Please use this identifier to cite or link to this item:
Title: Leadership, service reform, and public-service networks: the case of cancer-genetics pilots in the English NHS
Authors: Martin, Graham P.
Currie, Graeme
Finn, Rachael
First Published: Oct-2009
Publisher: Oxford University Press
Citation: Journal of Public Administration Research & Theory, 2009, 19 (4), pp.769-794.
Abstract: In attempting to reform public services, governments worldwide have sought to effect change through policies aimed at both transforming structures of public-service provision and facilitating the agency of public servants working within these. Various obstacles have been found, however, to impede the effectiveness of such efforts. In this article, the authors examine the role of organizational networks and distributed leadership—two prominent policies aimed at structure and agency, respectively—in the establishment and consolidation of service reform in the English National Health Service. Using a comparative case-study approach, they contrast the trajectories of two attempts to introduce and gain acceptance for service reform, noting important differences of context, process, and outcome between the sites. The findings indicate the importance of dispersed, as well as distributed, leadership in achieving change in a networked public-service setting. Effective leaders may indeed achieve change through the structures and processes of the network. However, the coexistence alongside the network of other organizational forms constrains the ability of leaders to achieve change without complementary action beyond the boundaries of the network.
DOI Link: 10.1093/jopart/mun016
ISSN: 1053-1858
Type: Article
Rights: This is the authors' accepted manuscript of the paper published as Journal of Public Administration Research & Theory, 2009, 19 (4), pp.769-794. The definitive published version is available from the publisher's website at DOI:10.1093/jopart/mun016
Appears in Collections:Published Articles, Dept. of Health Sciences

Files in This Item:
File Description SizeFormat 
Martin_et_al_(2009a).pdf302.9 kBAdobe PDFView/Open

Items in LRA are protected by copyright, with all rights reserved, unless otherwise indicated.