The organisation The subject organisation is a large complex health system, employing in excess of 10,000 employees in a vast range of positions and grades, covering the full spectrum of health services from hospital to community, to mental health, to elderly care. The organisation is in the relatively early stages of transition from a traditional bureaucratic hierarchy with an autocratic command and control management style, to a more participative style of management. At the present time, the organisation is operating in a period of more or less continuous change from internal and external sources, with political pressures, high demands for services and quality from the public and ongoing resource issues.