Many SME Providers find themselves in a situation whereby they are having to adapt to work around and within an embedded culture which they are often afraid to try and change. On occasions, it is useful to get an external consultant to try and spell out the need for change top down. However, the recognition for the need to change must come from the Providers and then be sold to the management who then in turn need to be empowered to sell this to their team. Successful change management is not enforced but driven by the team’s own realisation that change is necessary. We can help facilitate this change.