TY  - JOUR
AB  - Fundamental hospital management reforms, enacted in 1990, focus on
competition for National Health Service (NHS) contracts between public
and private hospitals and the option of self‐governing trust status for
NHS hospitals. The need to challenge the status quo in the NHS is
discussed. Initiatives leading to self‐governance are reviewed. The
Freeman Hospital′s model for the cultural change which is prerequisite
to self‐governance is presented. The Freeman Hospital, Newcastle upon
Tyne, a national pilot site selected by the NHS Management Executive to
develop new management systems and practices, is among the first
self‐governing hospital trusts in the NHS.
VL  - 5
IS  - 1
SN  - 0268-9235
DO  - 10.1108/02689239110143957
UR  - https://doi.org/10.1108/02689239110143957
AU  - Dreachslin Janice L.
AU  - Zernott Marjorie
AU  - Fenwick Len
AU  - Wright Peter
AU  - Canning Bernard
PY  - 1991
Y1  - 1991/01/01
TI  - Self‐governance and Cultural Change in NHS Hospitals
T2  - Journal of Management in Medicine
PB  - MCB UP Ltd
SP  - 6
EP  - 15
Y2  - 2024/09/24
ER  -