Have you ever sighed in despondency about trying to bring about change on your ward, in your practice, in your office? This article acknowledges that change is not always embraced. There is some practical advice here about what you can do about that. There are do’s and don’t’s for you to consider. As you contemplate ‘rolling out’ your NHS Change Day initiative to others, then this article is a good place to start. It will hopefully inspire you and give you somewhere to start!