Swap last pair then middle pair of 3, ringing changes (4)
I believe the answer is:
peal
'ringing changes' is the definition.
'peal' can be an answer for 'ringing' (thesaurus). I'm not sure about the 'changes' bit.
I don't understand the remainder of the clue.
Can you help me to learn more?
(Other definitions for peal that I've seen before include "Set of bells for ringing" , "Ring recurrently" , "Leap about to sound of bells" , "Set of church bells" , "Loud burst of thunder - or laughter" .)