title: 'No change' is not an option.
authors.affiliation: Florence Nightingale School of Nursing and Midwifery, King's College London.
authors.forename: Alison
authors.initials: A
authors.lastname: While
mesh_terms: D003152:Community Health Nursing / Q000458:organization & administration / Q000639:trends*; D005194:Family Practice / Q000458:organization & administration / Q000639:trends*; D006801:Humans; D009936:Organizational Innovation; D011320:Primary Health Care / Q000458:organization & administration / Q000639:trends*; D006113:United Kingdom