UK health sector performance management: Conflict, crisis and unintended consequences

Lynne Conrad, Pinar Guven Uslu

Research output: Contribution to journalArticlepeer-review

26 Citations (Scopus)


This paper investigates the consequences of particular approaches to the design of performance management systems, for organisations in the UK health sector. A case study approach is adopted to investigate the impact of a new performance management system imposed from a distance by regulatory bodies on English hospital Trusts. The theoretical framework integrates structuration and institutional theories in order to understand how practices are institutionalised or changed at three levels, emphasising the crucial role of agency in structuring organisational and institutional practices. It reveals the potential for conflict, crisis and unintended consequences in organisations where instrumental approaches are adopted.
Original languageEnglish
Pages (from-to)231-250
Number of pages20
JournalAccounting Forum
Issue number4
Publication statusPublished - 1 Dec 2012

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