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Describes the fundamental structural changes taking place in the NHS and health care education and how these affect the provision of library services. Defines the strategies adopted by librarians to take advantage of changes by raising their profile, using the new market mechanisms, and reshaping the professional agenda to meet new challenges. Describes individual initiatives with a special emphasis on the importance of the Cumberlege seminars and their outcomes. Concludes that library services are indeed thriving amid chaos, but that it does not always feel that way.

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