This edition provides information and sources required for anyone working in the NHS or in health services research who has responsibilities in this field. It reflects the many major changes to the management of the NHS R&D strategy since the first edition was published. In particular, fresh emphasis is given to primary care issues, the implementation of new funding streams, and the radically changed structure of the NHS. This edition combines descriptions of the research fields, R&D management, and successes of the strategy so far with robust proposals for the future.