``We need to be much more sensitive to processes of organisational change and avoid being trapped in the logic of rational choice''. This means that practitioners must be aware of evolving business needs and how new ideas and good practice might fit those needs, however they are described. In its essentials the game has remained the same but they way it is being played has altered. Whether or not the name has changed is immaterial. New practices are developed and operated individually or ``joinedup'' because they meetthe needs ofthe situation. What matters iswhat works.