University of Hertfordshire

From the same journal

By the same authors

Accounting for voluntary hospices in England: A business model perspective

Research output: Contribution to journalArticlepeer-review


  • Edward Lee
  • Colin Haslam
  • Grigorios Theodosopoulos
  • Nicholas Tsitsianis
View graph of relations
Original languageEnglish
Pages (from-to)27-40
Number of pages14
JournalCritical Perspectives on Accounting
Early online date18 Oct 2017
Publication statusPublished - Jul 2018


This paper accounts for the sustainability of voluntary hospices in England that provide palliative end of life care for patients. A critical evaluation of the challenges facing hospices in England can be located within a ‘descriptive business model’ that makes visible stakeholder relations. Changes to these stakeholder relations, and how they impact upon the viability of the hospice business model, can be captured within a ‘narratives and numbers’ investigative framework. Interviews with senior clinical and non-clinical managers in four hospices provide rich ‘narratives’ that reveal how the hospice business model is evolving. Whilst financial disclosures extracted from hospice financial statements generate ‘numbers’ which can be employed to explore the impact of changes in stakeholder relations upon financial viability. Our argument is that the hospice business model depends upon sustaining a complex network of stakeholder relations in order to maintain operational and financial viability.


© 2017 Elsevier. This manuscript is made available under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International licence (CC BY-NC-ND 4.0). For further details please see:

ID: 12540933