This report provides an in-depth analysis of leadership and change management within the National Health Service (NHS). It begins with an investigation of a case scenario, examining the need for organizational changes driven by government interventions and the formation of clinical commissioning groups. The report explores the new organizational structure, stakeholder positions, and the formulation of new objectives and strategies. It analyzes the causes and consequences of organizational changes, including social and governmental factors, deficiencies in NHS services, and changes in personnel and technology. The report highlights the social and organizational consequences of these changes within the NHS, emphasizing the importance of a clear vision, transparent management, and stakeholder engagement. Finally, the report offers strategic recommendations to improve leadership and change management practices within the NHS, promoting employee engagement and business development.