It brings us right up-to-date with the changing power bases brought about by the introduction of primary care groups and clinical governance. Any nurse, midwife or health visitor who has spent the past few years experiencing rather than analysing the changing nature of their jobs will find lots to identify with here. Students should find it a very useful resource. And managers and health service planners who would like to - or perhaps need to - know how nursing and nurses tick would do well to give this their attention.Health Service Journal