leading clinical services collaboration on the front line ... · organisations by designing,...

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Leading Clinical Services Collaboration on the Front Line – Leadership in the East Midlands Professor Rachel Munton Director East Midlands Leadership Academy and Collaboration for Leadership in Applied Health Research and Care – Nottinghamshire, Derbyshire, Lincolnshire (CLAHRC-NDL) 26 th January 2012

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Page 1: Leading Clinical Services Collaboration on the Front Line ... · organisations by designing, commissioning and delivering high quality ... The work programme is defined by member

Leading Clinical Services Collaboration on the Front Line –

Leadership in the East Midlands

Professor Rachel Munton Director

East Midlands Leadership Academy and

Collaboration for Leadership in Applied Health Research and Care – Nottinghamshire, Derbyshire, Lincolnshire (CLAHRC-NDL)

26th January 2012

Page 2: Leading Clinical Services Collaboration on the Front Line ... · organisations by designing, commissioning and delivering high quality ... The work programme is defined by member

Outcomes

• Outline current National NHS Leadership policy and priorities

• Discuss the importance of Leadership in transition to the new NHS

• Summarise current thinking on Leadership approaches

• Introduce the East Midlands Leadership Academy and its offer

• What’s in it for me?

Page 3: Leading Clinical Services Collaboration on the Front Line ... · organisations by designing, commissioning and delivering high quality ... The work programme is defined by member

Definitions

Kotter 1996

• Management -concerned with planning, budgeting, organising staffing, controlling and problem solving “getting the job done”

• Leadership – establishing direction, aligning people, motivating and inspiring

Kings Fund Commission 2011

• “The art of motivating a group of people to achieve a common goal.”

Page 4: Leading Clinical Services Collaboration on the Front Line ... · organisations by designing, commissioning and delivering high quality ... The work programme is defined by member

What do current changes in NHS mean for Leadership?

• Major change requires excellent leadership for the transition

• Liberating the NHS: Developing the Healthcare Workforce – strong view on leadership as part of development continuum

• A successful transformed health system will need:

• Consistency of values and principles: NHS Constitution

• Strong leadership that improves staff engagement, which in turn improves patient outcome

• A national role for system wide leadership issues that transcend provider/commissioner/independent/third sector interests

Page 5: Leading Clinical Services Collaboration on the Front Line ... · organisations by designing, commissioning and delivering high quality ... The work programme is defined by member

National Leadership Council & NHS Leadership Academy

• NLC Set up in 2009 to support NHS: strengthening leadership at all levels: final meeting June 2011

• NHS Leadership Academy formally agreed July 2011 • Interim hosting by East of England: Ultimate destination to be

decided. • Aim: “To provide expertise that will advance the development

of outstanding leadership in healthcare” • Appointments in progress • Current leadership priorities adopted by the NHS Academy • A reference Network has been convened to develop the

Academy further

Page 6: Leading Clinical Services Collaboration on the Front Line ... · organisations by designing, commissioning and delivering high quality ... The work programme is defined by member

• Top leadership - lists refreshed: majority registered or completed the diagnostic suite

• Leadership for Commissioning: national leadership development framework in Autumn 2011; development centres; coaching; media training

• Leadership for Provision: Assurance Framework for Aspirant FTs: Governor development; NHS Trust Development Authority [NTDA]

• Leadership for Equality: Accelerated design event

• Clinical Leadership: 60 clinical fellowships awarded

• Emerging Leaders: including Graduate Trainee scheme

Current Leadership Priorities

Page 7: Leading Clinical Services Collaboration on the Front Line ... · organisations by designing, commissioning and delivering high quality ... The work programme is defined by member

The Wizard of Oz Perspective

Page 8: Leading Clinical Services Collaboration on the Front Line ... · organisations by designing, commissioning and delivering high quality ... The work programme is defined by member

Luxury or necessity?

“High quality leadership and management at all levels is a prerequisite for an NHS that delivers both the highest possible quality of care to

patients and the best possible deal to the taxpayer. “

• Ensure the modernised system does not fail through lack of leadership capacity and capability

• To co-create, implement and support strategies to generate clinical leadership of sufficient quantity and quality

• Ensure consistently high-quality leadership in the health system - reducing clinical and financial risk and maximising opportunities for value for money and innovation

• Support effective partnerships – e.g. with health care professionals, local authorities, independent sector, universities

Page 9: Leading Clinical Services Collaboration on the Front Line ... · organisations by designing, commissioning and delivering high quality ... The work programme is defined by member

• Drive system-wide leadership mobilisation for QIPP and the skills to deliver the large-scale change management that underpins QIPP

• Widen participation in leadership and create flexibility in the system

• Ensure sustainability by assuring the talent pipeline system-wide

• Ensure system-wide mobilisation on equality

• Ensure best value for money for the nation in leadership development

• Ground leadership development in NHS Constitution values and principles.

Page 10: Leading Clinical Services Collaboration on the Front Line ... · organisations by designing, commissioning and delivering high quality ... The work programme is defined by member

What is the East Midlands Leadership Academy?

• Membership organisation to serve the leadership and development needs of NHS organisations in the East Midlands

• Hosted by Nottinghamshire Healthcare NHS Trust on behalf of the members

• Based at Sir Colin Campbell Building, Jubilee Campus

What is its aim?

“To develop leadership capacity and capability in all of its membership organisations by designing, commissioning and delivering high quality

leadership development interventions and activity. The work programme is defined by member organisations.”

Page 11: Leading Clinical Services Collaboration on the Front Line ... · organisations by designing, commissioning and delivering high quality ... The work programme is defined by member

“It might be possible to describe being an NHS Top Leader as a state of mind which can be practised and developed – an

attitude of openness to new experiences, acute self-insight both in terms of strengths and weaknesses, the willingness

and ability to confront difficult challenges with resilience and humour, as being an effective influencer and communicator,

and as a person who passionately believes in the fundamentals of the NHS as being patient-centred, fair for all

and free for all.” Dr Foster Intelligence 2010

Top leaders in depth interviews

Page 12: Leading Clinical Services Collaboration on the Front Line ... · organisations by designing, commissioning and delivering high quality ... The work programme is defined by member

“ just as those who aspire to be Top Leaders need to be capable of self-scrutiny in terms of their strengths, weaknesses,

experiences and responses, they need to be accessible, open and ‘recognisably human’ for colleagues at all levels in their organisations whilst remembering that they cannot afford to share each worry lest it snowball into a crisis of confidence in

them as leaders. In short, Top Leaders have to develop balancing skills and judgement about what behaviour is

appropriate and required in each situation.” Dr Foster Intelligence 2010

Top leaders in depth interviews

Page 13: Leading Clinical Services Collaboration on the Front Line ... · organisations by designing, commissioning and delivering high quality ... The work programme is defined by member

Director: Professor Rachel Munton

[email protected]

Telephone: 0115 82 31298