In our latest Patient Safety Incident Response Framework (PSIRF) podcast, Tracey Herlihey, head of patient safety incident response policy, in the national patient safety team, is joined by Vicky Ainsworth, a communications lead at Manchester University NHS Foundation Trus,t and Stuart Kaill, from Health Innovation Manchester, to discuss ways of communicating about large scale change projects in NHS organisations. The podcast explores Vicky’s experience of leading on communications for a large scale change project in Manchester, with a specific focus on sharing advice and suggestions relating to communicating the changes related to PSIRF. It includes expert tips on how to communicate large scale change to different audiences as well as within both large and small organisations. National comms tools are available on our FutureNHS website here: https://future.nhs.uk/NHSps/view?objectId=142843365 Images to use in local communications are available here: https://future.nhs.uk/NHSps/view?objectId=37394320