The ability to manage change and communicate will determine whether an organisation can really unlock large scale cashable savings and efficiency gains. SPS has run its Catalyst for Change programmes in dozens of organisations in the UK and beyond over the last seven years. This approach is not only low cost but if run at the outset of a project will give a strong indication of the chances of achieving a successful out come. We also work with specialist organisations such as Rubus who develop superb programmes for helping staff at all levels understand, own and manage the efficiency agenda.