Leadership Team Roulette

How it works

Leadership Team Roulette enables pre-registration students to:

  • Experience leadership roles early in training
  • Develop decision-making and prioritisation skills
  • Build confidence before entering clinical practice

It also supports post-qualification practitioners by:

  • Reinforcing leadership behaviours expected at Band 5 and beyond
  • Enhancing confidence in leading care, delegating, and managing risk
  • Encouraging reflective practice and continuous professional development



Leadership, NMC Standards and Curriculum Integration

Leadership as a Foundation of Professional Nursing Practice

Leadership is a fundamental component of nursing practice and is expected of every registered nurse from the point of registration. It is demonstrated through everyday actions that influence patient care, support colleagues, promote safety, and improve healthcare outcomes.

All registered nurses are required to uphold the principles outlined in the NMC Code (2018):

  • Prioritise People
  • Practise Effectively
  • Preserve Safety
  • Promote Professionalism and Trust

These standards provide the ethical and professional foundation of nursing practice. Leadership is the mechanism through which nurses translate these principles into action, ensuring care remains safe, compassionate, person-centred and evidence-based.

Platform 1 – Being an Accountable Professional

Leadership begins with self-awareness, accountability, professionalism and reflective practice.

Platform 2 – Promoting Health and Preventing Ill Health

Nurses demonstrate leadership by influencing health behaviours and supporting public health initiatives.

Platforms 3 & 4 – Assessing Needs and Providing Care

Clinical leadership is demonstrated through assessment, decision-making, prioritisation and care delivery.

Platform 5 – Leading and Managing Nursing Care

Leadership includes delegation, supervision, collaboration and effective teamwork.

Platform 6 – Improving Safety and Quality

Leadership contributes to patient safety through risk management, quality improvement and escalation of concerns.

Platform 7 – Coordinating Care

Nurses provide systems leadership through coordination, advocacy and continuity of care.

Prioritise People

Leadership enables nurses to advocate for individuals and deliver person-centred care.

Practise Effectively

Leadership supports communication, teamwork, evidence-based practice and sound clinical decision-making.

Preserve Safety

Leadership helps nurses identify risks, escalate concerns and maintain safe care environments.

Promote Professionalism and Trust

Leadership is demonstrated through integrity, accountability and role modelling.

The NMC Code describes what nurses must achieve.
The Standards of Proficiency describe what nurses must do.
Leadership describes how this is achieved in practice.

Year 1 (Level 4)

  • Professional values
  • Communication skills
  • Reflective practice
  • Professional identity formation

Years 2–3 (Levels 5–6)

  • Clinical decision-making
  • Delegation and supervision
  • Advocacy
  • Teamworking and collaboration

Pre-Registration

  • Leading care
  • Managing complexity
  • Risk management
  • Care coordination

Post-Registration

  • Advanced practice
  • Quality improvement
  • Service development
  • Strategic leadership roles
  • Clinical Decision-Making – Supports prioritisation and evidence-based care.
  • Teamworking and Communication – Promotes collaboration and effective delegation.
  • Patient Safety and Quality – Facilitates risk identification and escalation.
  • Professional Identity – Develops accountability, resilience and reflection.
  • Future Workforce Needs – Prepares nurses to lead change and manage complexity.

Leadership is the unifying thread connecting the NMC Code, the Standards of Proficiency and the nursing curriculum.

  • A day-one requirement for every nurse.
  • Embedded throughout education and practice.
  • Essential for safe, effective and compassionate care.
  • A lifelong aspect of professional development.
Leadership and Nursing

Who created Leadership Team Roulette?

Nina Shamaris is a Senior Lecturer in Adult Nursing at Birmingham City University, educator, and leadership development specialist with extensive experience in theatre nursing, surgical care, and prison healthcare. Throughout her clinical and academic career, she has led teams in complex, high-pressure environments, developing a strong reputation for advancing leadership, decision-making, and professional practice.

Passionate about preparing healthcare professionals for the realities of leadership, Nina's work focuses on bridging the gap between theory and practice. Through innovative teaching and simulation-based learning, she helps students and practitioners build confidence, critical thinking skills, and leadership capability from the very start of their careers.

Drawing on years of frontline experience and educational innovation, Nina created Leadership Team Roulette to inspire confident decision-making and develop the leaders of tomorrow.


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