A longitudinal study of change in the English National Health Service

Pinar Guven-Uslu (Lead Author), Lynne Conrad

Research output: Contribution to journalArticlepeer-review

6 Citations (Scopus)


This paper reports the findings of a longitudinal comparative case study of three National Health Service (NHS) hospital Trusts in England, investigating the perceptions of clinical, managerial and accounting professionals towards changing cost accounting and performance measurement practices. It incorporates both qualitative and quantitative data analysis, and is based on a contextualist understanding of change management, utilising the content-process-context approach (Pettigrew and Lapsley, 1994) to investigate the influence of receptive versus non-receptive contexts on change. The analysis reveals limited success in improving performance measurement practices (the content of change) in Trusts. Nevertheless the specific context within which change was operationalised was found to be very important, with central mangers playing a key role in influencing change. The process of change indicated slow shifts in clinical-accountant-managerial relations, partly driven by changes in financial flows within the organisations.
Original languageEnglish
Pages (from-to)385-408
Number of pages24
JournalFinancial Accountability and Management
Issue number4
Early online date18 Oct 2011
Publication statusPublished - Nov 2011

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