“…Instead, as Cowell et.al. (2011, p. 434) point out, there has been more focus on philosophical, definitional and theoretical issues (but see Persson et.al., 2013;Page, 2010). As a result, we know very little about the extent to which professionalism and managerialism coexist as foundations for accountability or what these two apparently contending principles mean to different types of actors.…”