Tag Archives: Health coaching

What’s new in March 2018

What’s new in March 2018

Health coaching poster

Quick link to a poster describing the Impact Analysis by the University of Winchester of a Health Coach Training initiative of the NHS Thames Valley and Wessex Leadership Academy

Journal articles area!

Women with altitude—exploring the influence of female presence and leadership on boards of directors
Ellwood, SM and Garcia-Lacalle, J (2018) Public Money and Management, Vol 38, issue 1, p73-78
Link to PDF 
Published – 2 Jan 2018
Abstract Excerpt  “This article reports on a study examining the influence of women on the boards of directors of National Health Service Foundation Trusts (FTs) in England in the light of a recent UK government inquiry into women in senior positions. A high female presence among executive and non-executive directorships did not result in significant differences either in financial return or service quality. However, female Chairs or Chief Executives resulted in significant reductions in negative social outcomes, such as lower clinical negligence costs, without harming financial management. The findings have important implications for gender diversity and gender targets on the boards of directors in business and other sectors.”

Impressions of action and critical action learning: Exploring the leadership development of senior doctors in an English healthcare organisation
McCray, J; Warwick, R and Palmer, A
International Journal of Training and Development, 2018, Vol 22 (Issue 1), pp. 69-85.
Excerpt from full text  “An external evaluation of the programme was commissioned by the NHS trust and undertaken by an NHS management consultancy group (Arup Consulting). The evaluation shows strengths in the programme, especially the use of learning sets, but highlights that more evidence of their benefits are needed. As curious researchers and practice facilitators in workforce development programmes we want to look further at the nature of benefits and contribution of the sets, what is significant for the commissioning organization in the NHS setting of the study, and to offer further insights by highlighting the learning of both the participants and ourselves. Here we explore the influence of one cycle of learning set experience from two perspectives. First, from the self-reports of nine doctors in clinical leadership roles. Second from a researcher perspective as we set out our research design, methodology and data analysis process. In presenting the programme participants’ experience of the learning set experience and our research process and perceptions of the findings, we provide a critical exploration of the use of AL and CAL in the complex and unpredictable context of the NHS.”

Return on investment in healthcare leadership development programs
Leadership in Health Services  2018 Feb 5;31(1):77-97.  Epub ahead of print
Design/methodology/approach The authors performed a scoping review using the Arksey and O’Malley framework, searching eight databases from 2006 through June 2016. Findings Of 11,868 citations screened, the authors included 223 studies reporting on health-care outcomes/ROI indicators and metrics associated with leadership quality (73 studies), leadership development programs (138 studies) and existing evaluative instruments (12 studies). The extracted ROI indicators and metrics have been summarized in detail.

Employee reactions to talent management: Assumptions versus evidence
Journal of Organizational Behavior, Vol 39, issue 2, Feb 2018, p199-213
De Boeck, G, Meyers, MC and Dries, N
Two assumptions about employee reactions are currently driving debates around talent management (TM): First, that TM leads to positive outcomes in employees identified as talents; and second, that TM creates differences between talents and employees not identified as talents. This review critically evaluates these assumptions by contrasting theoretical arguments from the non-empirical literature on employee reactions to TM with the empirical evidence available. Our analysis partly supports both assumptions. Although positive reactions to TM were indeed found in terms of affective, cognitive, and behavioral employee outcomes, our review also found evidence for negative affective reactions in employees identified as talents. Significant differences between talents and non-talents were found for behavioral reactions, but not for affective and cognitive reactions; for the latter types of reactions, our review found mixed effects.

Links to tables  : these are free access
Supplementary Table 1 – Systematic Analysis of Non-Empirical Studies on Employee Reactions to TM – 22 papers, authors, findings etc.
Supplementary Table 2 – Systematic Analysis of Empirical Studies on Employee Reactions to TM- 21 papers, authurs, findings, etc

Linking Nurses’ Clinical Leadership to Patient Care Quality: The Role of Transformational Leadership and Workplace Empowerment
Boamah S.
Can J Nurs Res. 2018 Mar;50(1):9-19
A cross-sectional survey was conducted with a randomly selected sample of 378 registered nurses working in direct patient care in acute care hospitals across Ontario, Canada.

Reducing intentions to resist future change: Combined effects of commitment-based HR practices and ethical leadership, : Research Note 
Jan / Feb 2018, Human Resource Management, Vol 57, issue 1, Pages 249–261
Neves P et al
Excerpt from full text: “Two recent exceptions demonstrate the importance of incorporating ethical leadership in change management research. Babalola et al. (2014) showed that an increase in the frequency of change only leads to higher turnover intentions when leaders are seen as not behaving ethically. When leaders behave in the best interest of their subordinates and avoid harming them (i.e., they are ethical), employees feel more secure and wish to reciprocate the treatment received by demonstrating their loyalty to the organization of which these leaders are agents. The authors of the second study indicated that ethical leadership becomes particularly important for in‐role and extra‐role performance during change processes, demonstrating that the relevance of ethical behavior becomes particularly important in times of organizational turmoil (Sharif & Scandura, 2014).”

What’s happening in professional organisations?

From the Centre for Pharmacy Postgraduate Education
Leading for change – leadership and management for hospital pharmacy professionals
Programme handbook, published Feb 2018
The programme is in response to the ongoing feedback from our hospital
visits to support hospital pharmacy professionals to undertake more leadership roles in medicines optimisation. As the NHS persistently faces challenges to deliver optimal patient care, we recognise that pharmacists and pharmacy technicians need support with providing clinical leadership across healthcare organisations.

What’s happening in networks?

Health & Care Women Leaders Network

Tweet chat: Imposter syndrome – the enemy within
Are some people or groups more affected than others?; explore and discuss whether imposter syndrome has affected you, your work, and your career progression.
When: 28 / 3 / 2018 8pm – 28 / 3 / 2018 9pm

Place-based leadership for Health and Well-being in the West Midlands  – a development network
See flyer here

What’s research is happening in UK Universities?

University of Nottingham -Nottingham University Business School, Centre for Health Innovation, Leadership and Learning (CHILL)
HeLPA  – Healthcare Leadership with Political Astuteness: understanding the acquisition, use and contribution of leadership with ‘political astuteness’ in the implementation of major health system change, developing lessons for service leaders, educators and recruiters

The purpose of this study is to investigate the acquisition, use and contribution of ‘political astuteness’ by service leaders and other change agents in the implementation of strategic health system change, with the aim of informing the co-production of materials and resources for the recruitment, training, and development of existing and future leaders.

Project aims :To understand the perceptions, experiences and reported practices of service leaders, and other change agents, about their acquisition and use of PA in the implementation of health system change, taking into account differences in professional background, age, gender, ethnicity, geo-political context, and change context.

Project highlights and abstract

  • The study will produce ‘state of the art’ conceptual understanding of political astuteness in different service contexts, and ‘cutting edge’ empirical understanding of the contribution of political astuteness to the implementation of major system change in healthcare services.
  • The findings will inform the co-production and piloting of new learning and recruitment materials, to be developed and tested in conjunction with existing NHS leadership development providers.
  • The new learning and recruitment materials, including workbook, online resources and self assessment tools, will be made available to all NHS leadership development providers for further refinement and integration into existing training programmes.
  • The study will produce both formative and summative learning to national and regional service leaders engaged in the formulation and implementation of STPs, including an analysis of the specific barriers and drivers to change within the informal political environment, and the contribution of leaders’ political astutness in distinct and common change arenas.

University of Birmingham- Health Services Management Centre
Multi-Professional Learning Model: the future of clinical leadership training in the UK? – Tuesday 6th February 2018
 EGA graduate Ali Raza reflects on the way in which clinical and non-clinical disciplines could be brought together in multi-disciplinary leadership learning.

University of Manchester Alliance Manchester Business School, University of Birmingham Health Services Management Centre, and The Nuffield Trust
Responses to Francis: changes in board leadership and governance in acute hospitals in England since 2013 
  

Reflections on  The 21st Century Public Servant Leadership Programme for Aspiring Directors
Weir, Belinda , University of Birmingham 
Excerpt “It is early in the programme for Cohort 1, with two further cohorts to start in 2018 and 2019 respectively, and a good time to reflect on progress so far. What are we learning about how to deliver a successful programme that doesn’t simply offer a content focus on collaboration and whole system working, but actively seeks to model such an approach in its design and development?”

“Unsurprisingly perhaps, our learning mirrors the lessons which are emerging from other leadership collaborations across the public sector. Leaders coming together to produce collectively a new service, new ways of working in care partnerships or a new leadership development programme are likely to experience many of the same challenges, since at heart, the focus is on how we build effective working relationships that deliver high quality and fast. 3 key lessons have emerged from our reflections.”

University of Ulster
New book by Deirdre Heenan and Derek Birrell who are Professors of Social Policy at the University of Ulster, UK.
The Integration of Health and Social Care in the UK
published by Palgrave,   12th Feb 2018
see pages 87, 89, 129-30, 149-50 and 163-6 on leadership

Events- March 2018 and April 2018

HSJ Emerging Leaders Summit

https://emergingleaders.hsj.co.uk/

Even if you can’t attend its interesting to see who is speaking and presenting!

The HSJ ‘s take on what the Summit provides – the summit provides a unique opportunity for leaders to develop their skill set in the following.

  • The need for future-proof leadership skills
  • Questions about career development in a changing healthcare system
  • Leadership experience and an interest in board level leadership
  • Attendance requires delegates to think beyond roles and organisations towards system-wide collaborative leadership and supports attendees with skills to manage teams through ambiguity and to develop place-based sustainable health and care.

April 2018 programme -draft
September 2018 programme – still being finalised but the programme will be at this link
November 2018 programme – still being finalised but the programe will be at this link

Faculty of Medical Leadership and Management  – Innovation in Leadership, April 2018
Programme here

Chief Nursing Officer for England’s Summit  – March 2018 

Again,  interesting to see who is speaking on leadership:

Resilient leadership in uncertain times,
and Nursing, midwifery and care leadership in Accountable Care Systems

Resilient leadership in uncertain times
Focus on support following Manchester arena bombing
Professor Cheryl Lenney, Group Chief Nurse, Manchester University NHS Foundation Trust.
Sara Barnes, Deputy Managing Director Mental Health & Specialist services, Pennine Care NHS Foundation Trust.
Professor Paul French, Associate Director, Greater Manchester Mental Health NHS Foundation Trust.

Nursing, midwifery and care leadership in Accountable Care Systems
Buckinghamshire Accountable Care System
Louise Patten, Accountable Officer, Aylesbury Vale and Chiltern CCGs.
Carolyn Morrice, Chief Nurse, Buckinghamshire Healthcare NHS Trust.

Other NHS Leadership Academies

Magazine from NHS North West Leadership Academy Winter 2017/2018 

 Leader 

Leadership within / for STPs

‘Some STPs will succeed but many will fail’, says peer
February 2018, speaker at a Westminster Health Forum event and written about in Health Leader magazine.

Regulatory

Gender pay gap narratives –  there is a recommendation for organisations and companies to upload a “narrative” for their data. This is interesting as it is a place for organisations to explain what they are going to do,  going forward, regarding closing the gap .
The deadline ( 4th April 2018 ) is mandatory : public sector organisations  with 250 employees or more have to publish their gender pay gap data. NHS Employers – gender pay gap reporting  – see link here 
Interestingly the Financial Times reported in January 2018  on organisations  uploading data and then subsequently changing it,  on the government portal . One of these was the Department of Health.

The gender pay gap – how to calculate it, explain it and eradicate it
Faragher, J
People Management,  25th January 2018.
Faragher cites Kimmin who poses the question of what can be achieved between April 2018 and March 2019, the 12 months before the next reporting cycle. 3 areas are mentioned :
“1) How you support individual women to gain the technical and political skills to progress into more senior roles
2) Training line managers to help them navigate this process, as managers can often be the biggest bottleneck
3) The whole organisation’s processes that might be stopping women’s progress”

 

 

Latest news – June 2016

Supportive Leadership & Management Behaviour Trainingtick
NHS Employers Evaluation Report 02  (Published June 2016)
This report is a summary of all the evaluation data collected to date on the Supportive Leadership & Management Behaviour training course.

Leadership in the NHS – thoughts of a newcomertick
New Director of Leadership and Organisational Development at The King’s Fund, Marcus Powell, shares his thoughts  (June 15th 2016) 

The chief executive’s tale Views from the front line of the NHS
The King’s Fund and NHS Providers (May 2016)tick
Timmins, N
Keeping to conversational tone, 12 different interviews with recently departed or soon to depart NHS Chief Executives covering both good and difficult aspects of the job. Common themes addressed in overview section. Blog post on this report by Chris Ham, Chief Executive of The King’s Fund. Blog post on this report by Marcus Powell, Director of Leadership and Organisational Development, The King’s Fund.

Talent acquisition using Linkedintick
Blog post on NHS Employers website about using Linkedin social media site for recruitment of managers and corporate roles by NHS Trusts.
Friel JP (May 2016)

Reshaping the workforce to deliver the care patients needtick
Nuffield Trust Research Report,
Imison C, Castle-Clarke S and Watson R in association with NHS Employers
May 2016
Report discusses the need to invest in the current workforce by developing extended roles and advanced roles of non-medical staff. The authors do not see much scope for Physician Associates however. Chapter 9 covers lessons for local leaders on reshaping the workforce and Chapter 10 covers recommendations for boards. The authors also examine the risks of reshaping the NHS workforce  stating that “there is evidence that without careful role and service redesign, new and extended roles can: – increase demand – supplement rather than substitute for other staff – cost rather than save – threaten the quality of care – fragment care”.

Health changing conversations: clinicians’ experience of health coaching in the East of England119710687050730804piotr_halas_padlock.svg.hi
Future Hospital Journal 2016 Vol 3, No 2: 147–51
Newman P and McDowell, A
Article provides overview of the evidence to date for health coaching (275 studies mainly from the US), and presents the work on communication skills and behaviour change techniques inherent in health coaching in the East of England. The authors state “while many interventions focus on creating expert patients, health coaching helps ‘activate clinicians’ and service providers within the mainstream of care provision in order to create a culture that is receptive to informed, empowered patients”.

Researchers Affirm Long-term Value of Health Coachingtick
American Academy of Family Physicians, June 2016 news
Commentary by Porter, S on Sharma AE et al What Happens After Health Coaching? Observational Study 1 Year Following a Randomized Controlled Trial
Ann Fam Med, May/June 2016,vol. 14 no. 3, 200-207

Systems Leadership for Beginners: what it is, how it works, and why it helps
Sorkin, D (May 2016) tick
An “Insight” piece on the Systems Leadership Hub website
About the Systems Leadership Hub
The Systems Leadership hub is part of a national systems leadership programme in England backed by, amongst others, the NHS, the Department Health, the Local Government Association, Public Health England. the Leadership Centre and the Social Care Institute for Excellence.

Barriers and enablers to advanced practitioners’ ability to enact their leadership role: A scoping review119710687050730804piotr_halas_padlock.svg.hi
Int J Nurs Stud. 2016 Aug;60:24-45
Elliott N et al
Report of a literature review (electronic databases and hand-searching of two leadership journals) identifying 34 studies. 11 enablers of leadership role and 13 barriers to leadership role were found in the literature – of these the majority were found to be related to organisational level factors (such as structural support and mentoring for the role, size of clinical case-load and opportunity to particpate in strategic decision making.). The other factors related to job level such as personal attributes and individual values.

Distributed leadership in health care teams: Constellation role distribution and leadership practicespound-sign
Health Care Manage Rev. 2016 Jul-Sep;41(3):200-12.
Chreim S and MacNaughton K
Article reports on a qualitative study of 4 teams, 44 interviews with team members and 18 team meeting observations. Findings included ambiguity within teams where there was leadership role overlaps and gaps, and contextual factors influence teams’ needs for tight or loose leadership. Authors suggest role mapping exercises and open discussions and recognition of the fact that spreading formal leadership responsibilities informally among individuals may not help.

Developing Mentoring Competency: Does a One Session Training Workshop Have Impact?pound-sign
Acad Psychiatry. 2016 Jun;40(3):429-33
Lau, C et al
Evaluation of a single, half-day of evidence-based mentor training, abstract available on PubMed

Latest news – March 2016

Vanguards – one year ontick
YouTube video published on Mar 11, 2016
Samantha Jones, Director – New Care Models Programme, reflects on the last year since the launch of 29 vanguards that are leading the programme aimed at transforming care for patients in towns, cities and counties across England. There are now 50 vanguards in total that are part of the national new care models programme which is playing a key role in the delivery of the Five Year Forward View – the vision for the future of the NHS.

Employee Outlook : Employee views on Working Life
March 2016tick
Published by CIPD (Chartered  Institute of Personnel and Development)
Key findings 1 Over-qualification 2 Training and career development 3 Why people work
4 Career expectations 5 Reasons for career satisfaction  6 Reasons for career dissatisfaction
7 Kick-starting careers

Health Coaching Training (‘The Wessex Coaching Initiative’) Evaluation
For NHS Thames Valley and Wessex Leadership Academytick
The University of Winchester – Wessex Coaching Evaluation Report March 2016 FINAL
March 2015
Locke R and Kibble S
Excerpt from report “Health coaching is intended to increase the responsibility an individual takes for management of their health condition. The Health Coaching Skills Development Programme was delivered by The Performance Coach between April and October 2015 at a range of venues across the Wessex region. As a part of this programme 144 members of staff from across the three organisations were trained in the core skills in health coaching programme. Eight staff undertook a train the trainer programme in health coaching.

The Resilience and Wellbeing Programme©: increasing workplace engagementtick

A post from the Academy for Fabulous NHS Stuff posted 4/3/2016
Coaching and mentoring to cope with organisational change in practice in Betsi Cadwaladr University Health Board (BCUHB), one of the four development sites chosen by the Royal College of Physicians (RCP) to launch the new model of care devised by the Future Hospitals Programme (FHP).

NHS Transformathon -A 24-hour broadcast of innovation and inspiration –  link to youtube videostick
Sharing information about transformation in health and social care from around the globe, over 100 different speakers participated in this event in January 2016. Patient leader theme.

Designing and implementing an ‘Acute Hospital @ Home’ servicetick
A post from the Academy for Fabulous NHS Stuff posted 2/3/2016
An example of leadership from Dr James Richards (Consultant Physician and Geriatrician) and Patricia McCormack (Occupational Therapist),
Departments of Medicine for Older People and Acute Medicine, Dorset County Hospital
The post gives information on issues faced, eg avoiding duplication with current existing community services , a period of ‘attitude adjustment’ with hospital staff, adjustments to staffing (eg less time needed by dietitian) .

Free app to support Culture Change & Workforce Transformationtick
delivered by NHS Employers in partnership with the NHS Leadership Academy
Excerpt ” The OD Culture Change Tool – This tool aims to help you on your culture change journey. It will prompt thinking and action and provides support and advice on culture change. The tool asks key questions to help you to think about what you might need to do to change culture. It will help you identify areas of strengths and areas of development. It offers pointers and practice resources which provide help and advice on culture change. At the end of each section you will be given a visual representation of your responses as well as an invitation to share any thoughts that the app has sparked for you”.

Junior doctors : tapping into leadership talenttick
BMJ, 2016, vol./is. 352/8039(38)

18 new Fellows selected for Health Foundation’s GenerationQ leadership programme
The 18 month programme delivered in conjunction with Ashridge Business tickSchool develops leaders and each will will put into practice a significant improvement project in their organisation.

Health care leadership development and training: progress and pitfalls
Journal of Healthcare Leadership , Vol 8, , p19-29 February 2016tick
Sonnino RE
An evaluative look at outcomes from formal healthcare leadership training programmes in the USA showing most effective outcomes where “it takes place over time, is comprehensive and interdisciplinary, and incorporates individual/institutional projects allowing participants immediate practical application of their newly acquired skills”.

What are the effective ways to translate clinical leadership into health care quality improvement?tick
Journal of Healthcare Leadership, Vol 8, p11-17, February 2016
McSherry R and Pearce P
Articles looks at the role leaders can play in fostering a duty of candour in their organisations and aligning this with existing clinical governance frameworks .