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AGENDA. NHS continual organisational changeNHS new initiativesA case studyImpact on staff and on delivering services Lessons learnt. AN ORGANISATION IN CONTINUAL CHANGE - THE NHS. Established 1948Big changes in 1974 and 1982Pace of change increases - 1990, 1994, 1996, 1999, 2002, 2003Same services, but different combinations.

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