Helen Bevan's piece is excellent, writes Jazz Singh

Change agents need to concentrate on change management by engaging all stakeholders (staff, patients, service users) before writing the project specification -engagement with people from project inception is key to success. The power of focusing on purpose, process and people is the driving force behind real change.

Let's use our biggest asset, our people, our colleagues, our patients, and let them drive patient-centred transformational change.

Jazz Singh, lean practitioner, City Hospital, Birmingham