Steps need to be taken to assure the consistency of the message. Wherever possible existing communications systems should be used, avoiding the need to organise new meetings and paperwork. Securing change is the core of the work and involves a range of activities. Consider an incremental approach, which ensures that techniques can be tested locally before they are rolled out. There is an important role for multi-disciplinary teams and steps need to be taken to support team development, for example to secure a common understanding of respective roles and the nature of research evidence.
Clinical audit can be a practical way of encouraging clinicians to review and change their practice.
Additional resources may be required to cover the costs of identifying existing patients whose care and treatment may require review. Providing services to match changes the proposed changes to clinical practice. Experience has shown that securing progress here may be as challenging as changing in clinical practice. Carefully assess the service and resource consequences of the initiative. A link with planning and budgetary timetables and the engagement of the appropriate managers in the discussions will be important.