Step 1: Find out what good care looks like
Step 2: Learn about existing local services and outcomes
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
Step 4: Set clear goals and be realistic about costs, savings, outcomes and timescales
Step 5: Measure the impact of change
Step 6: Don't rest on your laurels!