Current English health policy is focused on strengthening the ‘demand-side’ of the health care system. Recent reforms are designed to significantly enhance the capability and status of the organisations responsible for commissioning health care services and, in so doing, to address some of...

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 evaluate the claims made for the clinical microsystems approach of healthcare improvement within an English NHS context. Design/methodology/approach – The research adopted a Realistic Evaluation approach to examine a series of pilot clinical...

Purpose – Australian states have embraced clinical networking as a mechanism for managing, organising and improving the quality of care. Using these individualised state approaches to clinical networks, in this paper the authors aim to examine this Australasian “experimentation” and...