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. 'Valuable well structured easy to read and thoughtful. I really enjoyed reading this inspirational evidence based text. I found it impossible to read and not reflect upon my current practice. A triumph of integration. Terrific'. Lynne Madden Manager Public Health Training and Development Branch Centre for Epidemiology and Research New South Wales Department of Health Australia 'Magnificent!' Larry A Green Professor of Family Medicine Director Prescription for Health School of Medicine University of Colorado 'Important enjoyable and reflective. Warm and wise. Meticulously guided. Inspiring. This book will appeal to a wide audience. Giving the reader a range of new lenses through which to view primary care Thomas leads us on a journey through fresh insights into leadership and management.' David Morris Programme Director National Social Inclusion Programme National Institute for Mental Health in England '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. Practice 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