Guides and frameworks

Enabling change through communities of practice: Wellbeing Our Way

In June 2014, National Voices set out to explore and test how communities of practice could facilitate the spread of large-scale change across England’s voluntary sector working for health and wellbeing.

This publication reflects on our experiences over the last 3 years, and in the spirit of communities of practice, aims to share reflections in order that others can use our learning.

Principles for integrated care

The lack of joined-up care is the biggest frustration for patients, service users and carers. Conversely, achieving integrated care would be the biggest contribution the health and care services could make to improving quality and safety.

Patients, service users and carers want continuity of care, smooth transitions between care settings, and services that are responsive to all their needs together.

Six principles for engaging people and communities


The six principles were developed by the People and Communities Board, in conjunction with the new models of care ‘vanguards’ sites, to give practical support to services as they deliver the ‘new relationship with people and communities;’ set out in NHS England's Five Year Forward View.

These ‘six principles’ set out the basis of good person-centred, community-focussed health and care.

The six principles require that:

Ambitions for Palliative and End of Life Care

This framework is aimed at local health and social care and community leaders and sets out six ‘ambitions’ – principles for how care for those nearing death should be delivered at local level. It builds on the Department of Health’s 2008 Strategy for End of Life Care and responds to an increased emphasis on local decision making in the delivery of palliative and end of life care services since the introduction of the Health and Social Care Act 2012.

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