The 6Cs began with the concept of 'Energise for Excellence for nurses, midwives and other care staff'[20] which was begun by Jane Cummings and Katherine Fenton. Following the Francis report compassion within nursing was revisited and 'Compassion in Practice' became a key phrase which helped to introduce and formalise the idea of the 6Cs. The 6Cs were rolled out in December 2012.[21][22]