title: Step change.
authors.forename: Colin
authors.initials: C
authors.lastname: Parish
mesh_terms: D001291:Attitude of Health Personnel; D002322:Career Mobility; D002983:Clinical Competence / Q000592:standards; D003142:Communication; D004650:Employee Performance Appraisal; D005239:Fear; D006801:Humans; D009740:Nursing Staff / Q000193:education / Q000458:organization & administration* / Q000523:psychology; D012456:Salaries and Fringe Benefits; D013222:State Medicine / Q000458:organization & administration; D006113:United Kingdom