Hollowing out national agreements in the NHS? The case of "Improving Working Lives" under a "Turnaround" plan

Roper, Ian, Etherington, David and Lewis, Suzan ORCID: https://orcid.org/0000-0002-1823-8784 (2017) Hollowing out national agreements in the NHS? The case of "Improving Working Lives" under a "Turnaround" plan. Employee Relations, 39 (2) . pp. 145-159. ISSN 0142-5455 [Article] (doi:10.1108/ER-05-2015-0092)

PDF - Final accepted version (with author's formatting)
Download (367kB) | Preview


Purpose: The purpose of this paper is to consider the resilience of a national-level initiative (Improving Working Lives (IWL)) in the face of local-level initiative (Turnaround) in an NHS hospital and compare to Bach and Kessler’s (2012) model of public service employment relations.

Design/methodology/approach: Case study research consisting of 23 in-depth semi-structured interviews from a range of participants.

Findings: The principles behind IWL were almost entirely sacrificed in order to meet the financial objectives of Turnaround. This indicates the primacy of localised upstream performance management initiatives over the national-level downstream employee relations initiatives that form the basis of the NHS’ claim to model employer aspiration.

Research limitations/implications: The case study was conducted between 2007 and 2009. While the case study falls under previous government regime, the dualised system of national-level agreements combined with localised performance management – and the continued existence of both Turnaround and IWL – makes the results relevant at the time of writing.

Originality/value: Some studies (e.g. Skinner et al., 2004) indicated a perception that IWL was not trusted by NHS staff. The present study offers reasons as to why this may be the case.

Item Type: Article
Research Areas: A. > Business School > Leadership, Work and Organisations
Item ID: 20674
Notes on copyright: This is the accepted version of the manuscript "Hollowing out national agreements in the NHS? The case of "Improving Working Lives" under a "Turnaround" plan", published in the journal "Employee Relations" available via the journal site at: http://dx.doi.org/10.1108/ER-05-2015-0092. This article is © Emerald Publishing Limited and permission has been granted for this version to appear here. Emerald does not grant permission for this article to be further copied/distributed or hosted elsewhere without the express permission from Emerald Group Publishing Limited.
Useful Links:
Depositing User: Ian Roper
Date Deposited: 30 Sep 2016 15:33
Last Modified: 23 Jun 2021 12:40
URI: https://eprints.mdx.ac.uk/id/eprint/20674

Actions (login required)

View Item View Item


Activity Overview

Additional statistics are available via IRStats2.