Democratic Management in Primary Healthcare is the research report of working with the Fairfield Centre, one of the new primary health centres that were set up at the start of this century, requiring doctors, midwives, health visitors, community nurses, physiotherapists, and occupational therapists to work for the same organisation, under the same roof, for the first time. I used emancipatory educational philosophy to manage the acute change in working practices and professional relationships required to operate this new system and went back a year later to evaluate the change.