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This study aims to explain why organisations remain vulnerable to financial failure despite increasing financial regulation to improve governance. Using a case study of gambling and regulation in professional football in England, it introduces the concept of “regulatory legitimacy” to show how this enables football clubs to gamble.

The study quantifies the extent to which football clubs in the Championship of the English Football League (EFL) adopt a conventionally economically irrational decision to run a loss-making budget in the hope of achieving sporting success. The study postulates criteria for evidence of this form of gambling by overspending on playing talent with data from the clubs’ published financial statements. A pay-off matrix is developed to compare the intended and actual outcomes.

The research finds that this strategy was both prevalent and the most successful to achieve promotion.

This study makes three contributions. The first is the quantification of the prevalence of this form of gambling. The second is the finding that, despite regulations to limit spending on wages, gambling is rational in the non-economic sense because it is almost a necessary strategy to achieve promotion if the club had not been relegated from the Premier League in the previous season. The third contribution is the development of the concept of “regulatory legitimacy” as a way to understand the process through which regulations are implemented yet are ineffective at curbing financial gambling.

The purpose of this paper is to provide an assessment of the effectiveness of the Salary Cost Management Protocol, a form of financial regulation introduced by the English Football League in 2004 to improve the financial sustainability of professional football (i.e. soccer) clubs.

The analytical approach is to assess the effect of the regulation from evidence of change in measures of the financial performance of clubs drawing on three criteria: profitability, liquidity and solvency. A unique database was created from the published financial statements and notes to the accounts of the clubs in the Tier 4 league (known since 2004 as League Two) from 1994 to 2014 to encapsulate the 10-year period before and after the regulation was introduced. To show trends in the data within the study period, the data are reported in graphical form. The statistical significance of change in both the slope and intercepts for trends between breaks of interest in the data is estimated by linear regression.

The results show that financial regulation failed to significantly improve the profitability or the solvency of football clubs in League Two. Whilst the liquidity of the clubs improved in response to the introduction of the financial regulation, the results show this was only in the year in which the financial regulation was introduced.

The results extend theoretical debate on financial regulation in sports leagues by moving beyond the assumption that financial regulation is a “technical exercise” to provide an alternative way of thinking about financial regulation as a “legitimising exercise”.

This is the first study to assess the impact of financial regulation for football league clubs over a longitudinal period. It is also extends previous research in which only single aspects of the financial sustainability of football clubs, such as insolvency, have been considered.

The aim of this paper is to synthesise existing literature on sports stadia, spectators with disabilities (SwD) and accessibility to identify themes and to highlight the gaps in the literature. This review subsequently develops two propositions that will enable research in this emerging area to further develop.

The research was guided by two research questions: First, what does the peer reviewed evidence tell us about SwD and the accessibility of sporting stadia?; Second, how can this information be used to develop a Stadium Accessibility Scale (SAS)? The authors conducted a rapid review of the literature across three databases that identified 34 papers for synthesis.

The synthesis revealed three research themes: a focus on legislative compliance, the need to enhance resources (both physical and human) and research that focusses on moving beyond the stadium experience. The latter can be subdivided into two streams – studies that look at accessibility as a social legacy of major events and studies that seek to understand the whole journey that SwD's must make to attend sport events.

The study makes two key recommendations. The first is to encourage further research aligned to the HOPES framework (Paramio-Salcines et al., 2016) that explicitly recognises the importance of understanding the broader approach to the customer experience. The second is the need for the development and validation of a reliable SAS.

Greater accessibility provides a foundation for inclusive environments in sport. The findings are relevant for all stakeholders in sport as universal accessibility benefits more than people with disabilities.

The purpose of this paper is to explain that corporate citizenship refers to the specific activities that an organisation engages in to meet social obligations, and which has become an issue of growing importance within the business community. A key area in academic literature concentrates on justifying corporate citizenship initiatives to the corporate sector by illustrating a range of strategic benefits that a firm can achieve. This study is located within this body of work and aims to illustrate the strategic benefits that a football club can gain from the implementation of corporate citizenship activities through the community trust model of governance.

The study draws from qualitative primary and secondary data gathered from Charlton Athletic and Brentford football clubs.

Analysis of the data resulted in the identification of six strategic benefits that a football club can realise through the creation of a community trust model of governance. These are the removal of commercial and community tensions; reputation management; brand building; local authority partnerships; commercial partnerships; and player identification.

The paper considers the importance of these findings for a generic business audience, discussing how organisations can also benefit from the creation of partnerships with football clubs focused on the delivery of corporate citizenship initiatives.

The paper provides information regarding the application of management practice evident in football to other forms of business organisation.

The paper is the first to consider how corporate citizenship initiatives in football can assist firms in other sectors to achieve a range of strategic benefits.

The purpose of this paper is to introduce this special issue of Management Decision and discuss the key question “Should sport be taken seriously?”.

The themes of the special issue are discussed and each paper is introduced.

Sport should be taken seriously because it has a significance beyond the field of play. It has become a commodified activity which creates and consumes wealth and can be used as a context for management research.

Rarely before has sport been taken seriously in a management research context. This guest editorial and the special issue that follows it begin that debate.

“Integrated care” (IC) is an approach to health and social care delivery that aims to prevent problems arising from fragmented care systems. The collective content of the IC literature, whilst valuable, has become extensive and wide-ranging to such a degree that knowing what is most important in IC is a challenge. This study aims to address this issue.

A scoping review was conducted using Arksey and O'Malley's framework to determine IC priority areas.

Twenty-one papers relevant to the research question were identified. These included studies from many geographical regions, encompassing several study designs and a range of populations and sample sizes. The findings identified four priority areas that should be considered when designing and implementing IC models: (1) communication, (2) coordination, collaboration and cooperation (CCC), (3) responsibility and accountability and (4) a population approach. Multiple elements were identified within these priorities, all of which are important to ensuring successful and sustained integration of care. These included education, efficiency, patient centredness, safety, trust and time.

The study's findings bring clarity and definition to what has become an increasingly extensive and wide-ranging body of work on the topic of IC. Future research should evaluate the implementation of these priorities in care settings.

Problem alcohol use (PAU) is common and associated with considerable adverse outcomes among patients receiving opioid agonist treatment (OAT). The purpose of this paper is to describe a qualitative feasibility assessment of a primary care-based complex intervention to promote screening and brief intervention for PAU, which also aims to examine acceptability and potential effectiveness.

Semi-structured interviews were conducted with 14 patients and eight general practitioners (GPs) who had been purposively sampled from practices that had participated in the feasibility study. The interviews were transcribed verbatim and analysed thematically.

Six key themes were identified. While all GPs found the intervention informative and feasible, most considered it challenging to incorporate into practice. Barriers included time constraints, and overlooking and underestimating PAU among this cohort of patients. However, the intervention was considered potentially deliverable and acceptable in practice. Patients reported that (in the absence of the intervention) their use of alcohol was rarely discussed with their GP, and were reticent to initiate conversations on their alcohol use for fear of having their methadone dose reduced.

Although a complex intervention to enhance alcohol screening and brief intervention among primary care patients attending for OAT is likely to be feasible and acceptable, time constraints and patients’ reticence to discuss alcohol as well as GPs underestimating patients’ alcohol problems is a barrier to consistent, regular and accurate screening by GPs. Future research by way of a definitive efficacy trial informed by the findings of this study and the Psychosocial INTerventions for Alcohol quantitative data is a priority.

To the best of the knowledge, this is the first qualitative study to examine the capability of primary care to address PAU among patients receiving OAT.

In many healthcare systems, health policy has committed to delivering an integrated model of care to address the increasing burden of disease. The interface between primary and secondary care has been identified as a problem area. This paper aims to undertake a scoping review to gain a deeper understanding of the markers of integration across the primary–secondary interface.

A search was conducted of PubMed, SCOPUS, Cochrane Library and the grey literature for papers published in English using the framework described by Arksey and O'Malley. The search process was guided by the “Preferred Reporting Items for Systematic Reviews and Meta-Analyses” (PRISMA).

The initial database search identified 112 articles, which were screened by title and abstract. A total of 26 articles were selected for full-text review, after which nine articles were excluded as they were not relevant to the research question or the full text was not available. In total, 17 studies were included in the review. A range of study designs were identified including a systematic review (n = 3), mixed methods study (n = 5), qualitative (n = 6) and quantitative (n = 3). The included studies documented integration across the primary–secondary interface; integration measurement and factors affecting care coordination.

Many studies examine individual aspects of integration. However, this study is unique as it provides a comprehensive overview of the many perspectives and methodological approaches involved with evaluating integration within the primary–secondary care interface and primary care itself. Further research is required to establish valid reliable tools for measurement and implementation.