The Nursing Midwifery and Care-givers Vision and Strategy and the 6Cs provides a clear vision and principles that are meaningful for all nurses and midwives and care givers. Energise for excellence provides a great way to think about how to make this real and promote a positive profile of nursing. It is simple and practical and we are using this as part of our planned visits to providers as commissioners.

The use of the 6Cs gives us a common narrative to describe what 'nursing' encompasses and what is required of all nurses and can be expected by all patients. I agree with Lucy's comment about really linking this with E4E in terms of implementation,

Beyond the engagement phase of developing the strategy, there is a need to be really clear about the wider communication and branding of the strategy and what the 6Cs are about. Our ambition should be that every nurse and member of the public should recognise and understand them

The 6Cs are key principles that will help us to shape our behaviours. I can see how they can inform the Vision and Strategy. I can also see why this should be important for all groups of staff. Why are we limiting this to nurses and midwives? The challenge for us will be engaging staff at all levels and especially front-line staff to create the 'meaning' underpinning the principles to inform their everyday practice. The outcomes framework is helping us to focus on quality in its broadest sense. The principles equally apply to outcomes for staff (wellbeing) as well as patients and their families and caregivers.

There is a need to also influence other staff behaviours and attitudes and this needs to encompass wider staff groups.

I really like the way the vision and strategy can be easily be transfered/considered by providers as a critical platform to influence their own Quality Strategy priorities.

Additionally, the outcome measures required for commissioners to drive quality could be an addendum to the document. Happy to help scope this.