I was chatting to one of the Change Agents within one of the clients we are working with this week and we were discussing the fact that he was struggling to engage his line manager in the process.

The programme is being driven from the board of the organisation and the line manager was part of establishing the team but has never really engaged with the process and it is having a very negative effect on the Change Agent who says he is thinking of giving up being involved in the programme.

With many Healthcare Organisations undertaking numerous Service Improvement Programmes is begs the question about how integrated their Lean Healthcare Programme is into their overall improvement strategy....or indeed if they have one!