while retaining a high standard of academic rigor making this an ideal text for students, researchers and practitioners in the fields of healthcare, public management and organizational behavior.

Part 1: Context 1. Changing by Numbers 2. Improvement Evaporation: Why Do Successful Changes Decay? 3. The Best Practices Puzzle: Why are New Methods Contained and not Spread? Part 2: Experience 4. View from the Top: Opening the Box on Spread and Sustainability 5. Shades of Resistance: Understanding and Addressing Scepticism 6. Tracking Sustainability: Lessons from the Patient Booking Timeline 7. Spreading and Sustaining Change: The Patient Booking Case Experience 8. Layers of Leadership: Hidden Influencers of Healthcare Improvement 9. Spreading and Sustaining Change: The Cancer Collaborative Case Experience 10. High Impact: Key Changes in Cancer Care 11. Spreading can be Easy: The 'See and Treat' Experiment Part 3: Implications 12. The Sustainability and Spread Story: Contributions to Theory 13. Sustaining Change and Avoiding Containment: Practice and Policy 14. Researching Major Change: Issues and Dilemmas