Governance systems which are based on assumptions of purposive-rational action have received significant criticism. For example the quality and performance frameworks of the English NHS function on the basis of incentives and sanctions, and have been critiqued in terms of both the logic on which...

There has much debate about the extent to which professional discretion has been challenged by recent organisational changes such as through the new forms of governance associated with the introduction of the principles of the New Public Management (NPM) into health systems and other public...

This study informs ‘evidence-based’ implementation by using an innovative methodology to provide further understanding of the implementation process in the English NHS using two distinctly different NICE clinical guidelines as exemplars.

Purpose – The aim of this paper is to provide a rationale for examining trust in health care. Design/methodology/approach – Conducts a review of the literature of trust relations in health care that highlighted that most empirical research has addressed threats to patient‐provider...

Purpose – This paper seeks to address how and why trust relations in the NHS may be changing and presents a theoretical framework for exploring them in future empirical research. Design/methodology/approach – This paper provides a conceptual analysis. It proposes that public and patient...