title: In the best and worst of times.
authors.affiliation: NHS North West.
authors.forename: Louise
authors.initials: L
authors.lastname: Edwards
authors.forename: Joe
authors.initials: J
authors.lastname: Rafferty
mesh_terms: D003469:Culture; D006779:Hospitals, Public; D019982:Organizational Case Studies; D009936:Organizational Innovation; D011320:Primary Health Care / Q000458:organization & administration; D040242:Risk Reduction Behavior; D013222:State Medicine; D006113:United Kingdom