equal importance to ‘quantifying’ and ‘measuring’ the outcomes of their work as they do to demonstrating the quality and compassion that the professions are recognised for.

LCAV is about all nursing, midwifery and care staff, no matter what their role is or where they work, and how they can look at what needs to change or could be changed to improve services, experiences and outcomes for patients, individuals and populations. Of course, many colleagues already do this as part of their everyday practice, however, much of this essential work can often remain hidden or misunderstood, as some of it is not easily measured, captured or shared.

Therefore, the framework specifically looks at reducing ‘unwarranted variation’, where standards of care are not equal and how we can make sure that by seeing where inequalities exist and changing them, everyone can receive the same highest standards of
better outcomes, better experiences and better use of resources.

It is recognised that this is a new way of working for many and that some of the language and principles are unfamiliar. Therefore, Health Education England (HEE) and NHS England have jointly led a piece of work to develop the relevant LCAV learning tools for staff across the health and care sectors. Through this partnership, and supported by the elearning for healthcare team (elfh), an elearning session has been produced.

The aim of this elearning session is to provide an opportunity to build, or strengthen current knowledge and skills in the understanding of the impact of unwarranted variation on individuals and populations and help lead the change required to address this. The central ethos of LCAV is that everyone is a leader, no matter where they work or whatever role they have.

The elearning session should take approximately 20-25 minutes. The key themes are:

i) An introduction to the LCAV framework

ii) Alignment to FYFV and narrowing the 3 gaps

iii) What is unwarranted variation?

iv) What are the triple aim outcomes?

v) What are the ten aspirational commitments of LCAV?

vi) Signposting to further reading and resources

vii) Short learning recap and quiz

How to access

In order to access the Leading Change, Adding Value programme, you will need an elfh account. If you do not have one, then you can register by selecting the Register button below.

Register >

To view the Leading Change, Adding Value programme, select the View button below. If you already have an account with elfh, you will also be able to login and enrol on the programme from the View button.

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NHS healthcare staff in England

The Leading Change, Adding Value programme is also available to NHS healthcare staff via the Electronic Staff Record (ESR). Accessing this elearning via ESR means that your completions will transfer with you throughout your NHS career.

Further details are available here.

Not an NHS organisation?

If you are not an NHS health or care organisation and therefore do not qualify for free access elfh Hub, you may be able to access the service by creating an OpenAthens account.

To check whether or not you qualify for free access via OpenAthens, you can view the eligibility criteria and register on the ‘OpenAthens’ portal.

Registering large numbers of users

If you are a HR, IT or Practice Manager and would like to register and enrol large numbers of staff within your organisation for access onto the Leading Change, Adding Value programme, please contact elfh directly.

Organisations wishing to use their own LMS

For HR departments wanting to know more about gaining access to courses using an existing Learning Management System please contact elfh directly to express interest.

More information

Please select the following link for more information on how to use the elfh Hub.

elfh is a NHS England programme in partnership with the NHS and professional bodies