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What the new NHS Leadership and Management Framework means for nursing

Lucy Muchina 16 Jul 2026 Area of Practice Management Leadership

RCN, Associate Director, Leadership Academy (Interim) Lucy Muchina reflects on the publication of a new NHS leadership and management framework and sets out what will be needed in order for it to deliver for the nursing profession.

The launch of the , , and the new NHS College of Leadership and Management represents one of the most significant developments in NHS leadership for many years. From the RCN Nursing Leadership Academy perspective, this is a positive step forward—but only if it delivers meaningful investment and support, rather than simply introducing another set of expectations.

For nursing, the ambition behind the Framework is welcome. For too long, leadership development has been inconsistent across organisations, with many nurses moving into leadership and management roles without the time, resources, or structured development they need to succeed. A common framework has the potential to bring greater clarity, consistency, and accountability across the NHS.

Importantly, the Framework recognises that leadership and management matter. We know that effective leadership influences staff experience, retention, organisational culture, and ultimately patient care. The inclusion of leadership within the new NHS Staff Standards also sends a strong signal that the quality of line management should not be viewed as optional. It is a fundamental part of creating healthy workplaces where people can thrive.

The timing of the Framework is particularly significant. Nursing continues to face considerable workforce pressures, with many staff experiencing high levels of stress, exhaustion, and burnout. In this context, leadership development cannot be viewed as something to prioritise once pressures ease—it must be recognised as part of the solution. Effective leadership contributes to staff wellbeing, retention, and engagement, helping to create environments where people feel supported, valued, and able to build long-term careers within the profession.

However, the Framework alone will not transform leadership. Many nurse leaders are already operating under immense pressure, managing workforce shortages, rising demand, and constrained budgets. Asking leaders to complete self-assessments and align with new standards will have limited impact unless organisations are prepared to invest in development opportunities and create the conditions in which leaders can learn, reflect, and grow.

This includes providing protected time for development. Reflection, learning, and leadership development should be recognised as core components of leadership roles rather than additional tasks undertaken alongside increasing operational demands. Without dedicated time and organisational support, there is a risk that implementation becomes another expectation placed on an already stretched workforce.

This is why the role of the new NHS College of Leadership and Management will be critical. Its stated focus on leadership development, management capability, talent management, and succession planning is encouraging. Equally welcome is the commitment to more accessible development models, including modular learning, local delivery, and practical resources that can reach a broader workforce.

From Âé¶¹ÊÓÆµ perspective, it is essential that nursing’s contribution is fully recognised within this agenda. Leadership in nursing extends far beyond formal management roles. Every day, nurses lead teams, services, innovation, quality improvement, and patient care across a wide range of settings. Any national framework must acknowledge and value this reality.

Particular attention should be paid to first-line nurse leaders, including ward managers, team leaders, and community nursing leaders. These are the roles through which staff most directly experience organisational culture, development opportunities, flexibility, and wellbeing support. Strengthening leadership capability at this level has the potential to improve both staff experience and patient outcomes.

The real test, however, will be implementation. If the Framework becomes a genuinely developmental tool that supports reflection, growth, and career progression, it has the potential to strengthen leadership across the NHS. If it becomes another compliance exercise without meaningful investment, it risks adding pressure without delivering the benefits that staff deserve.

The RCN Nursing Leadership Academy believes this is an important opportunity to raise the profile of leadership and management across healthcare. However, success will depend on turning aspiration into action. Nurses and nursing staff do not need more frameworks alone—they need high-quality leadership development, equitable access to opportunities, and a clear commitment to investing in the people who lead care every day.

Ultimately, success should not be measured solely by the number of self-assessments completed or development plans created. Rather, it should be reflected in improved staff experience, stronger retention, reduced burnout, and a greater sense among nurses that they are supported to develop and thrive throughout their careers.

Only then will this new approach deliver the stronger leadership culture that nursing, the NHS, and patients need. 

Lucy Muchina

Lucy Muchina

Associate Director of Nursing Leadership (interim)

Lucy Muchina is a visionary nursing leader and currently serves as Interim UK Associate Director at the Leadership Academy. She brings a distinguished track record of senior leadership across health and social care, underpinned by deep clinical expertise in safeguarding, governance, and quality improvement.

Previously Deputy Chief Nurse and Regional Director at the Âé¶¹ÊÓÆµ (RCN), Lucy is widely recognised for her strategic insight, compassionate leadership, and steadfast commitment to advancing the nursing profession. She has extensive experience working at senior level, influencing policy, shaping workforce strategy, and driving system-wide transformation to improve patient outcomes.

Lucy offers a contemporary understanding of nursing regulation with a consistent commitment to excellence, governance, and quality embedded throughout her career. She is highly regarded for her ability to amplify the voice of nursing and embed professional standards across complex systems.

Her academic credentials include an MSc in Public Health and an ILM Level 7 qualification in Executive Coaching and Mentoring, which she actively uses to mentor, coach, and empower emerging leaders across the sector.

An award-winning leader, Lucy is the recipient of an Inspirational Leadership Award and was named in the HSJ Top 50 Most Influential BAME People in Health (2025 – Rising Stars).

Deeply committed to equity, advocacy, and inclusive leadership, Lucy champions environments that reflect and respond to the diverse communities served. As an Internationally Educated Nurse (IEN), she brings a valuable global perspective, enriching her leadership approach and broadening her impact.

She remains passionate about advancing the nursing profession and shaping cultures where nurses can thrive and consistently deliver safe, high-quality care

Page last updated - 17/07/2026