Purpose – This paper explores the reasons for the sometimes seemingly irrational and dysfunctional organisational behaviour within the NHS. It seeks to provide possible answers to the persistent historical problem of intimidating and negative behaviour between staff, and the sometimes...

Describes a research project carried out within the Manchester Royal Infirmary (MRI) to evaluate and improve the recycling and disposal of pharmaceutical products. Discusses supply chain management practices in the National Health Service and, in particular, focuses on the concept of reverse...

The research on which this article is based has been carried out over a period of five years (1992‐1997). It focuses on the management of change in the National Health Service (NHS) since the reforms introduced in the 1990 NHS Act. The research comprises four case studies: two NHS Trusts...