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Study on knowledge creation within health and well-being services finds that managers from different organisations develop and maintain knowledge collectively, in line with knowledge-creation theory. Cluster modelling indicates that networks of managers are able to maintain relationships, thereby also maintaining knowledge, over months or years. Middle managers were shown to be synthesisers, and relationships to be simultaneously formal and informal, as well as simultaneously stable and fluid.

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Vicky Ward,1,* Robert West,1 Simon Smith,1 Steven McDermott,1 Justin Keen,1 Ray Pawson,2 Allan House,1 

1 Leeds Institute of Health Sciences, University of Leeds, Leeds, UK
2 School of Sociology and Social Policy, University of Leeds, Leeds, UK
* Corresponding author ; Email:

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