Nurse First is an Innovation and Leadership programme for community professionals. It is an intensive 21-day residential programme that runs over a year and includes learning sets and coaching support. It works by: creating innovative solutions to clinical challenges, accessing the funding needed to make these solutions happen and implement the solutions inside the organisation. As part of the programme,participants are challenged to design, raise funding for, and deliver a real-world project to improve health outcomes in their local area. This is an ambitious goal to put development coaching into practice.