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Changing Management Cultures in the English National Health Service

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Culture and Climate in Health Care Organizations

Abstract

The language of cultural change is increasingly employed in relation to organizational reforms aimed at improving the efficiency and responsiveness of health systems in many countries. In the wake of high-profile reports documenting gross medical errors in the United States, policy thinking is embracing the notion of culture change as a key element of health system redesign (Institute of Medicine, 1999; Davies et al., 2000) and there is evidence to suggest that many other OECD countries are focusing on cultural renewal and change as a potential lever for health care improvement (Smith, 2002).

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References

  • Bowles, S. (1998) ‘Endogenous preferences: The cultural consequences of markets and other economic institutions’, Journal of Ecouomic Literature, 36, 75–111.

    Google Scholar 

  • Broadbent, J. and Laughlin, R. et al. (1992) ‘Recent financial and administrative changes in general practice. An unhealthy intrusion into medical autonomy’, Financial Accountability, 8, 129–48.

    Article  Google Scholar 

  • Cameron, K. and Freeman, S. (1991) ‘Culture, congruence, strength and type: Relationship to effectiveness’, Research in Organizational Change and Development, 5, 23–58.

    Google Scholar 

  • Carrillo, J.D. and Gromb, D. (1999) ‘On the strength of corporate cultures’, European Economic Review, 43, 1021–37.

    Article  Google Scholar 

  • Davies, H.T.O. (2002) ‘Understanding organizational culture in reforming the National Health Service’, Journal of the Royal Society of Medicine, 95, 140–2.

    Article  Google Scholar 

  • Davies, H.T.O. and Mannion, R. (2000) ‘Clinical governance: Striking a balance between checking and trusting’, in P.C. Smith (ed.), Reforming Health Care Markets: An Economic Perspective. Buckingham: Open University Press.

    Google Scholar 

  • Davies, H.T.O, Nutley S.M. and Mannion, R. (2000) ‘Organisational culture and quality of health care’, Quality in Health Care, 9, 111–19.

    Article  Google Scholar 

  • Deci, E.L. and Ryan, R. (1987) ‘The support of autonomy and the control of behaviour’, Journal of Personality and Social Psychology, 53, 1024–37.

    Article  Google Scholar 

  • Department of Health (2001) Learning from Bristol: The Department of Health’s Response to the Report of the Public Inquiry into Children’s Heart Surgery at the Bristol Royal Infirmary 1984–1995. London: Department of Health.

    Google Scholar 

  • DHSS (1984) Health Services Management: Implementation of the NHS Management Inquiry. London: DHSS.

    Google Scholar 

  • Flynn, R. and Williams, G. (eds) (1997) Contracting for Health: Quasi-Markets and the National Health Service. Oxford: Oxford University Press.

    Google Scholar 

  • Gerowitz, M.B. (1998) ‘Do TQM interventions change management culture? Findings and implications’, Quality Management in Health Care, 6 (3), 1–11.

    Article  Google Scholar 

  • Gerowitz, M.B. and Lemieux-Charles, L. et al. (1996) ‘Top management culture and performance in Canadian, UK and US hospitals’, Health Services Management Research, 9, 69–78.

    Google Scholar 

  • Handy, C.B. (1985) Understanding Organizations, 3rd edn. Harmondsworth: Penguin.

    Google Scholar 

  • Harrison, S. (1988) Managing the National Health Service: Shifting the Frontier? London: Chapman and Hall.

    Book  Google Scholar 

  • Harrison, S., Hunter, D J., Marnoch, G. and Pollitt, C. (1992) Just Managing: Power and Culture in the National Health Service. London: Macmillan.

    Book  Google Scholar 

  • Harrison, S. and Lim, J. (2003) ‘The frontier of control: Doctors and managers in the NHS 1966 to 1997’, Clinical Governance International, 8 (2), 13–17.

    Article  Google Scholar 

  • Hermalin, B.E. (2000) Economics and Corporate Culture. UC Berkeley, Department of Economics working paper, University of California.

    Google Scholar 

  • Hodgson, G.M. (1996) ‘Corporate culture and the nature of the firm’, in Groenewegen (ed.), Transaction Cost Economics and Beyond. Boston, MA: Kluwer Academic Press.

    Google Scholar 

  • Institute of Medicine (1999) To Erris Human: Buildinga Safer Health System. Washington, DC: National Academy Press.

    Google Scholar 

  • Jones, C. and Dewing, I. (1997) ‘The attitudes of NHS clinicians and medical managers towards changes in accounting controls’, Financial Accountability and Management, 13, 261–80.

    Article  Google Scholar 

  • Kennedy, I. (2001) Learning from Bristol: Public Inquiry into Children’s Heart Surgery at the Bristol Royal Infirmary 1984–1995. London: Stationery Office, 2001.

    Google Scholar 

  • Kreps, D.M. (1990) ‘Corporate culture and economic theory’, in J.E. Alt and K.A. Shepsle (eds), Perspectives on Positive Political Economy. Cambridge: Cambridge University Press.

    Google Scholar 

  • Le Grand, J. and Mays, N. et al. (eds) (1998) Learning from the NHS Internal Market: A Review of the Evidence. London: King’s Fund.

    Google Scholar 

  • Mannion, R., Davies, H.T.O. and Marshall, M.N. (2005a) ‘Cultural attributes of “high” and “low” performing hospitals’, Journal of Health Organization and Management, 1 (6), 431–9.

    Article  Google Scholar 

  • Mannion, R., Davies, H.T.O. and Marshall, M.N. (2005b), Cultures for Performance in Health Care. Milton Keynes: Open University Press.

    Google Scholar 

  • Mannion, R., Goddard, M. and Bate, A. (2007) ‘Aligning incentives and motivations in health care’, Financial Accountability and Management, 23 (4), 401–20.

    Article  Google Scholar 

  • Mannion, R. (2008) ‘General Practitioner commissioning in the English National Health Service: Continuity, change and future challenges’, International Journal of Health Services, 38 (4), 717–30.

    Article  Google Scholar 

  • Mannion, R. and Street, A. (2009) ‘Managing activity and expenditure in the new NHS market’, Public Money and Management, 29 (1), 27–34.

    Article  Google Scholar 

  • Marquand, D. (1988) The Unprincipled Society: New Demands and Old Politics. London: Jonathan Cape.

    Google Scholar 

  • Marquand, D. (1988) The Unprincipled Society. London: Fontana Press.

    Google Scholar 

  • Mintzberg, H. (1991) ‘The Professional Organisation’, in Mintzberg, H. and Quinn, J.B. (eds), The Strategy Process: Concepts, Contexts, Cases. 2nd edn. London: Prentice Hall.

    Google Scholar 

  • NHS Management Inquiry (1983) Report (Chairman Mr ER Griffiths). London: Department of Health.

    Google Scholar 

  • Pettigrew, A.M., Ferlie, E. and McKee, L. (1992) Shaping Strategic Change: Making Change in Large Organisations — the Case of the NHS. London: Sage.

    Google Scholar 

  • Scott, J.T., Mannion, R. and Marshall, M.N. (2003a) Healthcare Performance and Organisational Culture. Oxford: Radcliffe Medical Press.

    Google Scholar 

  • Scott, T. and Mannion, R., et al. (2003b) ‘The quantitative measurement of organizational culture in health care: A review of the available instruments’, Health Services Research, 38 (3), 923–45.

    Article  Google Scholar 

  • Shortell, S. and Jones, R. et al. (2000) ‘Assessing the impact of total quality management and organizational culture on multiple outcomes of care for coronary artery bypass graft surgery patients’, Medical Care, 38 (2), 201–17.

    Article  Google Scholar 

  • Smith, P. (ed.) (2002) Measuring Up: improving health system performance in OECD countries. Paris: OECD.

    Google Scholar 

  • Smith, P., Mannion, R. and Goddard, M. (2003) Performance Management in Health Care: Information, Incentives and Culture, HM Treasury Public Services Productivity Discussion Papers. London: HM Treasury.

    Google Scholar 

  • Throsby, D. (2001) Economics and Culture. Cambridge: Cambridge University Press.

    Google Scholar 

Download references

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© 2010 Russell Mannion, Huw Davies, Stephen Harrison, Frederick Konteh, Rowena Jacobs and Kieran Walshe

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Mannion, R., Davies, H., Harrison, S., Konteh, F., Jacobs, R., Walshe, K. (2010). Changing Management Cultures in the English National Health Service. In: Braithwaite, J., Hyde, P., Pope, C. (eds) Culture and Climate in Health Care Organizations. Organizational Behaviour in Health Care. Palgrave Macmillan, London. https://doi.org/10.1057/9780230274341_3

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