Addressing the problems of managing health care is one of the most pressing challenges facing western societies. In the UK the public are bombarded with negative press coverage of the National Health Service. aims to provide practical help, hope, and ideas about what is possible to improve health care by shifting the cultures to ones that are truly orientated towards quality. This book will leave readers hopeful about their own ability to make a difference in their local health context. It includes chapters written by leaders in health care who share their experiences trying to shift culture in practice. These stories are first-person narratives that are very different from sanitised case studies that often glorify what happened and make readers feel inadequate. A must-read for all those concerned with improving health care in the UK.