This work contains Foreword by Kurt Stange and David Colin-Thome and Mayur Lakhani, respsecitvely editor, "Annals of Family Medicine", and Director, Family Medicine Research Division, Case Western Reserve University, Cleveland, USA; National Clinical Director for Primary Care, Part-time GP, and Honorary Visiting Professor , Manchester Centre for Healthcare Management, Manchester University; Chairman, Royal College of General Practitioners, London. This book combines models, theory and practical advice that guides clinicians, managers and facilitators to lead integrated primary health care. Using case studies and real life examples, the practical sections are cross-referred to theoretical sections that show how theories of whole system learning and change can be applied in different situations. Exercises help the reader to devise their own tailor-made interventions in small organisations, in networks, and in large institutions. The latest theories about leadership in complex situations are covered and challenges to traditional approaches to research and understandings of health are made. This book is perfect for those who lead or teach change in health care institutions, such as primary care organisations, in small organisations, such as general practices, and through networks. In particular, practitioners and managers who wish to make sense of complex interacting factors will find it of great benefit. 'Sophisticated. Exciting. This is one of the most powerful books I have read. It offers well reasoned and researched ideas for improving primary care. Required reading for anyone interested in or involved in primary care development.' - Mayur Lakhani, in his foreword. 'This is a must read book if you are in any way involved in the development of primary care. It has something for everyone-both practical and theoretical with an appropriate focus on an underpinning philosophy. Excellent.' - David Colin-Thome, in his Foreword. 'Grounded. Realistic. Important. Breathtakingly integrative yet immensely practical. Prac
ice without theory is unable to move beyond isolated experiences to draw the overarching lessons. Theory without practice blinds us to the ways of knowing that don't fit our paradigm. Professor Thomas's work to discover theories that fit his radical experience of systems change gives us new ways of thinking and acting that bring together both practical experience and overarching lessons.' - Kurt Stange, in his Foreword.
