Warrell suggests three ways leaders can create a culture where people feel able to contribute to change: “Connect authentically”, “enlarge the context” and “cultivate a culture of courage”.

This article is helpful to move discussions away from optimizing “employee engagement”, towards a discussion of how to optimize “employee contribution to change”. What is less helpful is the way it conveys leaders as people who sit behind closed office doors, away from the “employees on the shop floors and front lines”.

People at the front line, sitting closer to the bottom of the hierarchy or at the edge of organisations, can adopt these three leadership behaviours and there are plenty of examples of where this is having great effect in Health and Care.

Before you read this article – remember that these three messages are lovely golden nuggets for every one of us, no matter what our background or position. We can all lead by example. Do you agree?