Avivo is the leading organisation in Australia moving towards self-management. Avivo has 1100 team members working in Western Australia, supporting people to live at home, with a turnover of around 65 million dollars. Self-management may be seen by some as the latest thing in health and care, but CEO Rosie Lawn explains how they started with the question, ‘What organisational design could support us to achieve our purpose and strategic goals?’.