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The NHS Executive formally launched the controls assurance initiative in November 1999. The project which supports “governance in the new NHS” and the “modernisation” agenda as described in the White Paper published March 1999, was designed to help trusts implement and adopt a holistic approach in managing risks. Investigates whether links could be found between the progress trusts were making implementing the initiative and the management methodologies employed, and tests the hypothesis that the more advanced trusts would be those that had employed an inclusive management approach. Reviews the management methodologies that were used by 25 NHS trusts located in the North‐west of England. The trusts involved in this research were portioned according to their progress and the management techniques of each trust were analysed for patterns that could confirm or dismiss the above hypothesis.

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