The Changing Workforce Programme has been set up to promote new ways of working which will both improve patient care and be more attractive to staff. “New ways of working” covers a variety of approaches to job redesign: new roles may be created or existing roles may be adjusted to include additional responsibilities. These new or changed roles will probably cross traditional demarcations: between individual professions, between registered and support staff, between clinical and non-clinical staff and between health and social care.