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The Impact of CEOs in the Public Sector: Evidence from the English NHS

Katharina Janke (), Carol Propper and Raffaella Sadun ()

No 25853, NBER Working Papers from National Bureau of Economic Research, Inc

Abstract: 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.

JEL-codes: H51 I11 L32 M12 M5 (search for similar items in EconPapers)
Date: 2019-05
New Economics Papers: this item is included in nep-eur and nep-hrm
Note: HC PR
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