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dc.contributor.authorMannion, R.
dc.contributor.authorDavies, H. T. O.
dc.contributor.authorJacobs, R.
dc.contributor.authorKasteridis, P.
dc.contributor.authorMillar, R.
dc.contributor.authorFreeman, Tim
dc.identifier.citationMannion , R , Davies , H T O , Jacobs , R , Kasteridis , P , Millar , R & Freeman , T 2017 , ' Do hospital boards matter for better, safer, patient care? ' , Social Science and Medicine , vol. 177 , pp. 278-287 .
dc.identifier.otherPURE: 248996456
dc.identifier.otherPURE UUID: ff94d7c2-9101-4c96-a4d8-86c65efdda85
dc.identifier.otherScopus: 85011556251
dc.identifier.otherORCID: /0000-0002-2653-3695/work/57821568
dc.identifier.otherWOS: 000397552900032
dc.descriptionThe research was funded by the National Institute for Health Research (NIHR) Health Services and Delivery Research (HS&DR) programme (grant no. 10/1007/02; project title ‘Effective board governance of safe care’; co-applicants R. Mannion, T. Freeman and HTO Davies).en
dc.description.abstractManifest failings in healthcare quality and safety in many countries have focused attention on the role of hospital Boards. While a growing literature has drawn attention to the potential impacts of Board composition and Board processes, little work has yet been carried out to examine the influence of Board competencies. In this work, we first validate the structure of an established ‘Board competencies’ self-assessment instrument in the English NHS (the Board Self-Assessment Questionnaire, or BSAQ). This tool is then used to explore in English acute hospitals the relationships between (a) Board competencies and staff perceptions about how well their organisation deals with quality and safety issues; and (b) Board competencies and a raft of patient safety and quality measures at organisation level. National survey data from 95 hospitals (334 Board members) confirmed the factor structure of the BSAQ, validating it for use in the English NHS. Moreover, better Board competencies were correlated in consistent ways with beneficial staff attitudes to the reporting and handling of quality and safety issues (using routinely collected data from the NHS National Staff Survey). However, relationships between Board competencies and aggregate outcomes for a variety of quality and safety measures showed largely inconsistent and non-significant relationships. Overall, these data suggest that Boards may be able to impact on important staff perceptions. Further work is required to unpack the impact of Board attributes on organisational aggregate outcomes.
dc.relation.ispartofSocial Science and Medicineen
dc.rightsCrown Copyright © 2017 Published by Elsevier Ltd. This is an open access article under the CC BY-NC-ND license (
dc.subjectHospital boardsen
dc.subjectBoard governanceen
dc.subjectPatient safetyen
dc.subjectHealthcare qualityen
dc.subjectBoard competenciesen
dc.subjectH Social Sciencesen
dc.subjectRA Public aspects of medicineen
dc.titleDo hospital boards matter for better, safer, patient care?en
dc.typeJournal articleen
dc.description.versionPublisher PDFen
dc.contributor.institutionUniversity of St Andrews. School of Managementen
dc.description.statusPeer revieweden

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