These case studies show how local systems are putting the High Impact Change Model into practice to improve intermediate care, strengthen partnership working and support people to recover, regain independence and return home safely.
This page contains a list of references and resources that informed this model; as well as a list of organisations and individuals who contributed to the discussions, drafting and re-drafting and shared best practice examples to support this tool.
Summary of the outcomes that could be measured in relation to strengths-based approaches based on a study by Silovara, et al., 2025. Please note: this is an academic study and the language has been adapted to match this high impact change model.
In Nottinghamshire, the Strengths Based Team in Adult Social Care have adapted the Helen Sanderson Associates support sequence to suit their local needs. The Nottinghamshire Support Sequence (pictured above) is used to help their practitioners with support planning conversations, to ensure they are considering the full range of options to support people, building on their strengths, meeting their needs and managing risk.
These seven "making it work" action cards can support the implementation of the high impact change model and can be used as checklists to support strengths-based approaches in each of the identified areas.
Making sure that strengths-based approaches apply to everyone who may draw on services including family, friends, and unpaid carers. As with leadership, equity in outcomes and experience should be seen in all of the High Impact changes.
The number of interactions or conversations does not give an indication of strengths-based approaches, so using a simple count as a key metric will not help ascertain whether approaches are strengths-based.
