Professor Mark Exworthy

Professor Mark Exworthy

Health Services Management Centre
Professor of Health Policy and Management

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
  • PG Certificate: Academic Practice in Teaching and Learning
  • Fellow of the Academy of Social Sciences (FAcSS)


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).


Course director, `Health Management and Leadership’ (HML) inter-calation course for medical students.

Postgraduate supervision

Mark is interested in supervising postgraduate researchers in the following areas:

  • Governance
  • health policy
  • professionalism
  • policy implementation


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.

Other activities

Chair, Society for Studies in Organising Health Care (SHOC): and


Recent publications


Exworthy, M, Gabe, J, Jones, IR & Smith, G 2021, 'Explaining health system responses to public reporting of cardiac surgery mortality in the UK and USA', Health economics, policy, and law, vol. 16, no. 2, pp. 183–200.

Exworthy, M & Lafond, S 2021, 'New development: commercialization of the English National Health Service: a necessity in times of financial austerity?', Public Money & Management, vol. 41, no. 1, pp. 81-84.

Brackley, J, Tuck, P & Exworthy, M 2021, 'Public health interventions in English local authorities: constructing the facts, (re)imagining the future', Accounting, Auditing and Accountability Journal.

Clarke, J, Waring, J, Bishop, S, Hartley, J, Exworthy, M, Fulop, N, Ramsay, AIG & Roe, B 2021, 'The contribution of political skill to the implementation of health services change: a systematic narrative and narrative synthesis', BMC Health Services Research, vol. 21, no. 1, 260 .

Bernardi, R & Exworthy, M 2020, 'Clinical managers' identity at the crossroad of multiple institutional logics in IT innovation: the case study of a health care organization in England', Information Systems Journal, vol. 30, no. 3, pp. 566-595.

Sheaff, R, Morando, V, Chambers, N, Exworthy, M, Mahon, A, Byng, R & Mannion, R 2020, 'Managerial workarounds in three European DRG systems', Journal of Health, Organization and Management.

Snelling, I, Exworthy, M & Ghezelayagh, S 2020, 'The Chief Registrar role in the UK: leadership capacity and development of hybrid leaders', Journal of Health, Organization and Management.

Exworthy, M & Morcillo, V 2019, 'Primary care doctors’ understandings of and strategies to tackle health inequalities: a qualitative study', Primary Health Care Research & Development, vol. 20, e20.

Exworthy, M, Gabe, J, Jones, IR & Smith, G 2019, 'Professional autonomy and surveillance: the case of public reporting in cardiac surgery', Sociology of Health and Illness, vol. 41, no. 6, pp. 1040-1055.

Sheaff, R, Halliday, J, Exworthy, M, Gibson, A, Allen, P, Clark, J, Asthana, S & Mannion, R 2019, 'Repositioning the boundaries between public and private healthcare providers in the English NHS', Journal of Health, Organization and Management.

Waring, J, Bishop, S, Clarke, J, Exworthy, M, Fulop, NJ, Hartley, J & Ramsay, AIG 2018, 'Healthcare leadership with political astuteness (HeLPA): a qualitative study of how service leaders understand and mediate the informal ‘power and politics’ of major health system change', BMC Health Services Research, vol. 18, 918.

Mannion, R & Exworthy, M 2017, '(Re) Making the Procrustean Bed? Standardization and Customization as Competing Logics in Healthcare', International Journal of Health Policy and Management.

Sheaff, R, Byng, R, Peckham, S, Halliday, J & Exworthy, M 2017, 'Bridging the discursive gap between lay and medical discourse in care coordination', Sociology of Health and Illness, vol. 39, no. 7, pp. 1019-1034.

Commissioned report

Sheaff, R, Halliday, J, Exworthy, M, Gibson, A, Allen, P, Clarke, J, Asthana, S & Mannion, R 2018, Diverse healthcare providers: behaviour in response to commissioners, patients and innovations. National Institute for Health Research, London. <>

Other report

Chambers, N & Exworthy, M 2020, Long serving NHS CEOs: What makes them tick and what keeps them going.

View all publications in research portal


Health and Social care

Health policy and management including NHS reform