Securing meaningful change in organisational culture together with concomitant structural reforms is seen to be critically important in achieving those objectives meaningful and sustainable quality improvements in the nhs require a fundamental shift in culture to focus effort where it is needed and to enable and empower those who work in the nhs to improve quality locally a first class service quality in the new nhs department of health 1998 page 71. Healthcare performance and organisational culture articles from quality safety in health care are provided here courtesy of bmj group formats summary pdf 84k citation share facebook twitter google support center support center external link please review our privacy policy . Healthcare performance and organizational culture t scott r mannion h davies m marshall abingdon oxon radcliffe medical press 2003 pp 131 isbn 1 85775 914 1 rh van linge senior lecturer innovation management discipline group of nursing julius centre for health sciences and primary care university medical centre of utrecht the . Healthcare performance and organisational culture tim scott radcliffe publishing 2003 corporate culture 151 pages 0 reviews healthcare performance and organisational culture tim scott russell mannion huw davies martin marshall limited preview 2018 common terms and phrases