Professor Mark Exworthy


Professor of Health Policy and Management

Health Services Management Centre

Mark Exworthy

Contact details

School of Social Policy, HSMC
Park House
University of Birmingham
B15 2RT, United Kingdom


Mark is a Professor of Health Policy and Management at the Health Services Management Centre, University of Birmingham.


  • PhD, Queen Mary and Westfield College, University of London
  • BSc, Loughborough University


Mark has previously held posts at Southampton University, London School of Economics (LSE), University College London (UCL), Oxford Brookes and Royal Holloway University of London. He was also a Harkness Fellow in health care policy, based at University of California-San Francisco (UCSF) (funded by the Commonwealth Fund of New York). Mark is also currently a Visiting Professor at the University of California-San Francisco.


Mark's research interests fall into 3 : 

  • Governance and implementation relating to policies to tackle health inequalities and other social `problems'.
  • Professionals and managerialism in health care organisations (especially relating to management of clinical performance).
  • Decentralisation in health care organisations.

Mark's research has been funded by the ESRC, NHS (Dept of Health and NIHR), Joseph Rowntree Foundation, NHS Confederation and the Commonwealth Fund of New York. He has been involved as PI or co-PI on research grants totalling £2.5m.


Jones, L and Exworthy, M (2015) Framing in policy processes: A case study from hospital planning in the NHS in England. Social Science and Medicine, 124: 196-204.

Lunt, N., Hanefeld, J. and Exworthy, M. (2015) International patients within the NHS: A case of public sector entrepreneurialism. Social Science and Medicine, 124: 338-345.

Exworthy, M. (2014) The paradox of health policy: revealing the true colours of this ‘chameleon concept’, International Journal of Health Policy and Management, Vol. 3, (1) p. 41-43.

Lunt, N, Horsfall, D, Exworthy, M, Smith, R and Hanefeld, J (2014), Market size, market share and market strategy: three myths of medical tourism. Policy and Politics, 42(4): 597-614.

Lunt, N, Hanefeld, J and Exworthy, M (2014), International patients within the NHS: A case of public sector entrepreneurialism. Social Science and Medicine.

Lunt N, Smith RD, Mannion R, Green ST, Exworthy M, Hanefeld J, Horsfall D, Machin L, King H (2014) Implications for the NHS of inward and outward medical tourism: a policy and economic analysis using literature review and mixed-methods approaches, Health Services and Delivery Research, Volume: 2 (2).

Lunt, N., Mannion, R. & Exworthy, M. (2013) A framework for exploring the policy implications of UK medical tourism and international patient flows, Social Policy and Administration, 47 (1), pp. 1-25.

Powell, M, Duberley, J, Exworthy, M, Macfarlane, F & Moss, P (2013), Has the British National Health Service (NHS) got talent? A process evaluation of the NHS talent management strategy?, Policy Studies, vol 34, no. 3, pp. 291-309. 

Sheaff, R, Chambers, N, Charles, N, Exworthy, M, Mahon, A, Llewelyn, S, Byng, R & Mannion, R (2013), How managed a market? Modes of commissioning in England and Germany. BMC Health Services Research, vol 13, no. S1.

Jones, L, Exworthy, M & Frosini, F (2013), Implementing market-based reforms in the English NHS: Bureaucratic coping strategies and social embeddedness, Health Policy, vol 111, no. 1, pp. 52-59.

Chambers, N, Sheaff, R, Mahon, A, Byng, R, Mannion, R, Charles, N, Exworthy, M & Llewelyn, S (2013), The practice of commissioning healthcare from a private provider: learning from an in-depth case study, BMC Health Services Research, vol 13, no. S1. 

Gabe, J, Exworthy, M, Jones, IR & Smith, G (2012), Towards a Sociology of Disclosure: the case of surgical performance. Sociology Compass, vol 6, no. 11, pp. 908-922.

Anand, P, Exworthy, M, Frosini, F & Jones, L (2012), Autonomy and improved performance: lessons from an NHS policy reform, Public Money and Management, vol 32, no. 3, pp. 209-216. 

Exworthy, M, Hockey, P & Gilbert, A (2012), The teacher and the cop: the role of ‘private space' in increasingly transparent clinical practice, Journal of Health Services Research and Policy, vol 17, no. 1, pp. 60-62.

Exworthy, M, Peckham, S, Powell, M & Hann, A (2011), Analysing health policy: case study methods and analysis. Policy Press, Bristol. 

Exworthy, M, Frosini, F & Jones, L (2011), Are NHS foundation trusts able and willing to exercise autonomy? ‘You can take a horse to water…’, Journal of Health Services Research and Policy, vol 16, no. 4, pp. 232-237.

Lunt, N, Smith, R, Exworthy, M, Green, S, Horsfall, D & Mannion, R (2011), Medical Tourism: Treatments, Markets and Health System Implications: A scoping review. OECD, Paris.

Exworthy, M & Hunter, DJ (2011), The Challenge of Joined-Up Government in Tackling Health Inequalities, International Journal of Public Administration, vol 34, no. 4, pp. 201-212. 

Exworthy, M (2011), The illness narratives of health managers: developing an analytical framework, Evidence and Policy, vol 7, no. 3, pp. 345-358.

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