An APM Midlands branch seminar involving a case study based approach of some of Elisabeth Goodman's experiences (in Global Pharma R&D and with RiverRhee Consulting) of leading and facilitating operational organisational change projects, and of using Lean and Six Sigma to support organisational change. The seminar was also planned as an opportunity for the 40 or so participants to share some of their experiences, and for all of us to learn from each other.