The transformative view of quality is rooted in the notion of 'qualitative change', a fundamental change form. Transformation is not restricted to apparent or physical transformation but also includes cognitive transcendence. This transformative notion of quality is well established in Western philosophy and can be found in the discussion of dialectal transforms in the works of Aristotle, Kant, Hegel and Marx. Müller and Funnell (1992) suggested that quality should be explored in terms of a wide range of factors leading to a notion of 'Value Addedness'. The second element of transformative quality is empowerment, (Harvey and Barrows, 1992). This involves giving power to participants to influence their own transformation. This is much more than the accountability to the consumer which is found in customer characters. Consumerist charters essentially keep producers and providers on their toes, but rarely affect the decision-making process or policy. The control remains with the producer or provider. Empowering the employee in order to capitalize on their knowledge and skills is a well established strategy in the business world (Stratton, 1988).