Dr Alistair Hewison is Senior Lecturer at the Department of Nursing at the University of Birmingham, UK. He has undertaken a number of roles including Head of the School of Health Sciences, Head of Nursing and Director of Postgraduate Studies. He has published widely on nursing, management and policy in scholarly journals and book chapters. Yvonne Sawbridge is Senior Fellow at the Health Services Management Centre at the University of Birmingham, UK. She has enjoyed a wide and varied career across all aspects of the NHS. Before joining the University of Birmingham she was Director of Quality and Nursing in a large PCT involved responsibility for a range of portfolios. She has worked closely with practice based commissioners; local authority partners-particularly in the Children's Trust and Adult and Children's Safeguarding Boards and several providers both statutory and third sector, such as local Hospices. She has also presented at numerous conferences to both clinical and managerial audiences.