The Clinical Leaders Association of New Zealand (CLANZ), a body set up to "clarify perspectives on clinical governance and leadership including appropriate, useful and practical terminology and guidelines" (Wright, Malcolm, Barnett, & Hendry, 2001, p.
Although CLANZ identified the need for a national strategy, to reduce fragmentation of the health service and create a picture of quality in New Zealand (Wright et al., 2001), DHBs were left to create their own interpretations.