The Leading Local Change document, published in May as part of Lord Darzi's next stage review, sits on the desk in front of me as I write. Its message is clear - healthcare needs are changing and our sector must respond.

As is the way with change it is ongoing. What applies today may not necessarily apply tomorrow, next week or next year. As this document says, "world class quality of care is a moving target - what was high quality in 1949 or 1998 is often not regarded that way in 2008". How right that is.

The Darzi review has a strong focus on clinical leadership, but it is also important to drive the transformation of the whole workforce; from entry level through to those at the top. Each person working in the healthcare sector has his or her own particular talents. With the continuing increasing demand on healthcare services, we must maximise the skills and competences of all staff. We need to ensure everyone is given the opportunity to reach their full potential - to their personal benefit, to the benefit of their employers, and, most importantly, to the benefit of patient care.

To realise Lord Darzi's vision we need a healthcare workforce that is agile, flexible and skilled. Only then will we be in a position to respond to new challenges ahead.