title: Change from the bottom up.
authors.affiliation: Highbury Grange Health Centre, Camden.
authors.forename: V
authors.initials: V
authors.lastname: Collier
authors.forename: J
authors.initials: J
authors.lastname: Fraser
authors.forename: C
authors.initials: C
authors.lastname: Evans
mesh_terms: D003152:Community Health Nursing / Q000458:organization & administration*; D003659:Decision Making, Organizational; D018166:Health Care Reform; D006801:Humans; D016294:Models, Nursing; D009936:Organizational Innovation; D018802:Patient-Centered Care; D011637:Public Health Nursing / Q000458:organization & administration*