In order for sustainable change to take place within a team, it is essential to have a group of staff who have explicit responsibilities for implementing and sustaining such change.

AMBIT does not prescribe the organisational and leadership structures for teams using the AMBIT approach but, using implementation science, would suggest certain things need to be in place in order to achieve sustainable change. One such is that there needs to be an implementation team.

This needs to consist of:

• The AMBIT Lead(s)
• The manager of the team
• Some representation of senior practitioners (clinicians) in the team.

Our suggestion is that it is helpful to have a group of around 3-5 people who have an explicit role of supporting and developing AMBIT practice.

This team needs to develop an explicit Implementation Plan, which includes the following:

• Objectives with agreed time scales
• Some system for meeting and reviewing progress against those objectives.
• Its function should be transparent of the rest of the team.
• Precise details of this will be appropriately determined by each team.
• There is an Advice about the Implementation Plan to provide some structure for developing this locally