Step 1: Find out what good care looks like

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Step 2: Learn about existing local services and outcomes

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Step 3: Identify a clinical champion (and release some time for them to devote to this), involve all local stakeholders, meet regularly and build trust

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Step 4: Set clear goals and be realistic about costs, savings, outcomes and timescales

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Step 5: Measure the impact of change

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Step 6: Don't rest on your laurels!

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