UK Healthcare Organisations Research Articles

Rule breaking and a new opportunistic managerialism

An examination of managerial rule breaking is potentially significant in times of rapid change where advantages have to be gained through flexibility and the effective use of power. This paper is based on a study of middle managers with professional backgrounds in public and private UK health care organizations. It analyses managers’ responses to rules and identifies to what extent they accept, subvert or reinterpret rules, ignore or hide rules, create new rules or manage without rules at all. The conclusion is reached that, within certain organizational, professional, gender and personal parameters, managers demonstrate great versatility. It is suggested that it is not the decision to avoid rules, nor the selection of particular ways to manipulate rules that is significant, but it is the ability of managers to move freely across different modes of behaviour as they deem appropriate that marks out successful opportunistic action.