Purpose – This paper seeks to suggest that there has been little detailed exploration of the potential links between theories of performance and theories of leadership. It aims to argue for an account of leadership which goes beyond current constructivist accounts of sensemaking to one that...

Purpose The purpose of this paper is to explore issues of medical engagement in the management and leadership of health services in the English National Health Service (NHS). The literature suggests that this is an important component of high performing health systems, although the NHS has...