Praise for the first edition: "Valerie Iles has such a sensitive no-nonsense style that she easily succeeds in seducing the reader to accept her arguments about what is going so badly wrong with management in health care ... The case studies can only be described as 'gems'... But perhaps the greatest message this book can give to the NHS, and health care managers in particular, is that change is unstoppable. All organisms must adapt with their environment...