Shaping Strategic Change: Making Change in Large Organizations: The Case of the National Health Service

Understanding the process of organizational change top-down restructuring - NHS general management as an institutional reform managing retrenchment - rationalization and development in the acute sector managing uncertainty and crisis - the case of HIV/AIDS managing major change - psychiatric services some aspects of success - mental handicap services the birth and early development of new organizations - building the district general hospital receptive and non-receptive contexts for change appendix - research aims and methodology.