<title/> Relatively little has been published about the dynamics and mechanisms underpinning the trajectories and outcomes of public service Lean projects. This article addresses this gap by using Actor Network Theory (ANT) to elucidate the dynamics of Lean implementation in a UK hospital trust. The...

Purpose: The importance of networks in effecting the outcomes of change processes is well-established in the literature. Whilst extant literature focuses predominantly on the structural properties of networks, our purpose is to explore the dynamics of network emergence that give rise to the...