Professor Russell Mannion

Professor Russell Mannion

Health Services Management Centre
Professor of Health Systems

Contact details

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

Russell holds the Chair in Health Systems at the University of Birmingham where he is currently Director of Research at the Health Services Management Centre. He holds long standing university positions as Visiting Professor in the Faculty of Medicine, University of Oslo, Visiting Professor in the Centre for Clinical Governance Research, Faculty of Medicine, University of New South Wales, Sydney and Visiting Fellow at Bocconi University, Milan. He was previously Director of the Centre for Health and Public Services Management at the University of York and set up and directed the MSc in Health Management at York (2005-09).

Russell presents keynote lectures and seminars around the world and provides policy and research advice to a range of national and international governments and agencies, including: the World Health Organisation, OECD, the International Society for Quality in Health Care, the European Health Management Association, the European Union, Department of Health, HM Treasury, NHS Confederation, the Royal College of General Practitioners and the Department of Health in New Zealand, Brazil and Italy.. His work on organisational culture, health care quality and patient safety was used at evidence at the Mid Staffordshire NHS Foundation Trust Inquiry chaired by Robert Francis QC. He has won several international awards and prizes for his research including the Baxter European book Award.

Russell is an Associate Editor of the Journal of Health Organization and Management and sits on the editorial boards of of the International Journal for Health Policy and Management; the International Journal of Public and Private Healthcare Management and Economics; and the Open Medical Informatics Journal. He is a member of the National Institute for Health Research HS&DR Commissioning Board and is currently an external examiner for postgraduate programmes at the School of Health and Related Research, University of Sheffield and the Faculty of Medicine, University of Malta. He is a member of the College of Reviewers for the Government of Canada and the Canada Research Chairs program.

Russell is currently leading a major national study into the effectiveness of hospital board governance of patient safety funded by the National Institute for Health Research SDO programme (2011-2015). The study is investigating the linkages between hospital governance and patient safety processes and clinical outcomes based on the collection and analysis of national quantitative patient safety data sets and in-depth case studies. The study involves colleagues from Dr Foster and the University of St Andrews.
Russell’s specialisms are: 

  • Evaluation of health systems reform
  • Patient safety and quality improvement
  • Clinical governance 
  • Performance measurement and management
  • Organisational behaviour and organizational culture in health care
  • Medical Tourism 
  • Procurement theory
  • Consumerism, choice and market mechanisms in health care 
  • Medical-manager relationships
  • Economic Sociology and Institutional Economics
  • Mixed methods research


  • PhD Economics and Social Policy, University of Manchester
  • Postgraduate Diploma Health Economics, University of Tromso
  • BA (Hons) Economics and Sociology, University of Stirling
  • Fellow of the Royal Society of Medicine, elected 2008
  • Fellow of the Royal Society of Arts (FRSA), elected 2008


Previous experience includes:

  • Director of the Centre for Health and Public Services Management, University of York (2005-2009) 
  • Board Director, York Health Economics Consortium
  • Senior Lecturer, the York Management School
  • Senior Researcher, Centre for Health Economics, University of York (1995-2005)
  • Research Fellow, Social Policy Research Unit, University of York (1988-1995)
  • Visiting Lecturer, University of Rome
  • Visiting Lecturer, University of Lisbon
  • Visiting Lecturer, Innsbruck Management School
  • Visiting Lecturer, Bocconi University, Milan
  • Visiting Professor, Brazilian National School of Public Health (Recife, Brasilia, Rio)
  • External examiner, Management School, University of St Andrews
  • External Examiner, London School of Hygiene and Tropical Medicine (Dr PH) 
  • External Examiner, School of Medical Sciences, University of Bradford



Current and recent projects

Current and recent research projects include:



Chambers, N, Joachim, and Mannion, R (2016) Hospital governance: policy capacity and reform in England, France and Italy, in   Greer S,  Wismar M and Figueras J (eds) Strengthening Health System Governance: Better Policies, Stronger Performance, Open University Press.

Freeman, T., Millar, R., Mannion, R. and Davies, H. (2016), Enacting corporate governance of healthcare safety and quality: a dramaturgy of hospital boards in England. Sociology of Health & Illness, 38: 233–251. doi: 10.1111/1467-9566.12309.

Greenhaulgh T, Mannion R and co-signatories (2016)  An open letter to The BMJ editors on qualitative research, BMJ 2016; 352:i563.

Mannion, R. and Millar, R. (2016) Getting Hospital Boards on Board with Patient Safety. HSMC Viewpoint, published online on 20th April 2016.

Mannion, R and Davies, HTO (2016) Whistleblowing in the wind towards a socially situated research agenda: a response to recent commentaries. International Journal of Health Policy and Management, doi:10.15171/ijhpm.2016.34.

Mannion, R, Freeman, T, Millar, R, Davies, H (2016), Effective board governance of safe care: A (theoretically underpinned) cross-sectioned examination of the breadth and depth of relationships through national quantitative surveys and in-depth qualitative case studies. Health Services and Delivery Research 2016: 4(4).

Mohaghegh, B, Ravaghi, H, Mannion, R, Heidarpoor, P and Sajadi, HS (2016) Implementing Clinical Governance in Iranian Hospitals: Purpose, process and pitfalls. Electronic Physician. doi: 10.19082/1796.

Willis, C., Saul, J., Bevan, H., Scheirer, MA., Best, A., Greenhalgh, T., Mannion, R. et al (2016) Sustaining organizational culture change in health systems? Journal of Health Organization and Management, Vol. 30, Iss: 1


Aryankhesal, A, Sheldon, TA, Mannion, R & Mahdipour, S (2015) The dysfunctional consequences of a performance measurement system: the case of the Iranian national hospital grading programme, Journal of Health Services Research & Policy. DOI: 10.1177/1355819615576252

Braithwaite, J., Matsuyama, Y., Mannion, R. and Johnson, J. (2015) Healthcare Reform, Quality and Safety: Perspectives, Participants, Partnerships and Prospects in 30 Countries. Ashgate Publishers, Abingdon.

Groene, O., Klazinga, N., Mannion, R. et al (2015) The influence of context on the effectiveness of hospital improvement strategies:  a review of systematic reviews, BMC Health Services Research (in press).

Mannion R and Davies HTO (2015) Cultures of silence and cultures of voice: the role of whistleblowing in healthcare organisations, International Journal of Health Policy and Management. DOI:10.15171/ijhpm.2015.120

Mannion, R, Davies, H (2015) Cultures in Healthcare, in Ferlie, E, Montgomery, K and Reff Pedersen, A (eds), Oxford Handbook of Health Care Management. Oxford: Oxford University Press.

Mannion, R., Davies, H., Millar, R., Freeman, T., Jacobs, R. and Kasteridis, P. (2015) Overseeing oversight: governance of quality and safety by hospital boards in the English NHS, Journal of Health Services Research and Policy, 20 (15) 9-16.

Millar, R., Freeman, T. and Mannion, R. (2015), Hospital board oversight of quality and safety: a stakeholder analysis exploring the role of trust and intelligence. BMC Health Services Research 15: 196, DOI 10.1186/s12913-015-0771-x

Millar, R, Jian, W, Mannion, R and Miller, R (forthcoming), 'Healthcare reform in China: making sense of a policy experiment?' Journal of Health Organisation and Management.

Ravaghi, H., Mannion, R. and Sajadi, H. S. (2015) Organizational Failure in an NHS Hospital Trust: A Qualitative Study. The Health Care Manager, 34 (4): 367-375.

Sanderson, J., Lonsdale, C., Mannion, R. and Matharu, T. (2015) Towards a framework for enhancing procurement and supply chain management practice in the NHS: lessons for managers and clinicians from a synthesis of the theoretical and empirical literature. Health Services and Delivery Research 3(18). DOI: 10.3310/hsdr03180.

Sheaff, R, Charles, N, Mahon, A, Chambers, N, Morando, V, Exworthy, M, Byng, R, Mannion, R, Llewellyn, S (2015) NHS commissioning practice and health system governance: a mixed-methods realistic evaluation, Health Services and Delivery Research, 3 (10). DOI: 10.3310/hsdr03100.

White, S, Wastell, D, Smith, S, Hall, C, Whitaker, E, Debelle, G, Mannion, R and Waring, J (2015) Improving practice in safeguarding at the interface between hospital services and children's social care: a mixed-methods case study. Health Services Delivery Research, 3(4).


Botje, D., Klazinga, N.S., Sunol, R., Groene, O., Pfaff, H., Mannion, R. et all (2014) Is having quality as an item on the executive board agenda associated with the implementation of quality management systems in European hospitals: a quantitative analysis, International Journal for Quality in Health Care ; pp. 1–8.

Greener, I, Harrington, B, Hunter, D, Mannion, R and Powell, M (2014), Reforming healthcare: What's the evidence?, Bristol: Policy Press.

Lunt, N, Horsfall, D G, Exworthy, M, Smith, R D, Hanefield, J and Mannion, R (2014), Market size, market share and market strategy: three myths of medical tourism. Policy and Politics, 42(4): 597-614. 10.1332/030557312X655918.

Lunt, N. and Mannion, R. (2014)Patient mobility in the global marketplace: a multidisciplinary perspective. International Journal of Health Policy and Management, 2 (4): 155–157.

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).

Mannion, R. and Thompson, C. (2014) Systematic biases in group decision making: implications for patient safety, International journal for Quality in health care, 26(6): 606-612.

Mannion, R. (2014) Enabling compassionate healthcare: perils, prospects and perspectives. International Journal of Health Policy and Management, 2 (x), 1 - 3.

Mannion, R. (2014), Take the money and run: the challenges of designing and evaluating financial incentives in health care, International Journal of Health Policy and Management, Vol 2, first published online 5 February 2014.

Plochg, T. Arah O, Botje D, Thompson C, Klazinga N Wagner, C , Mannion R et al (2014) Measuring clinical management by physicians and nurses in European hospitals: development and validation of two scales, International Journal for Quality in Health Care. Published online 12 March 2014.

Wagner, C., Mannion, R., Hammer, A., Groene, O., Arah, O. A., Dersarkissian, M., Sunol, R. (2014) The associations between organizational culture, organizational structure and quality management in European hospitals. International Journal for Quality in Health Care, Published online 25 March 2014.


Aryankhesal, A., Sheldon, T. and Mannion, R. (2013) Impact of the Iranian hospital grading system on hospitals’ adherence to audited standards: an examination of possible mechanisms. Health Policy, Available online 18 November 2013

Chambers, N., Harvey, G., Mannion, R., Bond, J. and Marshall, J. (2013) Towards a framework for enhancing the performance of NHS boards: a synthesis of the evidence about board governance, board effectiveness and board development. Health Services and Delivery Research;1(6)

Hammer A, Arah OA, DerSarkissian M, Thompson CA, Mannion R, et al. (2013) The Relationship between Social Capital and Quality Management Systems in European Hospitals: A Quantitative Study. PLoS ONE 8(12)

Millar, R., Mannion, R., Freeman, T. and Davies, H. (2013) Hospital Board Oversight of Quality and Patient Safety: A Narrative Review and Synthesis of Recent Empirical Research, The Milbank Quarterly, Vol. 91 (4) 738–770.

Chambers, N, Sheaff, R, Mahon, A, Byng, R, Mannion, R, Charles, N, Exworthy, M and 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 (Suppl. 1) S4.

Davies, H.T.O. & Mannion, R. (2013) Will prescriptions for cultural change improve the NHS? British Medical Journal,  346: f1305

Jacobs, R, Mannion, R, Davies, HTO, Harrison, S, Konteh, F and Walshe, K (2013) 'The relationship between organisational culture and performance in acute hospitals'. Social Science and Medicine, Vol 76, 115-125.

Lunt, N, Hanefield, J, Smith, RD, Exworthy, M, Horsfall, D and Mannion, R (2013 forthcoming), Market size, market share and market strategy: Three myths of medical tourism, Policy & Politics.

Lunt, N, Mannion, R and Exworthy, M (2013) 'A Framework for exploring the Policy Implications of UK Medical Tourism and International Patient Flows', Social Policy & Administration, Vol 47(1) 1-25.

Sheaff, R, Chambers, N, Charles, N, Exworthy, M, Mahon, A, Llewelyn, S, Byng, R and Mannion, R (2013), How managed a market? Modes of commissioning in England and Germany, BMC Health Services Research, Vol. 13 (Suppl 1) S3.


Aryankhesal, A, Sheldon, T, Mannion, R (2012), Role of pay-for-performance in a hospital performance measurement system: a multiple case study in Iran, Health Policy and Planning .

Lunt, N, Green, ST, Mannion, R and Horsfall, D (2012), 'Quality, Safety and Risk in Medical Tourism', in Medical Tourism: The Ethics, Regulation, and Marketing of Health Mobility, Hall, MC (ed), Routledge.

Mannion, R and Braithwaite, J (2012) Unintended consequences of performance measurement in healthcare: 20 salutary lessons from the English National Health Service, Internal Medicine Journal.

Dickinson, H and Mannion, R (2012) (eds), The Reform of Healthcare: Shaping, Adapting and Resisting Policy Developments, Palgrave Press.


Braithwaite, J and Mannion, R (2011) Government plans for public reporting of performance data in health care: the case against. The Medical Journal of Australia 195(1): 41.

Hanbury, A, Thompson, C and Mannion, R (2011) Statistical synthesis of contextual knowledge to increase the effectiveness of theory-based behaviour change interventions. Journal of Health Services Research and Policy, Vol. 16 (3).

Konteh, FH, Mannion, R and Davies, H (2011) Understanding culture and culture management in the English NHS: a comparison of professional and patients perspectives. Journal of Evaluation in Clinical Practice 17, 111-117.

Lunt, N, Smith, R, Exworthy, M, Green, ST, Horsfall, D and Mannion, R (2011), Medical Tourism: Treatments, markets and health system implications: A scoping review, OECD.

Lunt, N, Machin, L, Green, S and Mannion, R (2011) Are there implications for quality of care for patients who participate in international medical tourism? Expert review of Pharmacoeconomics Outcomes and Outcomes Research, 11(2), 133-136.

Mannion, R, Brown, S, Beck, M and Lunt, N (2011), Managing cultural diversity in healthcare partnerships: the case of LIFT, Journal of Health Organisation and Management, Vol 25(6).

Mannion R (2011) General practitioner-led commissioning in the NHS: progress, prospects and pitfalls, British Medical Bulletin, 97(11) 7-15

Mannion R, Brown S, Beck M Lunt N (2011) Managing cultural diversity in health care partnerships: the case of LIFT, Journal of Health Organisation and Management, fc

Braithwaite J, Mannion R (2011) Change Management, in Walshe and Smith (ed) Healthcare Management, OUP Press. London

Sheaff R, Schofield J, Benson L, Mannion R, Reeves D (2011) The role and effectiveness of professional and clinical networks in the NHS, National Institute for Health Research Service Delivery and Organisation Programme, p 280

Sheaff R , Schofiled J Mannion R (and 4 others) Understanding professional partnerships and non hierarchical organisations National Institute for Health Research Service Delivery and Organisation Programme, London.


Sheaff R, Schofield, J, , Dowling B,  Mannion R Pickard S, (2010) Network resilience in the face of health systems reform, Social Science and Medicine, 70, 1, 111-117

Hanbury A Thompson C, Wilson P, Farley K, Charles D Warren E, Bibby J, Mannion R, Watt I, Gilbody S (2010) Translating research into practice in Leeds and Bradford: a protocol for a programme of research, Implementation Science, 5: 37

Lunt N, Hardey M, Mannion R, (2010) Nip, tuck and click: medical tourism and the emergence of web based health information, Open Medical Informatics Journal, 4,1-11

Mannion R (2010) Labour’s legacy: eclipsing the clan culture in the NHS, Health Service Journal, 22 July.

Mannion R , Davies H,  Harrison S, Konteh F, Jacobs R,  Fulop R, Walshe K (2010) Changing management culture and organisational performance in the -NHS, National Institute for Health Research Service Delivery and Organisation Programme, p 292

Mannion, R. , Davies, H., Harrison, S., Konteh, F., Jacobs, R., Walshe, K (2010) Changing management Cultures in the English National Health Service, in: Culture and Climate in Health Care Organizsations (eds) Braithwaite J Hyde P and Pope C

Sheaff R, Schofield J, Benson L, Mannion R, Reeves D (2010)  The role and effectiveness of professional and clinical networks in the NHS,  National Institute for Health Research Service Delivery and Organisation Programme, p 280

Sheaff R, Benson l, Farbus L, Schofield J, Mannion R, Reeves, (2010) Health network culture and reform, in, Culture and Climate in Health Care Organizations (Eds) Braithwaite J Hyde P and Pope C

McDonald R, Cheraghi S (5 others) Mannion R (2010) The impact of incentives on the behaviour and performance of primary health care professionals, National Institute for Health Research Service Delivery and Organisation Programme, p 270

Beck N, Toms S Mannion R Brown S, Greener I Lunt N (2010) The role and effectiveness of public private partnerships: the case of LIFT, report to the National Institute for Health Research Service Delivery and Organisation Programme


Mannion R , Street A. (2009) Managing activity and expenditure in the new NHS market: evidence from South Yorkshire. Public Money and Management. 29(1):27-34.

Mannion R , Konteh F, Davies H Assessing organisational culture for quality and safety improvement: a national survey of tools and tool use, Quality and Safety in Health Care (18) 153-156.

Mannion R, Harrison S, Jacobs R, Konteh F, Walshe K, Davies H (2009) From cultural cohesion to rules and competition: the trajectory of senior management culture in NHS hospitals, 2001-2008, Journal of the Royal Society of Medicine, 102(8)332-336. 

Greener, I,  Mannion R (2009) A realistic evaluation of practice-based commissioning, Policy and Politics,  37, (1) 57-73

Greener R, Mannion R (2009) Patient choice in the NHS:what is the effect of choice on patients and relationships in local health economies? Public Money and Mananagement,  Vol 29, (2) 95-100

Jung T, Scott T, Davies H, Bower P, Mannion R, (2009) Instruments for the exploration of organizational culture, Public Administration Review,69, 6, 1987-1096

Linsley P, Mannion R,  (2009) Risky Behaviour and patient safety: a critical culturist perspective, Journal of Health Organisation and Management,23, 5494-504  Winner of the Emerald Group Publishing Award for best paper at the 6 th International Conference in Organisational Behaviour in Health Care, Sydney, March, 2008

Follow this link for further publications by Russell Mannion (pdf; 191KB; opens in new window)


Health policy and management with a focus on quality and safety improvement