Part 1 Theoretical overview: history and structure of the National Health Service; the politics, funding and resources of the National Health Service; management, doctors and the future; purchasing mental health services; financial management; resource management; contracting, quality and marketing in the NHS; National Health Service trusts; medical manpower; management and the multidisciplinary team; relations with agencies outside the National Health Service. Part 2 Changes and conflict: the development of community care policies; the clinical director; the clinician and the clinical team in the community; the managerial environment; managing change; National Health Service reforms - revisited. Part 3 Practical issues: general - audit, measurement of needs, people management, information technology, committee practice, negotiation; personal - time management, stress management - taking the strain, continuing management training, continuing professional development in psychiatry, how to get the job you really want, managing the first day of your consultancy.