Dissemination of guidelines and education alone does not change practice. Just as our knowledge of physical activity guidelines does not mean we always do “a minimum of half an hour of moderate-intensity exercise on most, if not all, days of the week”, many other factors will influence our achieving a set goal. Just as time, routine, skills, social influence, environment, finance, and mood/emotions may all influence our participation in being physically active, similar barriers exist when changing the way we deliver care. When translating research into practice we need more than a knowledge of guidelines. We also must not choose an intervention or strategy for change based on its familiarity or from a perception that the strategy will work. Rather, successful change will more likely occur when we identify what is really preventing us, our teams, and our organisations from following a recommended guideline (behaviour) and what will also faciliate its adoption. We must systematically assess ‘influencing factors’, the barriers and enablers to following recommendations, and then apply targeted, effective interventions to generate the change required.This presentation will discuss issues around implementing evidence based recommendations, introducing evidence-based methods to determine service gaps, and outline how improvements can be made and measured in a rigourous and systematic way.