title: Changes to the NHS make it vital to plan for success.
abstract: Whatever your view of the need for change in the NHS, the unavoidable fact is that it has already changed. Some trusts have chosen the social enterprise route, while others have become foundation trusts or face amalgamation or being taken over by private companies.
authors.affiliation: At North East London Community Services. She will be speaking at the RCN Bulletin Jobs Fair on September 12.
authors.forename: Shirley
authors.initials: S
authors.lastname: Baah-Mensah