Governance of UK NHS Trusts: The Annual General Meeting

10 Pages Posted: 7 Aug 2004

See all articles by Ron Hodges

Ron Hodges

Birmingham Business School

Louise Macniven

Cardiff Business School

Howard Mellett

Cardiff Business School


The Annual General Meeting (AGM) is a mechanism of governance used in both public and private sectors of the economy, but the AGM has rarely been the focus of research studies. This paper reports an investigation of attendance and procedures at the AGMs of National Health Service (NHS) Trusts. Analysis of the results is informed through the concept of regulatory space. Attendance at trust AGMs is low with, on average, more employees than external stakeholders at the meeting. The absence of any decision-making authority at trust AGMs is explained by the existence of other mechanisms of governance and control in trusts' regulatory space. The creation of Foundation Trusts, which are intended to have increased local autonomy, will provide new opportunities to examine the role of the AGM as a mechanism of governance in the publicly funded health sector.

Suggested Citation

Hodges, Ron and Macniven, Louise and Mellett, Howard James, Governance of UK NHS Trusts: The Annual General Meeting. Available at SSRN:

Ron Hodges (Contact Author)

Birmingham Business School ( email )

Edgbaston Park Road
Birmingham, B15 2TY
United Kingdom

Louise Macniven

Cardiff Business School ( email )

Cardiff, CF10 3EU
United Kingdom

Howard James Mellett

Cardiff Business School ( email )

Aberconway Building
Colum Drive
Cardiff, CF10 3EU
United Kingdom
+44 (0)29 2087 5704 (Phone)
+44 (0)29 20874419 (Fax)

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