The NHS Modernisation Agency, through its work with thousands of NHS clinical teams, has identified ten high impact changes that organisations in health and social care can adopt to make significant, measurable improvements in the way they deliver care.  

We know they work... the changes draw on the learning from our work and build on the successes already achieved. They are rooted in the day-to-day experience and achievements of thousands of frontline clinical teams right across the NHS.

And we can prove it... the high impact changes are evidence based. They have been field tested and evaluated in real life NHS settings and developed and adapted to have the best chance of success.

If the principles were adopted systematically by the whole NHS:

• the experience of patients would be greatly enhanced by more appropriate and timely care
• hundreds of thousands of clinician hours, hospital bed days and appointments in primary and secondary care would be saved
• clinical quality and clinical outcomes would be tangibly improved
• it would be easier to attract and retain staff and there would be more enjoyment and pride at work