This book would not have been possible without the time that each of the managers we interviewed were generously willing to give to our research and without the gracious help and support of our contacts at each of the trusts who participated in the study. Of course, they remain anonymous out of the need to ensure confi dentiality. But we would like to express our heartfelt thanks to them for their huge contributions to the research on which this book is based. Important contributions were made too by members of our project advisory group, and we would like to thank Dean Royles, Maxine Robertson and Ruth Boaden, as well as the representatives from each trust, for their valuable input to the research as it progressed. We would also like to thank Naomi Chambers, who helped sharpen up our discussion of the healthcare sector. Any inaccuracies, omissions or inadequacies in the work remain, of course, the responsibility of the authors. At Routledge, David Varley has been a wonderful source of encouragement and support in developing and progressing the book, and Brianna Ascher and Denise File have provided excellent assistance in moving it through to publication. Last but not least, writing a book asks a lot of our families, and so we would like to give a special mention to Carole, Kay, Sarah, Johnny and Roisin for their constant support and understanding. We would also like to thank Alex,