NBER

Katharina M. Janke

Division of Health Research
Faculty of Health and Medicine
Lancaster University
Lancaster
LA1 4YG
United Kingdom

E-Mail: EmailAddress: hidden: you can email any NBER-related person as first underscore last at nber dot org
Institutional Affiliation: Lancaster University

NBER Working Papers and Publications

May 2019The Impact of CEOs in the Public Sector: Evidence from the English NHS
with Carol Propper, Raffaella Sadun: w25853
We investigate whether top managers affect the performance of large and complex public sector organizations, using as a case study CEOs of English public hospitals (large, complex organizations with multi-million turnover). We study the extent to which CEOs are differentiated in terms of their pay, as well as a wide range of hospital production measures including inputs, intermediate operational outcomes and clinical outcomes. Pay differentials suggest that the market perceives CEOs to be differentiated. However, we find little evidence of CEOs’ impact on hospital production. These results question the effectiveness of leadership changes to improve performance in the public sector.

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