TY - JOUR
T1 - From cultural cohesion to rules and competition
T2 - The trajectory of senior management culture in English NHS hospitals, 2001-2008
AU - Mannion, Russell
AU - Harrison, Stephen
AU - Jacobs, Rowena
AU - Konteh, Frederick
AU - Walshe, Kieran
AU - Davies, Huw T O
PY - 2009/8/1
Y1 - 2009/8/1
N2 - Objectives: To assess changes in senior management culture in English NHS hospitals between 2001 and 2008. Design: Longitudinal study comprising cross-sectional surveys of board levels managers at three time-points using a validated culture measurement instrument - the Competing Values Framework. Setting: English NHS hospital trusts. Main outcomes: There has been a decline in 'Clan' and an increase in more competitive 'Rational' cultures among senior management teams in NHS hospital trusts during the period 2001-2008. Conclusions: Government policy for the NHS has espoused the desirability of competition, particularly since 2002. Our data suggest that corresponding changes in the cultures of senior management teams in NHS hospital trusts is beginning to occur, with the expectation that these organizations will pursue more competitive strategies.
AB - Objectives: To assess changes in senior management culture in English NHS hospitals between 2001 and 2008. Design: Longitudinal study comprising cross-sectional surveys of board levels managers at three time-points using a validated culture measurement instrument - the Competing Values Framework. Setting: English NHS hospital trusts. Main outcomes: There has been a decline in 'Clan' and an increase in more competitive 'Rational' cultures among senior management teams in NHS hospital trusts during the period 2001-2008. Conclusions: Government policy for the NHS has espoused the desirability of competition, particularly since 2002. Our data suggest that corresponding changes in the cultures of senior management teams in NHS hospital trusts is beginning to occur, with the expectation that these organizations will pursue more competitive strategies.
UR - http://www.scopus.com/inward/record.url?scp=68949089988&partnerID=8YFLogxK
U2 - 10.1258/jrsm.2009.090066
DO - 10.1258/jrsm.2009.090066
M3 - Article
C2 - 19679735
AN - SCOPUS:68949089988
SN - 0141-0768
VL - 102
SP - 332
EP - 336
JO - Journal of the Royal Society of Medicine
JF - Journal of the Royal Society of Medicine
IS - 8
ER -