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Journal cover: Journal of Health Organization and Management

Journal of Health Organization and Management

ISSN: 1477-7266
Previously published as: Journal of Management in Medicine

Online from: 2003

Subject Area: Health Care Management/Healthcare

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Managing cultural diversity in healthcare partnerships: the case of LIFT


Document Information:
Title:Managing cultural diversity in healthcare partnerships: the case of LIFT
Author(s):Russell Mannion, (Health Systems, University of Birmingham, Birmingham, UK), Sally Brown, (School of Medicine and Health, Durham University, Durham, UK), Matthias Beck, (University of York Management School, York, UK), Neil Lunt, (University of York Management School, York, UK)
Citation:Russell Mannion, Sally Brown, Matthias Beck, Neil Lunt, (2011) "Managing cultural diversity in healthcare partnerships: the case of LIFT", Journal of Health Organization and Management, Vol. 25 Iss: 6, pp.645 - 657
Keywords:National Health Service, Organizational culture, Partnership, Primary care funding, Public-private partnerships, Strategic alliances, United Kingdom
Article type:Research paper
DOI:10.1108/14777261111178538 (Permanent URL)
Publisher:Emerald Group Publishing Limited
Abstract:

Purpose – The National Health Service (NHS) Local Improvement Finance Trust (LIFT) programme was launched in 2001 as an innovative public-private partnership to address the historical under-investment in local primary care facilities in England. The organisations from the public and private sector that comprise a local LIFT partnership each have their own distinctive norms of behaviour and acceptable working practices – ultimately different organisational cultures. The purpose of this article is to assess the role of organisational culture in facilitating (or impeding) LIFT partnerships and to contribute to an understanding of how cultural diversity in public-private partnerships is managed at the local level.

Design/methodology/approach – The approach taken was qualitative case studies, with data gathering comprising interviews and a review of background documentation in three LIFT companies purposefully sampled to represent a range of background factors. Elite interviews were also conducted with senior policy makers responsible for implementing LIFT policy at the national level.

Findings – Interpreting the data against a conceptual framework designed to assess approaches to managing strategic alliances, the authors identified a number of key differences in the values, working practices and cultures in public and private organisations that influenced the quality of joint working. On the whole, however, partners in the three LIFT companies appeared to be working well together, with neither side dominating the development of strategy. Differences in culture were being managed and accommodated as partnerships matured.

Research limitations/implications – As LIFT develops and becomes the primary source of investment for managing, developing and channelling funding into regenerating the primary care infrastructure, further longitudinal work might examine how ongoing partnerships are working, and how changes in the cultures of public and private partners impact upon wider relationships within local health economies and shape the delivery of patient care.

Originality/value – To the authors’ knowledge this is the first study of the role of culture in mediating LIFT partnerships and the findings add to the evidence on public-private partnerships in the NHS.



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