Within the health system, multiple layers and organisations are involved.
Domestic violence is always complex, with multiple organisations often being involved in cases.
This context is not uncommon according to Rosenbeck, 2001 who sees organisational processes as a missing link between research and practice, stating that "complex organisations are characterised by multiple competing goals and fluid involvement of key participants".
In certain contexts organisations are surrounded by multiple measures, raising the question as to which they should align.
In implementing radical change across multiple organisations, it's also essential to bring together change agents across all parties and disciplines and ensure they have the willpower, capacity and capability to bridge the gaps that will inevitably appear.
More in-depth study would be required across multiple organisations to determine whether the failure modes in the study organisations are representative of the wider NHS.
Few organisations are so laid-back.
Those sorts of organisations are critical.
Most non-profit organisations are completely ineffective.
Public health organisations are not faceless bureaucracies.
