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Accounting for voluntary hospices in England: A business model perspective

Author

Listed:
  • Haslam, Colin
  • Tsitsianis, Nick
  • Theodosopoulos, Grigorios
  • Lee, Edward

Abstract

This paper accounts for the sustainability of voluntary hospices in England that provide palliative end of life care for patients. A critical evaluation of the challenges facing hospices in England can be located within a ‘descriptive business model’ that makes visible stakeholder relations. Changes to these stakeholder relations, and how they impact upon the viability of the hospice business model, can be captured within a ‘narratives and numbers’ investigative framework. Interviews with senior clinical and non-clinical managers in four hospices provide rich ‘narratives’ that reveal how the hospice business model is evolving. Whilst financial disclosures extracted from hospice financial statements generate ‘numbers’ which can be employed to explore the impact of changes in stakeholder relations upon financial viability. Our argument is that the hospice business model depends upon sustaining a complex network of stakeholder relations in order to maintain operational and financial viability.

Suggested Citation

  • Haslam, Colin & Tsitsianis, Nick & Theodosopoulos, Grigorios & Lee, Edward, 2018. "Accounting for voluntary hospices in England: A business model perspective," CRITICAL PERSPECTIVES ON ACCOUNTING, Elsevier, vol. 54(C), pages 27-40.
    • Handle: RePEc:eee:crpeac:v:54:y:2018:i:c:p:27-40
    DOI: 10.1016/j.cpa.2017.10.001
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    References listed on IDEAS

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    1. Michael Page, 2014. "Business models as a basis for regulation of financial reporting," Journal of Management & Governance, Springer;Accademia Italiana di Economia Aziendale (AIDEA), vol. 18(3), pages 683-695, August.
    2. Edward Freeman, R. & Evan, William M., 1990. "Corporate governance: A stakeholder interpretation," Journal of Behavioral Economics, Elsevier, vol. 19(4), pages 337-359.
    3. Grigorios Theodosopoulos, 2011. "Voluntary hospices in England: A viable business model?," Accounting Forum, Taylor & Francis Journals, vol. 35(2), pages 118-125, June.
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