Seven chapters of original research delve deep into the reality of CSR pursuit. Paucity of CSR leadership emerges as central. From examination of CSR application within the supply chain of a global food manufacturer to a local French hospital, the inability to reconcile organisational requirements with social responsibility demands leads to social irresponsibility. Equally, shortage of ethical concern is emphasised in investment banking and especially private healthcare. Moral leadership is moving from the physician to the healthcare manager through promoting images of the body beautiful to attract vulnerable clients. Study of insider trading highlights the real concern, namely the influence of global corporations shaping markets in their favour and not the insider with privileged knowledge. Astonishing in its breadth, this book concludes that CSR is here to stay. Needed, however, are the skills for improved CSR adoption from the boardroom downwards. Integrating CSR and firm strategy remains the challenge. Book jacket.