nadhat commissioning workshop clinical leadership – skills for local professional networks dr....

NADHAT Commissioning Workshop

Clinical Leadership – Skills for Local Professional Networks

Dr. Janine Brooks MBE, DMedEth, FFGDP(UK)

What is it?

A clinician who is a leader? A leader who is a clinician? A leader for clinical issues?

All of the above, none of the above?

2Dentalia Coaching and Training for Dental Professionals. [email protected]

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Clinicianone who treats patients

Managerlooks after the organisation’s functions

Clinical Leader - Bringing management and clinical visions together.Clinicians who can maintain quality, work alongside managers, provide direction and inspire others

Leader “someone who makes others want what he or she wants.” Bennis (1994)

Dentalia Coaching and Training for Dental Professionals. [email protected]

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Made or Born?

Leadership isn’t about being at a certain grade or level of seniority – it isn’t automatic

The extent to which a senior person becomes a leader depends upon them

Clinicians are not necessarily leaders (and some may not wish to be)


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“Leaders adopt a personal and active attitude towards goals. The influence a leader exerts in altering moods, evoking images and expectations and in establishing specific desires and objectives, determines the direction a business takes. The net result of this influence is to change the way people think about what is desirable, possible and necessary.” (Zaleznik, 1977)


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NHS Leadership – 7 domains of leadership

1. Demonstrating Personal Qualities

2. Working with Others

3. Managing Services

4. Improving Services

5. Setting Direction

6. Creating the Vision

7. Delivering the Strategy


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39 References to Leadership!(January 2012)


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Preparing for Practice - GDC

Management and Leadership10.4 Recognise the significance of their own management and leadership role and the range of skills and knowledge required to do this effectively

11.2 Recognise and respect own and others’ contribution to the dental and wider healthcare team and demonstrate effective team working, including leading and being led

11.4 Where appropriate lead, manage and take professional responsibility for the actions of colleagues and other members of the team involved in patient care


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Dental Specific


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Clinical Leadership Competency Framework

Healthcare professionals need to be not only experts in their chosen clinical discipline, but be competent professionals with leadership and management skills that enable them to be more actively involved in the planning, delivery and transformation of services for patients.


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NHS Leadership Academy

In January 2010 the Clinical Leadership workstream of the National Leadership Council (NLC) commissioned the NHS Institute for Innovation and Improvement (NHS Institute) to test the applicability of the generic leadership competences in the Medical Leadership Competency Framework (MLCF) for the other regulated clinical professions.

Developing and Embedding the LEADERSHIP FRAMEWORK Progress report October 2011


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Products, Tools, Resources The Leadership Framework The Leadership Framework website Self assessment tools 360° feedback tool 360° facilitator training module Online Leadership Development Module The Clinical Leadership Competency Framework Guidance for Integrating the Clinical Leadership Competency Framework into Education and Training LeAD CLCF e-learning online module


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Leadership Framework

1. Focus on embedding clinical leadership into professional, regulatory and educational standards.

2. Focus on adoption within the workplace by marketing the key tools to support individuals and organisations to apply and use the LF.

3. Focus on determining and gathering of evidence to document adoption, utilisation and impact of the LF, to illustrate benefits and support continued leadership development.


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Vision for LPNs

Ensure clinical leadership at the heart of the local operating model

The design proposals for LPNs describe those functions where clinical expertise and leadership could add most value within local commissioning operating model

Supporting the skills to become a clinical leader will be important


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Definitions

“Leadership is not someone who makes other people do what he or she wants. It is someone who makes others want what he or she wants.”

Bennis (1994)

“Leadership is about being successful and enabling success in others.”

Forton Group (2008)


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It’s about effectiveness Personal effectiveness – being personally

successfully through skills such as delegation, time management, etc;

Team effectiveness – enabling the team to be successful;

Business effectiveness – building a successful business

Together they form a visionDentalia Coaching and Training for Dental

Professionals. [email protected] GDC No. 58327

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Leadership and Management


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Leadership - Questions for you

How would you define it?

How does it differ from management?

Management and Leadership

ManagersCope with complexityBring order and consistency

Plan

Control and problem solve

LeadersCope with changeMore change demands more leadership

Set a direction

Motivate and inspire


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Leadership and Management

Distinctive and complementary systems of action

The real challenge is to combine strong leadership and strong management – use each to balance the other


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Leadership behaviours


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Traits Skills

Inspirational Honesty Loyal Equitable Bold Knowlegeable Vision Integrity

Communication Listening Emotional intelligence Negotiation Organisation Time management Analytical and

motivational


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Personal qualities

Self awareness Self management Self development Acting with integrity


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Leaders tend to talk of ‘we’ rather than ‘I’


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Peter Drucker

Activity

Ask yourself: ‘Who are the leaders in dentistry? Why do you think this?

Write down the names that come to mind. Try to decide why you view these people as leaders

5 minutes


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Transition – practitioner to leader


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Budding leaders

Dentists initially develop skills and experience in providing clinical care to patients. This is their main focus, their area of expertise.

As experience grows they may want to develop their career and broaden what they do – be a practice owner, manage a service, be a tutor


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Clinical expertise to leader

Clinician

Clear understanding of role

Reliance on others Certainty ‘Black and white’ issues Narrow, specialist view Informing others

Leader

Interpretation of role

Self-reliance Ambiguity ‘All shades of grey’ Broad overview Persuading/influencing

others


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Steps on the way

Purpose Reality Plan Action Reflect


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Context in which leaders operate

Burgeoning expectations More for less Stable NHS is now an oxymoron


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Practical leadership Demonstrate respect for the people they work

with Demonstrate respect for patients Demonstrate fairness and justice in dealings

with people Demonstrate, in their personal behaviours, high

standards of conduct Ensuring that others in in the practice

demonstrate fairness, justice, equity and high standards of personal conduct


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Personal values

Note down what your personal values are – those things you hold very dear


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Activity – archetypes


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Messages from good leaders

Know yourself Recognise the importance of values Seek out learning and challenge Learn what to avoid Empower others Values relationships Strive for balance

Office for Public Management


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On line tools The stand-alone LF Self Assessment Tool PDF, which includes all

seven domains of the LF can be downloaded from: http://nhsleadershipframework.rightmanagement.co.uk/tracked/assets/x/50173

The stand-alone CLCF Self Assessment Tool PDF, which includes the five core domains of the LF shared with the CLCF can be downloaded from: http://nhsleadershipframework.rightmanagement.co.uk/tracked/assets/x/50172


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References King’s Fund (2011) The Future of Leadership and Management in the NHS:

No more heroes. The King’s Fund: London 7 NHS National Leadership Council (2010) Report on the findings of the

Clinical Leadership Competency Framework Project by the NHS Institute for Innovation and Improvement. National Leadership Council

Leadership Competency Framework – NHS Education South Central 2009 Delivery through leadership: NHS Scotland, June 2005 Developing Clinical leadership NAPC June 2009 NHS Institute for Innovation and Improvement and Academy of Medical

Royal Colleges (2009). Shared Leadership: Underpinning of the MLCF. NHS Institute: Coventry

Darzi A. (2008) High Quality Care for all: NHS Next Stage Review final report. Department of Health, London


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nadhat commissioning workshop clinical leadership – skills for local professional networks dr....

Documents

dental professionals

ffgdpuk slide

competent professionals

leadership isnt

nhs leadership

leadership role

domains of leadership

practice gdc management