The development of clinical management at an NHS Trust hospital. A case study example.

The article examines and comments on the development of clinical management at an NHS hospital Trust. It utilises a qualitative case study methodology to collect data from key stakeholders at this Trust. The data suggest some of the reasons why doctors may be receptive or non-receptive to the notion of clinical management. It recommends that attention is focused on the specialty context as a key factor in influencing the development of clinical management. It also suggests there may be other important factors, for example: training, the role of change agents; structure of clinical directorates; and individual factors such as cognition, attitudes and motivation.