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leading change at invar you is a framework for nursing midwifery and care staff these professions have a key leadership role in closing the three gaps identified within the five-year forward view of health and well-being care and quality and funding and efficiency they can do this by identifying and addressing and warranted variation which is inequity in outcomes experiences and care that cant be justified by reasons of where we live demography or infrastructure by addressing and warrant variation nursing midwifery and care staff can deliver the Triple Aim measures a better outcomes better experiences and better use of resources the atlas of shared learning will be a collection of over 200 case studies that will clearly demonstrate how nursing midwifery and care staff have contributed to closing three gaps identified and addressed and warranted variation and delivered the Triple Aim measures its really important to quantify the outcomes of our work to really demonstrate the impact th