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The effective management of health services and the delivery of quality systems in Irish health‐care institutions have increased in significance in recent years. Consumers (patients) are expecting more of health‐care providers and are demanding higher standards of care and service. Simultaneously, those paying for health services have become more concerned about rising health costs and possible inefficiencies. As a result there is widespread interest in understanding what makes for an effective health service and in developing better practices to improve existing approaches to health‐care management and delivery. Reviews developments in quality‐service management in the Irish health‐care sector and focuses attention on the need for the development of a model for quality implementation in health‐care institutions.