Papers from a King's Fund international seminar. The contributors work in the health services in Australia, Canada, New Zealand, United Kingdom and the United States. The book deals with three important aspects of working with people in the context of health service administration. The first is that of trying to integrate the efforts of diverse heterogeneous groups concerned with the delivery of services. The second, that of conflict between management and unions or other representatives of staff interests. The third, the most fundamental, that of communication and co-operation between people working in health care and those whom they seek to serve.