Your answer to this will need to cover a number of issues. You might say, "Initially, I would assess how the program fits into the trust's values and vision. With the input of financial and clinical colleagues I would draw up a detailed plan, including five-year forecasts. I would ensure that everyone involved in the plan had clear responsibilities and appropriate deadlines. The performance improvement would allow savings to be removed from departmental budgets. I would manage a risk register for the program. Once delivered, I would ensure regular monitoring and reporting using financial and non-financial indicators. I would also ensure regular audit."