Mannion and Davies’ article recognises whistleblowing as an important means of identifying quality and safety issues in healthcare organisations. While ‘voice’ is a useful lens through which to examine whistleblowing, it also obscures a shifting pattern of uncertain ‘truths.’ By...

1. Deconstructing the welfare state : undoing 'one of the greatest achievements in history'? -- 2. Deconstructing the NHS : the changing roles of junior and middle managers -- 3. Exploring NHS work : a critical-action perspective -- 4. Ready to do business : management and organizational change...

It has been suggested that localised attempts at change may fail because of organisational defences that are sustained through bureaucratic systems. Mental health workers face specific threats arising from the nature and context of their work. The resulting anxieties lead to defensiveness in the...

Purpose – The purpose of this paper is to compare the evidence from a range of reviews concerned with the links between human resource management (HRM) and performance. The aim of the paper is to review this diverse literature, and to derive human resource (HR) implications for healthcare...

Purpose – The purpose of this paper is to examine National Health Service (NHS) employee perspectives of how high performance human resource (HR) practices contribute to their performance. Design/methodology/approach – The paper draws on an extensive qualitative study of the NHS. A novel...