Deming introduced Total Quality Management (TQM) in the 1980's with the help of other quality leaders, Juran and Crosby [26]. Although, there is no universal definition some common accepted principles are as follows: TQM, can be thought of as a management philosophy, a corporate culture and an organisational wide activity fundamentally based on the participation of all members of an organization in improving processes, products and services; transforming organisational culture in order to meet or exceed customer needs and expectations, by means of consistent leadership and continuous improvement [18, 22, 25, 30]. In essence, the three basic principles of TQM are: focus on customer satisfaction; seek continuous and long term improvement in all the organization's processes and outputs, and ensure full involvement of the entire work force in improving quality. Identifying and satisfying the needs of the customer start with the external customer and work backwards so that quality at each stage is defined in terms of the next customer in the process [8, 36]. Juran defines the customer as ‘anyone that is impacted by the product or process external or internal’ [13]. The way in which organizations are organised can be viewed as a supplier customer relationship involving internal and external customers.