Leading Large-Scale Change to Get Patients and Communities Moving

Anne turns from knowledge to leadership. The guide Leading Large Scale Change is summarized, with stress on a clear vision, high-performing teams and a community of practice approach. Clinicians are asked to process map their services, find the gaps, use plan-do-study-act cycles and think ambitiously. Practical steps include comparing local activity data with burdens such as hip fractures, building alliances with finance and social care directors, and using waiting rooms for physical activity messages. Examples include stair prompts at Salford University, the End PJ Paralysis campaign against deconditioning in hospital, a prescription to get up, get dressed and get moving, a parent-built cycleway in Belgium, the Daily Mile, parkrun and Scotland's walking strategy. A patient story shows what new equipment at a leisure center can mean to one person. The part ends with an exercise: pick a population, review its data, and prepare a short presentation to share with colleagues.