Harold, really curious to get perspectives from yourself and possibly from the Helen Bevan's and Jon Husbands of the world about the correlation between the rise of more network/ "movement" based organisational change interventions (such as those in NHS) and the stage of organisational failure/decline. Particularly thinking of the work of Australian's Tim Dalmau and Bob Dick (1991) A diagnostic model for selecting interventions for community and organisational change http://www.aral.com.au/DLitt/DLitt_P22dm.pdf - and me thinks there has to be a degree of break down as a prerequisite for network/living systems based things to emerge. Philip.