The author argues that most organizations are profoundly "unhealthy": with poor organizational design; faulty company strategy; and poor company culture. His book outlines an approach which explains why individual companies are unhealthy and shows how to change this using the decision-making accountability model. Based on experience at Unilever and Tesco, Brian Dive answers the recurring questions that dog an organization's development: how many people should there be in this organization?; how many layers of hierarchy are necessary?; what are the logical steps of professional development for employees?; what career paths should individuals follow? Dive shows how, by following the steps outlined in the book, healthy organizational management will lead to greater competitiveness, spark innovation and increase employee empowerment.