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Purpose

The purpose of this paper is to reflect on the difficulties highlighted by Ntinas around supporting change in services for people with intellectual and developmental disabilities.

Design/methodology/approach

This commentary examines what is needed for change and reflects on staff culture.

Findings

The authors propose that it is not sensible to separate the culture of a service from the implementation of person-centred approaches and attempt to map how the concepts overlap and are interconnected.

Originality/value

Whilst some elements of culture are clearly important in order to start the process of change, other elements will change as an intervention is introduced and embedded.

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