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The Impact of CEOs in the Public Sector: Evidence from the English NHS

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  • Propper, Carol
  • Janke, Katharina
  • Sadun, Raffaella

Abstract

We investigate whether top managers affect the performance of large and complex public sector organizations, using as a case study CEOs of English public hospitals (large, complex organizations with multi-million turnover). We study the extent to which CEOs are differentiated in terms of their pay, as well as a wide range of hospital production measures including inputs, intermediate operational outcomes and clinical outcomes. Pay differentials suggest that the market perceives CEOs to be differentiated. However, we find little evidence of CEOs’ impact on hospital production. These results question the effectiveness of leadership changes to improve performance in the public sector.

Suggested Citation

  • Propper, Carol & Janke, Katharina & Sadun, Raffaella, 2019. "The Impact of CEOs in the Public Sector: Evidence from the English NHS," CEPR Discussion Papers 13726, C.E.P.R. Discussion Papers.
    • Handle: RePEc:cpr:ceprdp:13726
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    Cited by:

    1. Anna Valero, 2021. "Education and management practices," Oxford Review of Economic Policy, Oxford University Press and Oxford Review of Economic Policy Limited, vol. 37(2), pages 302-322.
    2. Martin Gaynor & Adam Sacarny & Raffaella Sadun & Chad Syverson & Shruthi Venkatesh, 2021. "The Anatomy of a Hospital System Merger: The Patient Did Not Respond Well to Treatment," NBER Working Papers 29449, National Bureau of Economic Research, Inc.
    3. Guido Friebel & Matthias Heinz & Nikolay Zubanov, 2022. "Middle Managers, Personnel Turnover, and Performance: A Long‐Term Field Experiment in a Retail Chain," Management Science, INFORMS, vol. 68(1), pages 211-229, January.
    4. Chaudhary, Amit, 2021. "Do workers, managers, and stations matter for effective policing? A decomposition of productivity into three dimensions of unobserved heterogeneity," The Warwick Economics Research Paper Series (TWERPS) 1377, University of Warwick, Department of Economics.
    5. Moscelli, G.; & Sayli, M.; & Mello, M.;, 2022. "Staff engagement, coworkers’ complementarity and employee retention: Evidence from English NHS hospitals," Health, Econometrics and Data Group (HEDG) Working Papers 22/25, HEDG, c/o Department of Economics, University of York.
    6. Gema Gutierrez-Romero & Antonio Blanco-Oliver & Mª Teresa Montero-Romero & Mariano Carbonero-Ruz, 2021. "The Impact of CEOs’ Gender on Organisational Efficiency in the Public Sector: Evidence from the English NHS," Sustainability, MDPI, vol. 13(4), pages 1-15, February.
    7. Francesco Decarolis & Leonardo M Giuffrida & Elisabetta Iossa & Vincenzo Mollisi & Giancarlo Spagnolo, 2020. "Bureaucratic Competence and Procurement Outcomes [“Politics and Economics in Weak and Strong States]," The Journal of Law, Economics, and Organization, Oxford University Press, vol. 36(3), pages 537-597.
    8. Moscelli, G.; & Sayli, M.; & Blanden, J.; & Mello, M.; & Castro-Pires, H.; & Bojke, C.;, 2023. "Non-monetary interventions, workforce retention and hospital quality: evidence from the English NHS," Health, Econometrics and Data Group (HEDG) Working Papers 23/13, HEDG, c/o Department of Economics, University of York.
    9. Moscelli, Giuseppe & Sayli, Melisa & Mello, Marco, 2022. "Staff Engagement, Job Complementarity and Labour Supply: Evidence from the English NHS Hospital Workforce," IZA Discussion Papers 15126, Institute of Labor Economics (IZA).
    10. Sivropoulos-Valero, Anna Valero, 2021. "Education and management practices," LSE Research Online Documents on Economics 114436, London School of Economics and Political Science, LSE Library.
    11. , Aisdl, 2021. "The Impact of CEOs’ Gender on Organisational Efficiency in the Public Sector: Evidence from the English NHS," OSF Preprints mhcxv, Center for Open Science.
    12. Anna Valero, 2021. "Education and management practices," POID Working Papers 007, Centre for Economic Performance, LSE.
    13. Verzulli, R.; & Lippi Bruni, M.;, 2022. "The quicker the better: Fostering timely responses in public hospitals," Health, Econometrics and Data Group (HEDG) Working Papers 22/08, HEDG, c/o Department of Economics, University of York.
    14. Moscelli, Giuseppe & Sayli, Melisa & Blanden, Jo & Mello, Marco & Castro-Pires, Henrique & Bojke, Chris, 2023. "Non-monetary Interventions, Workforce Retention and Hospital Quality: Evidence from the English NHS," IZA Discussion Papers 16379, Institute of Labor Economics (IZA).
    15. Moscelli, Giuseppe & Sayli, Melisa & Mello, Marco, 2022. "Staff Engagement, Coworkers' Complementarity and Employee Retention: Evidence from English NHS Hospitals," IZA Discussion Papers 15638, Institute of Labor Economics (IZA).
    16. Alessandra Fenizia, 2022. "Managers and Productivity in the Public Sector," Econometrica, Econometric Society, vol. 90(3), pages 1063-1084, May.

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    More about this item

    Keywords

    Ceos; Public sector; Style; Nhs; Hospitals;
    All these keywords.

    JEL classification:

    • H51 - Public Economics - - National Government Expenditures and Related Policies - - - Government Expenditures and Health
    • I11 - Health, Education, and Welfare - - Health - - - Analysis of Health Care Markets
    • L32 - Industrial Organization - - Nonprofit Organizations and Public Enterprise - - - Public Enterprises; Public-Private Enterprises
    • M12 - Business Administration and Business Economics; Marketing; Accounting; Personnel Economics - - Business Administration - - - Personnel Management; Executives; Executive Compensation

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