The NHS has experienced a prolonged period of upheaval; most notably in the form of seemingly constant structural change. The current focus upon new ways of delivering services associated with stringent financial controls and unprecedented job losses with yet further organisational restructuring is as great as any change experienced by the NHS to date. Previous failures or problems in the NHS are often blamed on a lack of leadership, whilst the demand for good leadership is said to be at a premium as the only way to cope with the present challenges.