Volume 10 Number 4 contents

Editorial

Liberating local leadership J Simpson

Personal perspectives

Giving negative feedback: appraisal in context P Ayres

Leadership in action: Professor Rory Shaw S Scott

Management issues in healthcare

Developing a secondary care centre in primary care ± the Deptford Project
C Wolfe, D Lewis, M Swindells

Matching skill mix, case mix and demand in community child health services
C Ni Bhrolchain, J Coles

Managing uncertainty in medicine
M Sridhar

Changeover period of junior doctors: time for action
V Adhiyaman, S Adhiyaman

Innovations in rheumatology practice at South Manchester
B Pal

Commentated case study

Here comes CHI!
S Scott

Book reviews