During the past two decades, an approach dubbed the "theory of constraints" has grown in popularity and success in industry. This approach began with Eliyahu Goldratt's particularly readable "business novel" entitled The Goal, which is currently in its third edition (North River Press, 2004). Several related books have been published since then. The newest book in that array, We All Fall Down, extends the principles and analytic approaches of the theory of constraints to health care systems. The story is set in a mid-sized academic hospital in the United Kingdom, and the characters and their foibles are so familiar as to be both comforting and frightening. New England Journal of Medicine 355:2 July 13, 2006.

Engagingly whisking its readers through Beth Segar's every-day digressively tedious life in combat with coworkers and happiness, We All Fall Down depicts the amusing tale of her introduction of Theory of Constraints in the workplace and its immediate effectiveness. We All Fall Down is unique and very highly recommended reading. MidWest Book Review

Many books start well, but few are able to sustain the pace of 'We All Fall Down' for a full 352 pages. You learn about the theory of constraints, and how and when to present discoveries made by using powerful analytical tools such as 'The Cloud'. These will enable you to identify the core problem of your organisation.

Moreover you learn easily, avoiding the bland literature of the classroom with it's jargon and techno-babble. This book is in English, not some business pundit's specialised tongue. What a delight it is to read.

No amount of book reading will solve management problems unless you can apply the knowledge within the book's covers. 'We All Fall Down' demonstrates how important it is to create powerful alliances before attempting to change your work-place.

I particularly enjoyed the frisson between Beth and John, a Professor of surgery. As Beth's relationship with Max, her husband, deteriorates one can't help wondering if she will succumb to the attractive bachelor's charms? Stephen Bray: Principal, The Family Business School 

Many business' and organisations are emotionally dead, they have become functional and dutiful. They lack passion, purpose and vision. Staff and suppliers, clients and even patients, will all know this, they will refer to the system as 'arrogant' or 'corporate' or 'uncaring'. The purpose and passion within this book is to ignite your spark and create a fire that glows bright, and can self sustain itself through challenges and threats, those that come into contact with you will want you to be successful, you can be like a magnet and your light can shine for all to see. As the book says: 'We all want to do a good job!' Penny Power, Founder of the networking site Ecademy,  and co-author of A Friend in Every City. 

Brilliantly written with the addition of appropriate humour. Although based on resolving actual NHS issues, the content provides many insights for all managers and business owners. A recommended read. (*****) Mumkidsdotcom 

I approached this book with some trepidation, with its unappealing subtitle and a subject matter I am not over familiar with. However, a record reading time later I put it down with my brain whirring. For the National Health Service, I was thinking about my own business and I am already looking for ways to use what I have learnt both in my interactions with colleagues and in moving our business forward. Entertaining... and I learnt something. Wow! Andy Lopata. Managing Director of Business Referral Exchange Networking (BRE). Co-Author of And Death Came Third! and Building a Business on Bacon and Eggs.

Bought and read your book "We All Fall Down". Very good. I started it at 7.30pm and finished at 2am. Straight through! It was a good story and the ToC stuff was nicely woven in. Definitely up to the standard of The Goal. Well done. Rob Worth Worth Solutions 

This book highlights the need to start where you are and makes the point that you don't have to be the CEO to make positive changes. I believe that there are far too many people in business who see themselves as victims of a system they're powerless to influence. It's a disease that is passed from one person to another and we need a vaccine for it. Part of that vaccine is in We All Fall Down. Steven Holt (Amazon review)

Wright and King's book provides useful approaches to managing change and overcoming resistance to change… We All Fall Down should be a respected addition to the libraries of clinicians who practise in a health care system and of managers of clinical enterprises.  New England Journal of Medicine. 355:2 July 13, 2006

Having researched using TOC in service industries I was delighted to find out that this book was coming out. The business novel style, as per Goldratt's original "The Goal", is just so much more fun to learn from than a textbook! Julie & Russ' story definitely hits the spot! I read it in little over a day, marking up choice passages and new distinctions as I went along.

So if you're tired of being a witch-doctor with sticking plaster solutions, pick this up and learn how to be a decision-making surgeon! Neil Jamieson Change NRJ 

It's a good read and well-written so that the reader really feels Beth's pain as she struggles with learning how to use TOC and implementing a TOC solution in a high-stakes, politically-charged environment. This is a great addition to the three core TOC novels – The Goal. It's Not Luck and Critical Chain.

What I liked especially about this book is that it demonstrates how TOC can be implemented in a government setting and that TOC can be used in a less-controlled environment. When I first discovered The Goal back in 1994, I immediately took to its message but I had trouble applying it to the state government law office that I worked at.

Unlike a factory where inputs and processes can be planned in advance and optimized for maximum efficiency, work is more chaotic and not easy to schedule. I often thought that TOC could not handle the repair-shop model but Wright and King demonstrate how TOC can work in such an environment. Eclectic Bill Blog