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Turnaround at UCLH: A hospital in intensive care case (A) and (B)


Economics, Strategy and Entrepreneurship

Authors / Editors

Devlin A;Shirodaria C;Jacobides M;Verheul R

Publication Year



University College London Hospital NHS Foundation Trust (UCLH) is a major London teaching hospital. It encountered serious financial problems as a result of the consolidation of two separate hospitals into one new hospital building, coupled with a change in the remuneration system for NHS hospitals. The turnaround took place between April 2005 and May 2007. Pelham Allen was appointed Turnaround Director by the NHS regulator to implement a recovery plan that stabilized the situation and laid the foundations for long-term operational and financial success. This case gives the reader a close-up view of one of the largest, most sensitive and most successful UK public sector turnarounds in recent years, and highlights the similarities with, and differences from, private sector turnarounds. The case also examines the different approaches that turnaround managers can take to embed change when in a position of influence.

Topic List

Agile working, Leadership, Non-profit organisations, Organisational turnaround, Project management


Health Services

LBS Case Number



United Kingdom

Available on ECCH


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