1. What change leadership behaviours and attributes were important to this doctor in this change leadership role? 

2. What political tactics did he use? 

3. What are the challenges for change agents raised by this case? 

4. What are the training and development, and other HR implications, raised by this case? 

The research underpinning this case study was funded by a grant from The Thurnham Legacy, administered by Cranfield University School of Management. As well as expressing gratitude for that funding, the author would like to thank the consultant cardiologist on whom this case is based, and the many other members of staff who contributed their time and shared their experiences of change, making this case account possible.