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Healthcare reforms and restructuring have been a globalphenomenon since the early 1980s. The major structural reforms inthe healthcare system in New South Wales, Australia, heralded a newera in management responsibility and accountability. This bookexamines how reforms in the NSW Health public sector affected itssenior executive workforce between 1990 and 1999 in terms of theirroles and responsibilities, the competencies required, and thechallenges they faced. It also provides indications of themanagerial educational needs for future senior healthcare managers.Most significantly, the study has developed a clear analyticalframework for understanding the pyramidal relationships betweentasks, roles and competencies and piloted a new competencyassessment approach for assessing the core competencies required bysenior health managers. This book will be beneficial to healthcaremanagers and policy planners who are facing the challenges ofconstantly changing healthcare systems, and to academics involvingin the provision of healthcare management training andeducation.