Tackling those parts of a process that dictate the pace overall may be the best way to achieve rapid change. Don't be afraid to try new ideas, but have to courage to stop if they don't work. There are no quick answers. Persistence is required if you want to overcome long-standing problems. Make sensible use of questionnaires Investment in time may be worthwhile if it produces a uniform and efficient way of doing things rather than major change.
Solutions have to be tailored to the particular problem.
Solutions may be different but the process of solving them is the same. Communication Time devoted to communications and ensuring that staff affected by initiatives 'know what is going on' is never wasted. Services that are outward looking and that care about how others perceive them are more likely to succeed. Influence is born of good relationships, not internal structures and systems. Make new services work and be successful, so good that ways have to be found to resolve any funding issues.