In complex times leaders need to be able to keep themselves and their organisations focused on what matters. In the NHS, in a blizzard of regulation, targets, policy initiatives, planning guidance and organisational upheaval it is too easy to lose sight of what really matters. So here is my prescription - four key imperatives that need to anchor the vision for your organisation, for your staff and for yourself. If what you are doing does not link to one of these then why are you doing it? Click on the image to see a larger version.