In evidence to the Royal Commission, a frequent complaint was that the reorganised structure with its principle of consensus management had led to massive delays in decision-making. Previous studies have examined the process of decision-making through interviews with a sample of NHS staff. The paper reproduced here explores the feasibility of another method, tracing specific decisions back through records and minutes. The results of this feasibility study demonstrate that this is an effective way of studying the decision-making process, but time-consuming and not without methodological problems.