The final issue of the journal for the year enables the publication of articles that report on research and experience related to opportunities for innovation, quality, workforce, access and consumer understanding. In addition to system and services readiness in relation to the translation of research as well as operational readiness related to incidents and access surge.

In this issue contributions enable us to reflect on the issue of ambiguity in leading and managing health services. The lack of certainty or dependability of meaning of communications, action or knowledge from and about the short, medium and longer terms is a critical aspect of system readiness and responsiveness for the medium and longer terms.....