title: Reform. A change is coming.
abstract: The attitude of managers to change, and the way they support staff, is crucial to effective NHS reform. Effective communication and taking staff opinions into account is also key. Concerns over the fitness for purpose programme, and the drive to encourage PCTs to commission from private providers, have added to fears about change management.
authors.forename: Paul
authors.initials: P
authors.lastname: Dinsdale
mesh_terms: D018166:Health Care Reform; D006779:Hospitals, Public; D013222:State Medicine / Q000458:organization & administration*; D006113:United Kingdom