Up to 1.3 million NHS staff across England will be taking action to make grassroots improvements to care, culminating in NHS Change Day on 11 March. Now in its third year, Change Day is a staff-led social movement. It gained 800,000 pledges in 2014, ranging from painting hospitals differently to clinical staff introducing themselves to patients by name. Patients, carers, social care workers and members of the public are also encouraged to take part. NHS staff and members of the public will start to share their plans for change at www.changeday.nhs.uk, as well as through their local NHS organisations.