title: Star ratings. Stars of wonder.
abstract: Analysis of trusts that changed their star-rating over the past two years indicates that a change of chief executive was not a significant factor. The length of time in post and the experience of the chief executive were also insignificant. This has serious implications for the theory behind franchising and the evaluation of franchised trusts. Holding chief executives to account for the organisation's performance within their first 12 months is unlikely to be effective.
mesh_terms: D016542:Chief Executive Officers, Hospital / Q000592:standards*; D017598:Efficiency, Organizational; D006779:Hospitals, Public / Q000458:organization & administration* / Q000592:standards; D006801:Humans; D007857:Leadership; D011361:Professional Competence; D013222:State Medicine / Q000458:organization & administration; D017749:Total Quality Management; D006113:United Kingdom