Projects are increasingly being used to manage ‘change’ activities, but business is rarely so simple that a single project can achieve all that is needed to direct and manage all the necessary changes. This requires a number of projects, each aimed at delivering a required outcome to realize the benefits the organization needs. This chapter covers the management structures one need to use to reap the rewards of being a value focused business or organization. These management structures include: business portfolios, programmes, projects, other work, and work packages. A business portfolio comprises current benefit generating business activities, together with a loosely coupled but tightly aligned portfolio of programmes, projects and other work, aimed at realizing the benefits of part of a business plan or strategy. A programme is a tightly coupled and tightly aligned grouping of projects and other work managed as a temporary, flexible organization created to coordinate, direct, outcomes and benefits related to a set of strategic objectives.