Campbell Tickell involved managers, front line staff, commissioners and other key stakeholders to identify in a clear but meaningful way how much our culture had changed (24% on average). Most importantly CT left us with a tool to measure that change going forward, which we will use every two years. This work not only meant we could demonstrate the positive effects of our changes externally, including to regulators, but also brought together people internally as they realised how much the positive effects of their hard work had impacted on the St Mungo’s culture.