The Public Manager in 2010: The Role of Middle Managers in Strategic Change in the Public Sector

Abstract

This article questions an assumption, commonly held by policy-makers, that the middle management group has little to contribute to the effective provision of health care. The article takes a case study approach to examine how middle managers influence strategic change in the area of marketing activity in an acute hospital trust. Data gathering took place in the case study over a period of two years and included observation, analysis of documentation, and a series of 85 interviews.