Satell emphasises that change can be tricky and that you need to influence and empower people to be successful. The examples given highlight these points succinctly and show how things can go wrong if you do not change the culture of an organisation.

Taking Satell’s points as a starting position, it is useful to apply the recent example of challenge top down change which sought to crowd source improvement ideas from health and social care staff and patients in the UK. It will be interesting to see how these ideas can translate into healthcare improvement practice and be adopted across the UK.

For further reading on top down change read HSJ & Nursing Times Challenge Top-Down Change