Realising the Value is a ‘blueprint for culture change’

Tue, 15 November 2016

A set of major new publications, developed in partnership with National Voices, has concluded that person-centred approaches are pivotal to improving health and care during financially restrained times.

A set of major new publications, developed in partnership with National Voices, has concluded that person-centred approaches are pivotal to improving health and care during financially restrained times.

The Realising the Value programme has conducted a thorough analysis of the evidence for person-centred approaches, worked with five frontline sites across England, and today publishes tools, recommendations and economic modelling to show how they can be successfully implemented.

The materials are designed to show the system how to make a reality of the ‘new relationship with people and communities’ set out in the Five Year Forward View.

The economic modelling conducted as part of the Realising the Value shows that person-centred approaches provide a return on investment and enable better use of limited healthcare resources.

Voluntary sector as a 'system partner'

The consortium behind the programme concluded that the voluntary sector is crucial to delivering person- and community-centred approaches. The main report recommends that the voluntary sector must become a ‘system partner’, involved in strategic processes, local decision-making structures and supported with long term core funding. 

The authors call for adequate support to be in place for staff in the voluntary, community and social enterprise (VCSE) sector, as well as volunteers and carers. The Realising the Value report cites National Voices’ Wellbeing Our Way programme as showing leadership in providing ‘critical’ support for the VCSE sector and informal workforce.

Final outputs

The final materials include:

  • Realising the Value: The central report, including 10 actions to put people and communities at the heart of health and care
  • Economic modelling: A tool for commissioners that helps build the business case by assessing the potential savings of person- and community- centred approaches, as well as the wider social benefits.
  • Practical learning and tips: Advice on designing, embedding and spreading person- and community-centred approaches
  • What the system can do: Setting out the role of national bodies in supporting the implementation and spread of person- and community-centred approaches
  • New approaches to value: A new articulation of value that focuses on what matters to people and communities, including the call for a simplified outcomes framework focused on what matters to people.

Download the resources from the Realising the Value website.

National Voices took part in the programme through the Voluntary Voices consortium, a partnership with NAVCA, Volunteering Matters and Regional Voices which brings together unrivalled voluntary sector expertise and networks.

Commenting on Realising the Value, Jeremy Taylor, chief executive of National Voices, the coalition of health and care charities, said:

The NHS Five Year Forward View said a ‘new relationship with people and communities’ was essential for improving health and care in financially straitened times. Realising the Value sets out how to make this work in practice.

It is a hugely important body of work. It redefines ‘value’ in health and care according to what matters to people, rather than the system. It provides evidence, tools and approaches that equip staff at every level of the health and care system to work in partnership with people and communities. It affirms a role for the voluntary and community sector that is no longer fringe, but core to decision making and supported through proper funding models.

Realising the Value is a blueprint for culture change and leaders across health and care now need to embrace it.

The full Realising the Value consortium was led by Nesta and The Health Foundation, with Voluntary Voices, the Behavioural Insights Team, health consultancy PPL, and the Institute of Health and Society at Newcastle University.

Sites across England have developed the person- and community-centred approaches explored in Realising the Value.

  • Peer support: Positively UK
  • Health coaching: Big Life Group
  • Self-management education: Penny Brohn UK 
  • Community asset-based approaches in a health and wellbeing context: Unlimited Potential
  • Group activities to promote health and wellbeing: South West Yorkshire Partnership NHS Foundation Trust: Creative Minds


For further information, please contact Andrew McCracken, National Voices’ Head of Communications, on 020 3176 0737 or