Change exacts a price and raises the question as to what the repercussions will be for the rest of the system'. (Papp, 1994: 11) This quotation was included in a paper given by Ann Bruce (nee Woodward, 2004) entitled 'A change will do you good?' One of her clients explained, 'I don't want to change'. For many years, music therapists have been grappling with the challenges that arise when change is required. Bruce wrote that change will impact entire systems, be that a family or an organisation. All in all change is risky.In 2020, BAMT published its Diversity Report (Langford et al. 2020). It concluded by stating something which feels important to repeat here:BAMT acknowledges that those within the profession have suffered racism, discrimination, inequality, ageism and ableism, and that these issues are not exclusively historical: they are continuing today. This is unacceptable, and the BAMT does not condone any such behaviour. It is clear that vital change is needed to ensure the safety and well-being of all who access and practice Music Therapy.