This research seminar is hosted by the Centre for Research into Accounting and Finance in Context (CRAFiC) at Sheffield University Management School
Gianluca is a professor in healthcare management at the School of Economics, Finance and Management at the University of Bristol. Previously, he was worked at the Leeds University Business School for ten years. He holds a PhD and an MBA from the University of Leeds and a BSc in Law and Economics from the University of Trento (Italy). He also has working experience in the legal and banking sectors. His current research interests are predominantly in the governance of healthcare organisations around issues of board of directors’ role and effectiveness, management structures and functions, clinical leadership and organisational performance. Gianluca’s research has been supported by the ESRC, NIHR, EU Cost Action, NLA, and WUN. He has published in a number of highly ranked scholarly outlets and has presented and discussed his findings with academics, policy makers and practitioners.
Although managers are, globally, a central part of the new public management reform agenda, in recent years policy makers, the media and the general public have raised concerns about their effectiveness and contribution. In some countries, notably the UK and the US, this debate has been heavily influenced by public choice theory (PCT), which depicts ‘bureaucrats’ as rent seeking, self-serving individuals. In this study, focusing on the case of acute care hospital trusts in the English National Health Service, we formally test whether public sector managers represent a ‘bureaucratic burden’. Using a longitudinal database spanning six years (2007-2012) and employing multivariate regression analysis, the findings reveal that, contrary to PCT assumptions, managers do not engage, in the main, in rent seeking behaviour and, crucially, appear to have a positive impact on organisational performance. Implications for theory, policy and practice are discussed.