Drawing on the theory and practice of organisation development and change management, Changing Healthcare Organisations suggests practical approaches to creating meaningful change in healthcare. It strongly advocates a total systems approach to change and shows how the interdependencies between individuals, teams and services are key to introducing and sustaining change. Sustained change depends on organisational learning and the organisation's ability to build internal change capacity. This requires a reflective and questioning approach, a discipline this book promotes through its case studies and reflective exercises. Changing Healthcare Organisations is aimed primarily at two groups of readers: The first group comprises those who work in Irish health delivery organisations, whether in hospitals, health centres, health board administration, social services, in senior, middle or front line management or an operational role. They are invited to explore, understand and take action on the thorny issues that challenge healthcare professionals in their everyday working lives.The second group this book is aimed towards is the many people who are studying organisational change in the Irish health system at postgraduate and undergraduate levels in health service management and nursing programmes. Given the public debate about how healthcare is delivered and whether the current organisation of service gives value for money, Changing Healthcare Organisations is a timely book.