Addressing failure and turnaround in health care organisations: a review of current approaches and experiences across NHS providers


Chair: Naomi Fulop, Professor of Health Care Organisation and Management, Department of Applied Health Research, University College London


Kieran Walshe, Professor of Health Policy and Management, Alliance Manchester Business School, University of Manchester

Jean Ledger, Research Fellow, Department of Applied Health Research, University College London

Chris Sherlaw-Johnson, Senior Researcher, Nuffield Trust

Ross Millar, Senior Lecturer, Health Services Management Centre, University of Birmingham

Sarah Morgan, Director of Organisational Development, Guy’s and St Thomas’ NHS Foundation Trust


Session summary:

Responding to the failure and turnaround of organisations represents a key strategy for enhancing the performance and quality of NHS providers. A range of interventions can be identified such as external regulation, targeted quality improvement initiatives, and the promotion of inter organisational collaboration, yet we still lack adequate theoretical and empirical understanding about these different approaches to improvement.

The purpose of our interactive workshop is to draw on recent research about different approaches to understanding failure and turnaround in NHS provider organisations. The workshop will include three presentations that will cover the following areas:

  • Understanding failure and turnaround of NHS providers from a capability perspective
  • Examining the impact of improvement interventions for NHS providers in Special Measures
  • Developing a framework for inter-organisational partnering as an intervention for improvement

The session aims to further knowledge and understanding about this key area of policy and practice, raising important questions and debates about current and future approaches to performance improvement across the healthcare provider sector.

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