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Many years ago, I read a book by Edgar Schein (Process Consultation Volume 2: Lessons for managers and consultants - which is still available) and it changed my approach to consultancy. In it he describes three models of consultancy: The purchase of information or expertise, the doctor-patient model and process consultation.

I am increasingly worried that clients purchase either of the first two models when in fact they would find far greater value for money from procuring the third. As a consequence far too much of our money (as taxpayers or customers) is wasted on generating fat consultants' reports. This McKinsey report is yet another (high profile) example....

http://jonharveyassociates.blogspot.com/2009/09/another-consultants-report-bites-dust.html