Managing within the challenges and tensions facing the twentyfirst century UK National Health Service (NHS): The dilemma of a managerial identity within the context of a socially responsible organization

Social Responsibility Journal

Volumn 5, Issue 2, 2009, Pages 152-164

  Merali, Faruk ^a  

^a LONDON METROPOLITAN UNIVERSITY   (United Kingdom)

Author keywords

Corporate image; National Health Service; Organizational culture; Social responsibility; Work identity

Indexed keywords

EID: 84993069645     PISSN: 17471117     EISSN: 1758857X     Source Type: Journal    
DOI: 10.1108/17471110910964450     Document Type: Article

References (58)

1. Alvesson, M. and Willmott, H. (2002), “Identity regulation as organizational control: producing the appropriate individual”, Journal of Management Studies, Vol. 39 No. 5, pp. 619-644.
2. Baggott, R. (1997), “Evaluating health care reform: the case of the NHS internal market”, Public Administration, Vol. 75 No. 2, pp. 283-306.
3. Bergkamp, L. (2002), “Corporate governance and social responsibility: a new sustainability paradigm?”, European Environmental Law Review, May, pp. 136-152.
4. Best, G., Knowles, D. and Mathew, D. (1994), “Managing in the new NHS: breathing new life into the NHS reforms”, British Medical Journal, Vol. 308, pp. 842-4.
5. Black, D. (1995), “A view on the NHS reforms”, Journal of the Royal College of Physicians of London, Vol. 29 No. 5, pp. 442-5.
6. Blau, P.M. (1963), The Dynamics of Bureaucracy, The University of Chicago Press Ltd, London.
7. Blenkinsopp, J. and Stalker, B. (2004), “Identity work in the transition from manager to management academic”, Management Decision, Vol. 42 Nos 3 / 4, pp. 418-429.
8. Bolton, S.C. (2003), “Multiple roles? Nurses as managers in the NHS”, International Journal of Public Sector Management, Vol. 16 No. 2, pp. 122-130.
9. Cabinet Office (1998), Service First, HMSO, London.
10. Clarke, D. and Yarrow, D. (1997), “I find the term customer offensive”, International Journal of Health Care Quality Assurance, Vol. 10 No. 7, pp. 267-276.
11. Claver, E., Llopis, J., Gasco, J.L., Molina, H. and Cocna, F.J. (1999), “Public administration from bureaucratic culture to citizen-oriented culture”, International Journal of Public Sector Management, Vol. 12 No. 5, pp. 455-464.
12. Crowther, D. and Rayman-Bacchus, L. (Eds) (2004), Perspectives on Corporate Social Responsibility, Ashgate Publishing Ltd, Aldershot.
13. Currie, G. (1997), “Management development and a mismatch of objectives: the culture change process in the NHS”, Leadership & Organization Development Journal, Vol. 18 No. 6, pp. 304-311.
14. Currie, G. (1998), “Stakeholders' views of management development as a cultural change process in the health service”, Journal of Management in Medicine, Vol. 12 No. 1, pp. 44-62.
15. Dawson, S. and Dargie, C. (2002), “New public management: a discussion with special reference to UK health”, in Ed. Mc Laughlin, K., Ed. Osborne, S.P. and Ed. Ferlie, E. (Eds), New Public Management, Routledge, London, pp. 34-56.
16. Deephouse, D.L. (1996), “Does isomorphism legitimate?”, Academy of Management Journal, Vol. 39 No. 4, pp. 1024-40.
17. Department of Health (1992), The Patient's Charter: Raising the Standard, HMSO, London.
18. Department of Health and Social Security (1983), NHS Management Enquiry (Griffiths Report), HMSO, London.
19. Farnham, D. and Horton, S. (1993), “The new public service managerialism: an assessment”, Managing the New Public Services, Macmillan, London.
20. Ferlie, E., Pettigrew, A., Ashburner, L. and Fitzgerald, L. (1996), The New Public Management in Action, Oxford University Press, Oxford.
21. Flanagan, H. (1997), “What chance a caring management culture?”, Health Manpower Management, Vol. 23 No. 5, pp. 187-191.
22. Glynn, J.J. and Murphy, M.P. (1996), “Public management: failing accountabilities and failing performance review”, International Journal of Public Sector Management, Vol. 9 No. 5, pp. 125-137.
23. Hallam, J. (2002), “Vocation to profession: changing images of nursing in Britain”, Journal of Organizational Change, Vol. 15 No. 1, pp. 35-47.
24. Ham, C. (1997), Management and Competition in the NHS, Radcliffe Medical Press Ltd, Abingdon.
25. Hatch, M. and Schultz, M. (1997), “Relations between organizational culture, identity and image”, European Journal of Marketing, Vol. 31 Nos 5 / 6, pp. 356-365.
26. Hirsch, P.M. and Lounsbury, M. (1997), “Putting the organization back into organization theory”, Journal of Management Inquiry, Vol. 6 No. 1, pp. 79-88.
27. Jackson, S. (1997), “Does organizational culture affect out-patient DNA rates?”, Health Manpower Management, Vol. 23 No. 6, pp. 233-6.
28. Joyner, B.E. and Payne, D. (2002), “Evolution and implementation: a study of values, business ethics and corporate social responsibility”, Journal of Business Ethics, Vol. 41, pp. 297-311.
29. Kirpal, S. (2004), “Work identities of nurses: between caring and efficiency demands”, Career Development International, Vol. 9 No. 3, pp. 274-304.
30. Kvale, S. (1983), “The qualitative research interview: phenomenological and hermeneutical mode of understanding”, Journal of Phenomenological Psychology, Vol. 14, pp. 171-196.
31. Learmonth, M. (1997), “Managerialism and public attitudes towards UK NHS managers”, Journal of Management in Medicine, Vol. 11 No. 4, pp. 214-221.
32. Mc Donald, R. (2005), “Shifting the balance of power? Culture change and identity in an English health-care setting”, Journal of Health Organization and Management, Vol. 19 No. 3, pp. 189-203.
33. Mellett, H. and Marriott, N. (1995), “Managerial objectives in the NHS”, Journal of Management in Medicine, Vol. 9 No. 5, pp. 6-13.
34. Merali, F. (2003), “NHS managers' views of their culture and their public image: the implications for NHS reforms”, International Journal of Public Sector Management, Vol. 16 No. 7, pp. 549-563.
35. Merali, F. (2005), “NHS managers' commitment to a socially responsible role: the NHS managers' views of their core values and their public image”, Social Responsibility Journal, Vol. 1 Nos 1 / 2, pp. 38-46.
36. Merali, F. (2006), “Developing an explicit strategy towards social responsibility in the NHS: a case for including NHS managers in this strategy”, Journal of Health Organization and Management, Vol. 20 No. 4, pp. 309-324.
37. Meyer, J.W. and Rowan, B. (1991), “Institutionalized organizations: formal structure as myth and ceremony”, in Ed. Powell, W.W. and Ed. Di Maggio, P.J. (Eds), The New Institutionalism in Organizational Analysis, University of Chicago Press, Chicago, IL, pp. 41-62.
38. Meyerson, D. and Martin, J. (1987), “Cultural change: an integration of three different views”, Journal of Management Studies, Vol. 24, pp. 623-647.
39. Miles, M. and Huberman, A. (1994), “Data management and analysis methods”, in Ed. Denzin, N.K. and Ed. Lincoln, Y.S. (Eds), Handbook of Qualitative Research, Sage, Thousand Oaks, CA, pp. 428-444.
40. Osborne, S.P. and Mc Laughlin, K. (2002), “The new public management in context”, in Ed. Mc Laughlin, K., Ed. Osborne, S.P. and Ed. Ferlie, E. (Eds), New Public Management, Routledge, London, pp. 7-14.
41. Pettigrew, A., Ferlie, E. and Mc Kee, L. (1992), Shaping Strategic Change, Sage, London.
42. Pollitt, C. (1990), Managerialism and the Public Services, Blackwell, Oxford, pp. 50-86.
43. Sambrook, S. (2006), “Management development in the NHS: nurses' and managers' discourses and identities”, Journal of European Industrial Training, Vol. 30 No. 1, pp. 48-64.
44. Scheid-Cook, T.L. (1992), “Organizational enactments and conformity to environmental prescriptions”, Human Relations, Vol. 45 No. 6, pp. 537-555.
45. Sheaff, R. and West, M. (1997), “Marketization, managers and moral strain: chairmen, directors and public service ethos in the national health service”, Public Administration, Vol. 75 No. 2, pp. 189-206.
46. Smith, C. (2000), “Organizational culture in practice”, Human Resource Development International, Vol. 3 No. 2, pp. 153-8.
47. Thorne, M.L. (1997), “Myth-management in the NHS”, Journal of Management in Medicine, Vol. 11 No. 3, pp. 168-180.
48. Townsend, P., Davidson, N. and Whitehead, M. (1988), Inequalities in Health, Penguin, Harmondsworth.
49. Warden, J. (1995), “NHS Managers to go in new purge”, British Medical Journal, Vol. 311, p. 1591.
50. Watson, T.J. (1999), The Emergent Manager, Sage Publications, Thousand Oaks, CA.
51. Watson, T.J. (2003), In Search of Management: Culture, Chaos and Control in Managerial Work, Thomson Learning, London.
52. WBCSD (1999), Corporate Social Responsibility, World Business Council for Sustainable Development, Geneva.
53. Webster, C. (1992), “Beveridge after 50 years”, British Medical Journal, Vol. 304, pp. 901-2.
54. Williams, A., Dobson, P. and Walters, M. (1989), Changing Culture, Institute of Personnel Management, London.
55. Wilson, I. (2000), “The new rules: ethics, social responsibility and strategy”, Strategy & Leadership, Vol. 28 No. 3, pp. 12-16.
56. Windsor, D. (2001), “The future of corporate social responsibility”, The International Journal of Organizational Analysis, Vol. 9 No. 3, pp. 225-256.
57. Wise, S. (2007), “Wanted: the next generation of nurse and midwifery managers”, International Journal of Public Sector Management, Vol. 20 No. 6, pp. 473-483.
58. Young, A.P. (1999), “The bed crisis of winter 1995-1996 in the British NHS: an illustration of accountability issues”, Nursing Ethics, Vol. 6 No. 4, pp. 316-326.