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). Mark is also currently a Visiting Professor at the University of California-San Francisco.

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



Sheaff R, Halliday J , Exworthy M , Gibson A , Allen P, Clarke J, Asthana S,  Mannion, R (2018) Diverse health providers: behaviour in response to commissioners, patients and innovations. NIHR Policy Research Programme.  

Chick, W. and Exworthy, M. (2018) `The post-Brexit views of European Union doctors on their future in the NHS: a qualitative study.’BMJ Leader. Online first (19 February 2018):

Mannion, R. and Exworthy, M. (2018) `Researching the co-Existence and continuity of standardization and customization in healthcare: a response to recent commentaries.’ International Journal of Health Policy and Management. Available online from 24.1.2018:


Exworthy, M., Powell, M. and Glasby, J. (2017) `The governance of integrated health and social care in England since 2010: great expectations not met once again?’ Health Policy121, 11, p1124–1130

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, DOI: 10.15171/ijhpm.2017.35

McDermott, A., Kitchener, M. and Exworthy, M.  (eds) (2017) Managing Improvement in Healthcare: attaining, spreading and improving quality. Basingstoke: Palgrave

Sheaff, R., Halliday, J., Byng, R., Ovretveit, J., Exworthy, M., Peckham, S. and Asthana, S. (2017) `Bridging the discursive gap between lay and medical discourse in care coordination.’ Sociology of Health and Illness39, 7, pp.1019-1034

Snelling, I. and Exworthy, M. (2017) `Autonomy, flexibility and support: making a successful Chief Registrar.’ RCP Commentary magazine, December 2017, pp.22-23.


Exworthy, M., Mannion, R. and Powell, M. (2016) Dismantling the NHS? Evaluating the impact of health reforms. Policy Press: University of Bristol.

Exworthy, M., Hyde, P. and McDonald-Kuhne, P. (2016) `Knights and knaves in the English medical profession: the case of Clinical Excellence Awards.’ Journal of Social Policy, 45 (1): 83-99.

Exworthy, M. and Powell, M. (2016) `Decentralising health care.’ Chapter 9 (pp.136-156)in Örtenblad, A., Abrahamson-Löfström, C. and Sheaff, R. (eds) Management ideas and panaceas in health care organizations: adopt, abandon, or adapt? London; Routledge.

Sheaff, R., Halliday, J, Exworthy, M, Allen, P, Mannion, R, Asthana, S, Gibson, A and Clark, J (2016) A qualitative study of diverse providers’ behaviour in response to commissioners, patients and innovators in England: research protocol. BMJ Open, doi:10.1136/bmjopen-2015-010680


Exworthy, M., Macfarlane, F. and Willmott, M. (2015) `NHS managers: from administrators to entrepreneurs?’ Chapter 9 (pp.139-154) in Waldorff, SB., Pedersen, AR., Fitzgerald, L. & Ferlie, E. (eds) Managing change: from health policy to practice. Basingstoke; Palgrave Macmillan.

Exworthy, M. (2015) `Inequalities in health and health care.’ Chapter 9 (pp.143-162) in Harding, G. and Taylor, KMG. (eds) Pharmacy practice. 2nd edition. London; CRC Press.

Exworthy, M (2015) #iminworkjeremy: Why doctors are rejecting Jeremy Hunt seven-day roster. The Conversation, 23 July 2015.

Exworthy, M. (2015) The Iron Cage and the Gaze: Interpreting Medical Control in the English Health System. Professions and Professionalism, 5 (1).

Exworthy, M. (2015) Four critical NHS issues that could keep Jeremy Hunt awake at night. The Conversation, 14 May 2015.

Exworthy, M. and Glasby, J. (2015) State of the Nation: ten things we’ve learned about the NHS under the coalition. The Conversation, 30 March 2015.

Exworthy, M. and Glasby, J. (2015) Five key moments that shaped the NHS under the coalition. The Conversation, 16 March 2015.

Exworthy, M and Peckham, S (2015) 'Patients' willingness to travel'. Chapter 5 (pp 45-56) in Lunt, N, Horsfall, D and Hanefeld, J (eds) Handbook on medical tourism and patient mobility. Cheltenham, Edward Elgar Publishing.

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

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

Sheaff R, Halliday J, Ovretveit J, Byng R, Exworthy M, Peckham S, et al. (2015) Integration and continuity of primary care: polyclinics and alternatives - a patient-centred analysis of how organisation constrains care co-ordination. Health Service and Delivery Research, 3, 35.

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.


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

Exworthy, M. (2014) The paradox of health policy: revealing the true colours of this ‘chameleon concept.’ International Journal of Health Policy and Management, 2, pp.1–3.

Lunt, N., Smith, RD., Mannion, R., Green, ST., Exworthy, M., Hanefeld, J., Horsfall, D., Machin L. and 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).


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, 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, 111, 1, pp.52-59.

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, 34, 3, pp. 291-309.

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.

Exworthy, M., Hyde, P & McDonald-Kuhne, P. (2013) Medical pay: reaping your just rewards? Health Service Journal, 23 July 2013.

Exworthy, M., Gabe, J. & Jones, IR. (2013) Will publishing surgeon performance improve outcomes? Health Service Journal, 28 June 2013


Gabe, J., Exworthy, M., Jones, IR. & Smith, G. (2012) Towards a Sociology of Disclosure: the case of surgical performance. Sociology Compass, 6, 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, 32, 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, 47, 1, pp.60-62.


Exworthy, M., Peckham, S. Powell, M. and Hann, A. (eds) (2011) Shaping health policy: case study methods and analysis. Bristol: Policy Press. ISBN 978184742757

Exworthy, M. (2011) Illness narratives of health managers: developing an analytical framework. Evidence and Policy, 7, 3, pp.345-358.

Exworthy, M., Frosini, F. and Jones, L. (2011) NHS Foundation Trusts: `you can take a horse to water’.  Journal of Health Services Research and Policy,16, 4, pp.232-237.

Macfarlane, F., Exworthy, M., Greenhalgh, T. and Willmott, M. (2011) Plus ça change, plus c'est la même chose: senior NHS managers’ narratives of restructuring.  Sociology of Health and Illness, 33, 6, pp.914-929.

Oborn, E., Barrett, M. and Exworthy, M. (2011) Policy entrepreneurship in the development of public sector strategy. Public Administration, 89, 2, pp.325-344.

Exworthy, M. and Hunter, DJ. (2011) Tackling health inequalities in the UK: the role of joined-up government. International Journal of Public Administration (special issue: joined-up government), 34, pp.201-212.

Lunt, N., Exworthy, M., Green, S. Mannion, R. and Smith, R. (2011) Medical tourism: treatments, markets and system implications. A scoping review. Paris; OECD

Powell, M., Durose, J., Duberley, J., Exworthy, M., Fewtrell, C., Macfarlane, F. & Moss, P. (2011) Talent management in the NHS managerial workforce. NIHR-SDO programme.  (216 pp)


Exworthy, M., Smith, G., Gabe, J. and Jones, IR. (2010) Open heart surgery? The whys and wherefores of disclosing clinical performance data. Journal of Health, Organization and Management (special issue: medical regulation), 24, 6, pp.571-583.

Exworthy, M. (2010) Performance management in the English NHS: potential, pitfalls, and prospects. Eurohealth, 16, 3, pp.16-19.

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Health and Social care

Health policy and management including NHS reform