There are multiple interpretations of the meaning of innovation. Here at the RCN we have adopted this definition by West and Farr (1990) to frame our understanding of all that we want to support and celebrate in nursing.Here we understand innovation to be about purposeful change change to realise clearly defined benefit.It doesn't have to be "brand new", but it is new within a specific context. It can be about the design and development of a new product or service but it can also be about the modification of an existing product or the redesign of an existing service. The novelty factor of an innovation does not necessary equate with its impact.