- In this book, top clinicians and senior managers in health services from the UK, the US, Canada, Australia and New Zealand write about their experiences in solving difficult problems in a way that ensures that their organisations continue to strive towards quality services. They describe how they try to resolve the dilemma of serving individuals and meeting their health needs while also addressing the needs of whole communities. Throughout the book the challenge is posed: are clinicians and managers 'doing the right things' or 'doing things right' in our health care services? The papers are connected by a framework of four management building blocks and Robert Maxwell's six dimensions of health care quality. The editor, in her summaries before each paper, asks questions to be considered while reading how these managers manoeuvred through specific sets of organisational problems.