Six practical change areas to support stronger, joined-up improvement.
This section sets out six High Impact Change (HIC) areas with tangible, step-by-step actions. Each area follows a consistent structure: the problem; reflections from intermediate care professionals; recommended actions; potential impact. All actions set out here are recommendations based on engagement with the sector.
The six change areas are interdependent. Effective leadership and governance (HIC B) must underpin joint commissioning (HIC C). Operational grip (HIC A) is a prerequisite for data-driven improvement. Systems should sequence their work accordingly rather than treating all six areas as separate asks.
Click on each area of governance below:
Main sections: