title: Transformational change in action.
abstract: In recent years, there has been an imperative to improve productivity in the NHS. This requires the use of appropriate tools and appropriate leadership at all levels of organisations. This article outlines to concept of transformational change, discusses productivity as a national driver for improving healthcare services, looks at the most appropriate tools to use at various levels of organisations to achieve this, and considers why leadership is a vital component in transformational change.
authors.affiliation: Transforming Community Service Programme.
authors.forename: Botting
authors.initials: B
authors.lastname: Lucy
mesh_terms: D004526:Efficiency; D017598:Efficiency, Organizational; D004739:England; D018166:Health Care Reform; D006801:Humans; D007857:Leadership; D009936:Organizational Innovation; D013222:State Medicine / Q000458:organization & administration*