Abstract
The North East Transformation System (NETS) is a programme that aims to engage the elements of NHS North East in a common vision, reshape the clinician/employer compact, and use Lean methodology to redesign work processes. After initial implementation in pathfinder sites, NETS is now to encompass other trusts in the region.
Acknowledgements
The authors are grateful to many people in the pathfinder organizations, and to Gary Kaplan and Amicus who commented on an earlier draft. The contributions of Professor Stephen Singleton (the NE SHA's medical director, the regional director for public health, and the key figure in establishing the NETS) were particularly helpful.