This book examines how healthcare organisations shape, adapt and resist developments in healthcare policy and practice. This is an international text bringing together contributions from around the globe and covers a wide range of different discussions in relation to the policy/practice gap.Introduction; H.Dickinson & R. Mannion THE ROLE OF PROFESSIONALS IN IMPLEMENTING POLICY The Lost Health Service Tribe: In Search of Middle Managers; P. Hyde, E. Granter, L. McCann & J.Hassard Managing the Psychological Contract in Health and Social Care: the Role of Policy; D. Wainwright & S. Sambrook Autonomy in Health Care Practice: a Paradise Lost? P. Hupe Affording Discretion in How Policy Objectives are Achieved: Lessons from Clinical Involvement in Decision-Making; A. McDermott, M.Keating & M. Beynon Comparing the Quality of Working Life of Doctors with Other Workers Across Europe; A. Mark, S. Lewis & M.B rookes THE ROLE OF CULTURE AND INSTITUTIONS IN IMPLEMENTING POLICY The Role of Organizational Identity in Healthcare Mergers: an NHS Example; N. Lennox-Chhugani Organizational Networks Can They Deliver Improvements in Health Care? S.D opson, E. Ferlie, L. Fitzgerald & G. McGivern Discourse in Healthcare Policy: Comparing UK and Canada; E. Oborn, M. Barrett, A. Komporozos-Athanasiou & Y. Chan Patient Safety: Whose Vision? K. Charles, L. McKee & S. McCann CASE STUDIES ON IMPLEMENTATION AND REFORM Inside Foundation Trust Hospitals: Using Archetype Theory to Understand how Freedoms Translate into Practice ; R. Addicott & F. Frosini Structuring Emergency Care: Policy and Organisational Behavioural Dimensions; P. Nugus, M. Sheikh & J. Braithwaite Chronicling Twenty Years of Health Reform in the Czech Republic; S.L. Oswald & R. McEldowney Achieving and Resisting Change: Workarounds Straddling and Widening Gaps; D. Debono, D. Greenfield, D. Black & J. Braithwaite Taking the Gaps Seriously: the Experience of Primary Health Care Netwlc,