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From voluntary to state control and the emergence of the department in UK hospital accounting

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  • Neil Robson

Abstract

This paper explores the development and diffusion of accounting techniques in UK hospitals and finds that attempts to utilise accounting data, for performance measurement and control, predate the introduction of the NHS in 1948. The main focus of the paper is the move from the uniform system of accounts, first introduced in 1893, to departmental accounting information in 1956. After identifying the antecedent accounting conditions the paper explores both why and how change occurred by analysing the roles of dominant individuals, institutions, political and economic forces that led to the introduction of departmental accounting. The process of change, after the nationalisation of the hospitals in 1948, had a significant impact on the accounting technology adopted: with departmental budgeting being dropped. Finally, the role of the medical profession in the departmentalisation debate is explored and possible explanations for the reluctance to adopt new management accounting techniques are discussed.

Suggested Citation

  • Neil Robson, 2003. "From voluntary to state control and the emergence of the department in UK hospital accounting," Accounting History Review, Taylor & Francis Journals, vol. 13(2), pages 99-123.
  • Handle: RePEc:taf:acbsfi:v:13:y:2003:i:2:p:99-123
    DOI: 10.1080/095852000084969
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    References listed on IDEAS

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    1. Miller, Peter & O'Leary, Ted, 1987. "Accounting and the construction of the governable person," Accounting, Organizations and Society, Elsevier, vol. 12(3), pages 235-265, April.
    2. Preston, Alistair M., 1992. "The birth of clinical accounting: A study of the emergence and transformations of discourses on costs and practices of accounting in U.S. hospitals," Accounting, Organizations and Society, Elsevier, vol. 17(1), pages 63-100, January.
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    Cited by:

    1. Gebreiter, Florian, 2016. "“Comparing the incomparable”: Hospital costing and the art of medicine in post-war Britain," The British Accounting Review, Elsevier, vol. 48(2), pages 257-268.
    2. Florian Gebreiter & William J Jackson, 2015. "Fertile ground: the history of accounting in hospitals," Accounting History Review, Taylor & Francis Journals, vol. 25(3), pages 177-182, September.
    3. William J. Jackson & Audrey S. Jackson & Chris Pong & Simona Scarparo, 2010. "Doctors, Accountants and Accounting before the formation of the UK National Health Service," Accountancy Discussion Papers 1006, Accountancy Research Group, Heriot Watt University.
    4. Andy Holden & Warwick Funnell & David Oldroyd, 2009. "Accounting and the moral economy of illness in Victorian England: the Newcastle Infirmary," Accounting, Auditing & Accountability Journal, Emerald Group Publishing Limited, vol. 22(4), pages 525-552, May.

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