The role of executive information systems (EIS) within an organisation is dependent on context. Statistical surveys cannot provide sufficient insight into the cultural and political factors, which contribute significantly to the successful deployment of EIS. An interpretive perspective, encompassing structuration theory, will help to shed light on the social context and processes which influence the procurement and use of an EIS. The paper discusses the aspects of the interpretive approach that are particularly relevant to EIS. An ongoing case study of EIS deployment in a UK health authority is examined in the light of this approach in order to identify key issues involving the role of EIS in responding to radical change and its effect on the distribution of power within an organisation.