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This paper describes a workshop-based process bringing together for the first time two approaches--immersive drama and whole systems thinking--which was designed to test the extent to which health service systems are able to recognise and remedy emergent management and clinical problems. The workshop provided participating health service managers with insights into, and pointers to improvements in, current clinical governance arrangements. It also demonstrated the strengths of the immersive drama approach and how these might be augmented, as here, by a shortened version of a whole systems event., 1. Introduction Worldwide, there has been a growth in public questioning about the attitudes and actions of the traditional 'professions': notably accountancy, medicine and the law. In the medical arena [...]