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Aims to examine medical involvement in hospital management processes, and to consider the implications of current experience for the next generation of clinical directors. Doctors who move into a formal management role often find themselves unprepared for their new responsibilities. Research has thus concentrated on identifying the management competences which doctors lack, and with designing ways to remedy the deficit. Seeks to move beyond this deficit model by adopting a perspective which focuses on the engagement of doctors in the management process. Draws data from in-depth interviews with six clinical directors and 19 other members of the hospital management team at Leicester General Hospital NHS Trust (LGH). Content analysis of interviews suggest that the engagement of clinical directors in the hospital management process at this site can be described as reluctant, transient, service-driven, power-pulled and pressured. This negative portrayal of the role, however, must be set in the context of the "management expectation" held of clinical directors by other hospital managers and staff--an expectation that is not currently fulfilled.

Rather than providing evidence of business process re-engineering (BPR) as another example of cultural change rhetoric, this case study shows BPR as a substantive initiative that has had a considerable impact on health care professionals. A hybrid of differing bureaucratic professions allows for a diversity specific to the health service. The study highlights a number of controversial issues unique to health care professionals, particularly in the areas of job redesign, multiskilling and empowerment.

David Buchanan, Professor of Human Resource Management and Diane Preston, Lecturer in Organisational Behaviour, at the University of Loughborough Business School present the findings of a case study which explores the implications of manufacturing systems engineering (MSE) for the role of foremen and for shopfloor autonomy in an engineering company, Moore Components. MSE is a currently fashionable socio‐technical systems approach to production facility design, combining aspects of group technology, cell autonomy, ‘facilitative’ supervision, and just‐in‐time workflow. The case is used to identify key aspects of emerging new manufacturing methods, to indicate the potential of these methods for developments in work organisation and management practice, and to demonstrate how specific HRM policies can inhibit or facilitate the changes in supervision and teamwork which MSE ostensibly encourages.

This paper reports on findings from a Leadership Foundation for Higher Education funded project exploring the role of associate deans in UK universities. While the number of associate deans leading cross-curricular and inter-disciplinary initiatives appears to be on the increase, there has been very little research focusing on the exact nature of the role and its importance, or otherwise, in the leadership and management of universities. Drawing on mixed-methods data from 15 semi-structured interviews and a follow-up online survey (n = 172), this paper reports on how the role is defined and positioned in relation to university organisational structures and identifies what the similarities and differences are between associate deans working at traditional and modern universities. As the first national survey of the role, it is argued that this paper makes a significant and original contribution to knowledge. By drawing on the concept of distributed leadership, the paper also offers new theoretical insights into how different types of universities in the UK are responding to external pressures as a consequence of the fast-changing and increasingly complex sector environment.