With the NHS is going through large scale change, the ethos of all staff within the organisation needs to change.

In October 2010 NHS West Midlands gathered together staff for a workshop to discuss suggested improvements.

NHS local was given exclusive access to look the challenges it is facing and the progress made so far.

Judy Hall, programme consultant from NHS West Midlands, says: 'When you are a clinician you are there because you chose to be in the NHS. It was an organisation which struck a chord with your own values.

"However, we often have to deliver projects which don't match those values.’

Debbie Westwood is a programme lead from NHS Worcestershire and although she is currently at risk of being made redundant she is still keen to push on with the work she is doing because she wants to leave a legacy she is proud of.

She says: "I know that my role is coming to an end, but for me it’s about being able to put something in place that will outlast my post so that staff are empowered to care in a way that we would wish for."

Due for review February 2013