Highlights: ? Health systems need to make better use of data held within the system. ? Evidence should be based on application in practice as well as on pure research in controlled environments. ? Commercial sector service industries have a tradition of learning organisation approaches. ? New policies on e-health in the USA give a new opportunity, but need to be developed. ? Europe has some positive individual initiatives, but as yet no overall cohesive knowledge creation strategy.Abstract: In any country the health sector is important in terms of human wellbeing and large in terms of economics. The health sector might therefore be expected to be a finely tuned enterprise, utilising corporate knowledge in a constant process of critically reviewing and improving its activities and….