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Case Study of Six Trusts This case study comprises a sample of six selected trust in London. There are four "low" performing (zero or one star) and "two high" (three star) hospital Trusts. Table 1 provides a summary of the background characteristics of these six Trusts. Hospital Trust A B C D E F Location Town City Town City City Town Measured Low Low Low Low High High In each case study I spoke to a number of staff at the Trusts and documentary analysis (e.g. CHI reports and internal clinical governance report). It should be noted that my analysis is based on the perceptions and subjective experience of individuals. Given the highly sensitive nature of the material I have sought to protect the anonymity of individuals and their organisations. Quotes are attributed only and as much as is necessary for their interpretation while still protecting anonymity. There was a general view across the trusts that the performance star ratings as presently constituted did not represent a true performance of the organisation. In particular,...

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