title: IHSM Presidential address: The challenge of change.
authors: North Staffordshire Health Authority.
authors: S
authors: S
authors: Fletcher
mesh_terms: D000047:Academies and Institutes / Q000458:organization & administration*; D000288:Administrative Personnel / Q000639:trends*; D002322:Career Mobility; D013192:Staff Development; D013222:State Medicine / Q000458:organization & administration*; D006113:United Kingdom