Typically the interviews lasted 45±60 minutes. Assurances of confidentiality and anonymity were given at the start of the interview, together with explanations of the purpose of the research. Interviews where held in person were taped. Notes were made of telephoned interviews. Although the interview schedule was followed, as themes emerged during individual interviews these were developed further with participants. As the interviews progressed, ideas from previous interviews were checked out which helped to build emerging themes. The interviews all started with the same question, which was to ask each leader if they could locate themselves within a framework. The framework was a square divided into four. Within
each quadrant was positioned either political, executive, academic or clinical. Leadership was positioned at the centre spanning all four quadrants