Tag Archives: inclusion

February 2020 – further new resources

What can NHS leaders learn from a crisis?
Posted on University of Birmingham, Birmingham blogs

An unnecessary divide: the impact of pensions taxation on NHS trust leaders
28 January 2020
NHS Providers press release

Excerpt: Nine in ten respondents to the survey said that they and their organisation were concerned that differential arrangements for different staff groups – for example offering a solution to senior doctors and nurses but not managers – would also create divisions and harm culture and morale.

The findings also reveal:

  • Over a third (37%) of board-level directors said fewer staff in their trust are seeking or accepting promotions, while 60% said clinicians are now less willing to take on leadership roles.
  • Nearly 70% of clinical executives have turned down or would consider turning down promotions into roles required for the effective running of services or taking on additional leadership responsibilities.
  • There was a near-unanimous view (97%) that senior non-clinical staff should be eligible for any pension contribution flexibilities implemented by the government.
  • Almost as many (95%) felt that flexibilities should be available to all NHS staff.

Leaders from 188 trusts (84% of the total) took part in the survey.

Leadership to facilitate change
A section within UCLPartners resource below: …”how leadership can help, encourage and facilitate change, assisting the implementation of non face-to-face (Nf2f) clinics.”

“A free online guide from UCLPartners to setting up non-face-to-face clinics for NHS managers and clinicians has launched today.

Non face-to-face clinics (also known as virtual clinics) can help reduce unnecessary outpatient visits, saving time and money for patients and the health service. The NHS aims to avoid up to a third of the number of face-to-face outpatient visits over five years, removing the need for up to 30 million outpatient appointments each year.

However, there is little practical guidance on how to develop this approach.

The new how-to guide, developed by UCLPartners in collaboration with NHS clinicians, managers and patients, provides a comprehensive guide to setting up non-face-to-face clinics, including how to develop a project plan and business case. It is free to use, delivered through both text and videos, and can be accessed via our website.”

Skills for CareRecruiting graduates
“Applications for organisations to host a graduate and develop future leaders in health and social care are now open until Monday 6 April 2020”. “The programme fast-tracks ambitious graduates towards leadership roles in the health and social care sector, providing organisations access to a talented pipeline of graduates…”Interested? Please complete our application form before Monday 6 April 2020

Journal articles

Do quality management systems influence clinical safety culture and leadership? A study in 32 Australian hospitals
Robyn Clay-Williams, Natalie Taylor, Hsuen P Ting, Gaston Arnolda, Teresa Winata, Jeffrey Braithwaite
International Journal for Quality in Health Care 2020 February 6, 32 (Supplement_1): 60-66

Stroke Inpatient Rehabilitation Team Conferences: Leadership and Structure Improve Patient Outcomes (Article in press) 
David S Kushner, Dale C Strasser
Journal of Stroke and Cerebrovascular Diseases: the Official Journal of National Stroke Association 2020 February 6, : 104622

Comparing empowering, transformational, and transactional leadership on supervisory coaching and job performance: A multilevel perspective
Michelle C C Lee, Alyssa Y L Ding
PsyCh Journal 2020 February 5

Are we preparing for collaboration, advocacy and leadership? Targeted multi-site analysis of collaborative intrinsic roles implementation in medical undergraduate curricula (Open access) 
Jan Griewatz, Amir Yousef, Miriam Rothdiener, Maria Lammerding-Koeppel
BMC Medical Education 2020 February 4, 20 (1): 35

Leading diversity: Towards a theory of functional leadership in diverse teams
Astrid C Homan, Seval Gündemir, Claudia Buengeler, Gerben A van Kleef
Journal of Applied Psychology 2020 January 23

The bright and dark sides of employee mindfulness: Leadership style and employee well-being
Megan M Walsh, Kara A Arnold
Stress and Health: Journal of the International Society for the Investigation of Stress 2020 January 20

Strategies for Nursing Leaders on Recruiting and Retaining a Diverse Workforce
Mika Sunago
Creative Nursing 2020 February 1, 26 (1): 17-22

Women’s leadership in academic medicine: a systematic review of extent, condition and interventions (Open Access) 
Lulu Alwazzan, Samiah S Al-Angari
BMJ Open 2020 January 15, 10 (1): e032232

Evaluation of iLead, a Generic Implementation Leadership Intervention: Mixed-Method Preintervention-Postintervention Design (Open Access) 
BMJ Open, 2020 Jan 12
Richter, A et al

Leadership and organizational performance: Is it essential in healthcare systems improvement? A review of literature. (Open Access) 
Al-Habib NMI.
Saudi J Anaesth 2020

The authority of courage and compassion: Healthcare policy leadership in addressing the kidney disease public health epidemic. (Open Access) 
Maddux FW.
Semin Dial 2020.

Testing a theory of strategic implementation leadership, implementation climate, and clinicians’ use of evidence-based practice: a 5-year panel analysis (Open Access) 
Williams NJ, et al.
Implement Sci 2020.

January 2019 – news and resources for the New Year

Long-term plan highlights workforce issues 
NHS Employers
7th Jan 2019
Leadership and talent management
Excerpt ” The plan outlines a new approach to leadership development, offering more support particularly to those undertaking the most challenging roles and including a new ‘leadership code’ and an improved ‘leadership pipeline’. 
There will be a workforce implementation plan, to be developed by NHS Improvement working with stakeholders, later in 2019
Are we a step closer to a workforce strategy?
link 
Royal College of Physicians President Professor Andrew Goddard discusses what we’ve learned from the new NHS Long Term Plan, and how to create a sustainable workforce. 9th January 2019 

Coaching NHS leaders to build energy for change
Rosanna Hunt, NHS Horizons
6th Dec 2018

Digital leadership,
Chapter 1 in
Maternity DMA Report: Digital Maturity Assessment of Maternity Services in England 2018

Why a culture change at Worcestershire Acute Hospitals NHS Trust is benefiting patients
People Management , 13th December 2018.
Jeffery, R

Talking leadership: learning to lead as an NHS consultant
The King’s Fund
Blog post 27.11.18
Dr Kin Yee Shiu is a consultant in nephrology and acute/general medicine at the Royal Free London NHS Foundation Trust, where she is also clinical lead for chronic kidney disease and renal outpatients. Dr Shiu took part in our Leadership for consultants programme in 2017. Here, she talks about her experience of the programme and the challenge of leading change as a consultant.

Greta McLachlan: How to navigate the NHS towards good leadership?
BMJ Opinion
Dec 17th 2018

Cumbria Leadership and Improvement Collaborative (CLIC) 
Learning from the Millom experience.
Excerpt from website: “There’s a lot that can be learned from Millom. The successful outcomes are testament to the dynamism and collaboration of all the key stakeholders, enormous amounts of goodwill between all parties, and willingness to actively listen and communicate openly. Also a determination to overcome the challenges faced by the NHS, and sheer grit and strength of character of all those involved. Above all, thanks to the support of the NHS NWLA, the lessons from Millom have been rigorously studied and used to develop a new framework for systems leadership for the whole region.”
NWLA case study ‘supporting the system’ – millom case study’ PDF

Council of Deans of Health Student Leadership Programme Awards
Excerpt “The Student Leadership Programme celebrated the achievements of its #150Leaders at an awards ceremony on 6 December at the Royal College of Physicians. In front of an audience of students, Council of Deans of Health members, mentors from the programme and stakeholders from the sector, awards were presented in eight categories.”
See also “Leadership Resources” under Course Resources   https://councilofdeans.org.uk/studentleadership/course-resources/leadership-development-resources/ 

Opening the door to change
December 2018, Care Quality Commission
Sections on leadership
PATIENT SAFETY AND THE CHALLENGES FOR NHS TRUSTS – leadership and governance
EDUCATION AND TRAINING FOR STAFF ON SAFETY SYSTEMS AND PROCESSES  – Leadership in Patient Safety Education

Equally outstanding : Equality and human rights – good practice resource
e-learning resource 
Care Quality Commission, November 2018
See also Good Practice Resource here
Excerpt “There is growing evidence that equality and human rights for people using services and staff needs to play a central role in improving the quality of care. And we are finding that some of the best providers are doing this successfully – even in times of constraint.”  Various case studies are presented .

How do you get from diversity to inclusion? Ask these 4 questions about your meetings
Chugh, D   Nov 8, 2018
Ideas.Ted.Com
Question #1: Who speaks at meetings?
Question #2: Who sits next to whom?
Question #3: Who is listened to?
Question #4: Who gets the credit?
Chugh is social psychologist at the NYU Stern School of Business.

Reverse mentoring – what is it?

https://platform.twitter.com/widgets.js

Ten Top Tips for Mentoring and Reverse Mentoring
NHS Horizons , 5th Dec 2018

Sixty seconds on . . . reverse mentoring
BMJ , 20 November 2018)

How reverse mentoring is helping to improve diversity in businesses
Virgin.com , 10th Sept 2018

KPMG launches reverse mentoring scheme
KPMG, June 8, 2018

Journal articles

When will we see more diverse nursing leadership?
Yvonne Coghill
British Journal of Nursing 2019 January 10, 28 (1): 62-63

Leadership development should be a lifelong seminar
Homa P (NHS Leadership Academy chair)
Health Service Journal,  8thJan 2019

Boxed in by your inbox: implications of daily e-mail demands for managers
J Appl Psychol. 2019 Jan;104(1):19-33
Rosen CC et al

Newly-graduated nurses’ experiences of a trainee programme regarding the introduction process and leadership in a hospital setting – a qualitative interview study
Gellerstedt L et al
Journal of Clinical Nursing 2018 December 15

Mobilising evidence to improve nursing practice: A qualitative study of leadership roles and processes in four countries
Harvey G et al
International Journal of Nursing Studies 2018 November 27, 90: 21-30
Excerpt: “Settings: Data collection was undertaken in acute care and primary/community health care settings in Australia, Canada, England and Sweden. Participants : 55 individuals representing different levels of the nursing leadership structure (executive to frontline), roles (managers and facilitators), sectors (acute and primary/community) and countries.

 Understanding organisational culture for healthcare quality improvement
Russell Mannion and Huw Davies
BMJ 2018;363:k4907  (Open Access)
Cites the importance of leadership

Developing allied health leaders to enhance person-centred healthcare
Patricia Bradd, Joanne Travaglia, Andrew Hayen
Journal of Health Organization and Management 2018 October 8, 32 (7): 908-932

Using the flipped classroom to apply survival skills for new clinical leaders
Zwerneman K, Tolentino LR, Pilcher J.
Nurs Manage. 2019 Jan;50(1):28-34

Men’s Fear of Mentoring in the #MeToo Era – What’s at Stake for Academic Medicine?
Soklaridis S et al
New England Journal of Medicine 2018 October 3

What initiatives do healthcare leaders agree are needed for healthcare system improvement? Results of a modified-Delphi study
Barson S et al
J Health Organ Manag. 2018 Nov 19;32(8):1002-1012

An evaluation of a ‘BE NICE Champion’ program: A bullying intervention program for registered nurses
Keller R, Allie T and Levine R
Journal of Nursing Management 2019 January 7

December 2018 – new reports, books and journal articles

Independent report
Sir Ron Kerr review: empowering NHS leaders to lead
This review was led by Sir Ron Kerr and explored 3 challenges faced by executive leaders across the NHS:

  • expectations and support available for leaders
  • alignment of performance expectations at the organisational and system level
  • level of administrative burden placed upon executive leaders

The review makes a number of recommendations to address these challenges.
Published 28 November 2018
National Health Executive commentary here
Adam Smith Institute commentary here 

King IV for Health and Social Care
Dr John Bullivant, Chairman, Good Governance Institute
Developed with input from NHS Trust and Foundation Trust Board
members as part of the 2018 national development programme with
NHS Improvement.
November 2018
Excerpt “NHSI recommends In-depth, regular and externally facilitated developmental reviews of leadership and governance as good practice across all industries. Rather than assessing current performance, these reviews should identify the areas of leadership and governance of organisations that would benefit from further targeted development work to secure and sustain future performance. The external input is vital to safeguard against the optimism bias and group think to which even the best organisations may be  susceptible. They therefore encourage all providers to carry out externally facilitated, developmental reviews of their leadership and governance using the well-led framework every three to five years, according to their circumstances.”

Leadership in integrated care systems (ICSs)
Report prepared for the NHS Leadership Academy
Future of care No 9 – November 2018
Excerpt “This Future of Care paper, aimed at chief executives, directors and senior managers from the NHS, local authorities, housing organisations and voluntary and community sector, is based on findings from interviews with systems leaders and a review of the literature. The NHS Leadership Academy commissioned SCIE to undertake this research to further expand the understanding of systems leadership and leadership of integrated care systems. The research will inform the Leadership Academy’s long-term plans for supporting leaders in integrated care systems. ”

Excerpt “Key messages

  • NHS moves to end ‘fractured’ care system (NHS England, 2017) says, Integrated care systems (ICSs) are a critical part of the biggest national move to integrating care of any major western country.
  • With no basis in law, ICSs are entirely dependent on a collaborative approach to leadership and a willingness on the part of the organisations involved to work together.
  • Leadership in ICSs is very much a form of systems leadership, but with new and unique challenges, such as the need to exert influence across an even larger range of organisations and co-produce services with people who use them.
  • Effective systems leadership relies on a composite set of capabilities and behaviours, which can be grouped under the following four domains (NHS Leadership Academy Systems Leadership Framework):
    • innovation and improvement
    • relationships and connectivity
    • individual effectiveness
    • learning and capacity-building.
  • Leaders in ICSs need to be skilled at:
    • identifying and scaling innovation (e.g. from pilots)
    • having a strong focus on outcomes and population health
    • building strong relationships with other leaders, and often working with them informally to develop joint priorities and plans
    • establishing governance structures which drive faster change, often going where the commitment and energy is strongest
    • setting the overall outcomes and expectations on behaviours, but handing day-to-day decision-making to others
    • supporting the development of multidisciplinary teams (MDTs)
    • designing and facilitating whole-systems events and workshops to build consensus and deliver change
    • understanding and leading cultural change
    • building system-wide learning and evaluation frameworks
    • fostering a learning culture across the whole system.
  • Leaders told us that they would welcome support in the following areas:
    • skilled external facilitation, to help deliver complex programmes
    • the creation of ‘safe spaces’ for leaders to meet with peers and share problems and solutions
    • more opportunities to learn from other professions and sectors
    • systems leadership development for middle managers across the system
    • masterclasses on:
      • co-production theory and practice
      • finance and risk-sharing
      • scaling innovation
      • understanding local government and social care
      • large-scale and large-group facilitation
      • working and influencing across multiple layers of governance.

Leadership within the NHS (Speech )
Matt Hancock speaks at the Leaders in Healthcare conference about leadership culture change in the NHS and the importance of ensuring we have the right leaders in place with the correct support.
15th November 2018

Matt Hancock speech to The King’s Fund, 28 November 2018

Independent report by the Faculty of Medical Leadership and Management , setting out the barriers and enablers for clinicians moving into senior leadership roles within the NHS.
15th November 2018
Commentary by GPOnline here 

Letting Local Systems Lead: How the NHS Long Term Plan can deliver a Sustainable NHS
published by NHS Confederation, 16th November 2018
Excerpt : “When asked what would make a difference, local leaders identified better local partnership working, improved engagement with staff, patients and communities, more effective local governance and a more supportive oversight regime” Based on the findings, and our own analysis of the challenges facing the service, the NHS Confederation is calling for the long-term plan to: Make support for effective local leadership and relationships a priority.

The health care workforce in England: make or break?
The King’s Fund, 15 November 2018
Excerpt “This briefing will be followed in the coming weeks by a more in-depth report that
explores five key levers available nationally and locally that could help ameliorate the
workforce crisis. These levers are: training; international recruitment; better employment
practice; pay and conditions; and maximising the potential of staff through better use
of existing skills, enhancing those skills and redesigning roles.”

Brexit and the Health and Social Care Workforce in the UK 
Prepared for the Cavendish Coalition for the project, National Institute of Economic and Social Research (NIESR)
November 6th 2018
See also https://www.peoplemanagement.co.uk/news/articles/hospitals-spending-thousands-to-secure-settled-status 

Podcasts : Michael Hyatt’s podcasts [https://michaelhyatt.com/?s=leadership]

How Women Manage the Gendered Norms of Leadership
Harvard Business Review, November 28th 2018

NHS England lift legal directions for quality of leadership at three clinical commissioning groups

12th November 2018
Excerpt: “Crawley, East Surrey and Horsham and Mid Sussex CCGs have been praised by NHS England for the significant improvements that have been made to the governance, capability and capacity of the organisations.”

Seven Learning And Development Trends To Adopt In 2019
Forbes, Sep 24, 2018
1. C-suite and HR work together better to align goals.
2. Develop competencies for future organizational goals.
3. Emphasize communication skills.
4. Increase the gamification of training.
5. View training as an employee benefit and bait for talent acquisition.
6. Weigh learner-centric against content-oriented training.
7. Digital and mobile content and delivery are more critical than ever.

Our Strategic Intent 2018/19 – 2022/23 
London Ambulance Service NHS Trust
Mentions workforce issues, inclusion and leadership
“Inclusion – Organisations that are committed to embedding ‘difference’ demonstrate the ability to make better decisions and deliver better performance and better outcomes – in our case for our patients. For us, this not only means having a more diverse organisation that better reflects the population we serve, but also a more inclusive and welcoming organisation for the different professional groups that will make up vital parts of the response that we provide to our patients”

NHS Trust announced top for equality, diversity and inclusion
12th November 2018
Excerpt: “The National Centre for Diversity recently carried out a survey of 41 NHS organisations at board level. Our Trust [Coventry and Warwickshire Partnership NHS Trust] were found to be top for understanding and delivering on equality, diversity and inclusion in their organisation. The National Centre for Diversity will also be producing a comprehensive report to support the judgement. ”

New books

Transformational Leadership for the Helping Professions: Engaging Head, Heart, and Soul
Oxford University Press 
 Published: 22 November 2018

Cover for Transformational Leadership for the Helping Professions

Leadership with impact
Preparing Health and Human Service Practitioners in the Age of Innovation and Diversity
Oxford University Press, Published: 31 January 2019 (Estimated)

Cover for Leadership with Impact

  • Features 15 interviews with current health and human service leaders
  • Includes case studies and examples of leadership applications in the health and human services

Discovering Leadership: Designing Your Success
March 2019 | 504 pages | SAGE Publications, Inc

Discovering Leadership

Excerpt from Sage website ” Organized around five major design challenges, each challenge is explored in a stand-alone module. Students begin the leadership journey with themselves, understanding their own strengths, styles, and skills. The text moves on to relationships, exploring how leadership is a process that involves values, decision-making, motivation, and power. A module on others’ success unpacks the most effective practices of leadership and management, this is followed by a module on leading culture, teams, and community, before concluding with a section on how leaders can create lasting, positive change.”

journal articles

Healthcare leadership with political astuteness (HeLPA): a qualitative study of how service leaders understand and mediate the informal ‘power and politics’ of major health system change
Forthcoming research: EXCERPT ” The research will produce evidence about the relatively under-researched contribution that political skill and astuteness makes in the implementation of strategic health system change. It intends to offer new understanding of these skills and capabilities that takes greater account of the wider social, cultural organisational landscape, and offers tangible lessons and case examples for service leaders. The study will inform future learning materials and processes, and create spaces for future leaders to reflect upon their political astuteness in a constructive and development way.”

Organizational uptake of NICE guidance in promoting employees’ psychological health
A Weinberg, J H Hudson, A Pearson, S B Chowdhury
Occupational Medicine 2018 November 7
Excerpt “The role of sector and size of organization is relevant to uptake of some features of NICE guidance, although organizational leadership is important where raised awareness and implementation are concerned.”
A total of 163 organizations participated in a survey of UK-based private, public and third sector organizations employing an accumulated minimum of 322 033 workers.

Rising to the challenge: Epilepsy specialist nurses as leaders of service improvements and change (SENsE study)
Agnes Higgins, Carmel Downes, Jarleth Varley, Colin P Doherty, Cecily Begley, Naomi Elliott
Seizure,  2018 Nov 1; 63:40-47
Excerpt: “RESULTS: Five key areas in which ESNs demonstrated leading on the change agenda were identified. These included: Initiating new clinical practice developments; Building capability within the multidisciplinary team; Developing education programmes and resources for people with epilepsy, family and the public; Exerting influence through membership of committees and lobbying; and Advancing the ESN role.”

 Unnecessary Frills: Communality as a Nice (But Expendable) Trait in Leaders
https://www.frontiersin.org/articles/10.3389/fpsyg.2018.01866/full
Andrea C Vial, Jaime L Napier
Frontiers in Psychology 2018, 9: 1866
Excerpt: “We assessed men’s and women’s idea of a great leader with a focus on gendered attributes in two studies using different methodologies. In Study 1, we employed a novel paradigm in which participants were asked to design their “ideal leader” to examine the potential trade-off between leadership characteristics that were more stereotypically masculine (i.e., agency) and feminine (i.e., communality). Results showed that communality was valued in leaders only after meeting the more stereotypically masculine requirements of the role (i.e., competence and assertiveness), and that men in particular preferred leaders who were more competent (vs. communal), whereas women desired leaders who kept negative stereotypically masculine traits in check (e.g., arrogance). In Study 2, we conducted an experiment to examine men’s and women’s beliefs about the traits that would be important to help them personally succeed in a randomly assigned leader (vs. assistant) role, allowing us to draw a causal link between roles and trait importance. We found that both men and women viewed agentic traits as more important than communal traits to be a successful leader. Together, both studies make a valuable contribution to the social psychological literature on gender stereotyping and bias against female leaders and may illuminate the continued scarcity of women at the very top of organizations, broadly construed.”

How to Make or Break Implicit Bias Instruction: Implications for Curriculum Development
Cristina M Gonzalez, Ramya J Garba, Alyssa Liguori, Paul R Marantz, M Diane McKee, Monica L Lypson
Academic Medicine: Journal of the Association of American Medical Colleges 2018, 93
Excerpt ” Buy-in from institutional leadership is essential for successful implementation of implicit bias teaching, and medical educators need to consider formalized longitudinal curricula addressing the recognition and management of implicit biases.”

 Developing your leadership skills
https://www.tandfonline.com/doi/full/10.1080/17453054.2018.1483190
David Bryson
Journal of Visual Communication in Medicine 2018 October 17, : 1-2

Impact of educational leadership and interprofessional learning on vascular access training
Anna Hulse, Jill Cochrane
British Journal of Nursing: BJN 2018 October 18, 27 (19): S4-S18

Respectful leadership: Reducing performance challenges posed by leader role incongruence and gender dissimilarity
Hum Relat. 2018 Dec;71(12):1590-1610
van Gils S et al

Perceived value of leadership experiences in a postgraduate year 2 ambulatory care pharmacy residency
Am J Health Syst Pharm. 2018 Dec 1;75(23 Supplement 4):S101-S107
Smith LC et al

Health-promoting leadership: A qualitative study from experienced nurses’ perspective
J Clin Nurs. 2018 Dec;27(23-24):4290-4301
Furunes T, Kaltveit A and  Akerjordet K

Advances in Chronic Kidney Disease
Special issue on leadership in Nephrology – November 2018, Vol 25, issue 6 
Edited by Rebecca J. Schmidt

 

April 2018 – Spring is in the air with new articles and studies

WELCOME TO OUR POST FOR APRIL 2018

JOURNAL ARTICLES 

A partnership to assess clinical nurse leadership skills
Nursing Management. 2018 Apr;49(4):40-47
Logrippo M1, Kelly S, Sardinas N, and Naft M.

Responsible Leadership: A Mapping of Extant Research and Future Directions
JBE Journal of Business Ethics Vol. 148, Iss. 1,  (Mar 2018): 117-134.
Miska, C and Mendenhall, M E

The Perceived Impact of Leaders’ Humility on Team Effectiveness: an Empirical Study
JBE Journal of Business Ethics,  Vol. 148, Iss. 1,  (Mar 2018): 205-218.
AreRego A et al

Mindfulness and leadership flexibility
The Journal of Management Development;  Vol. 37, Iss. 2,  (2018): 165-177.

Developing the organisational culture in a healthcare setting
Published in  Nursing  Standard, 32 (21). pp. 53-­63, but this link is to University of Central Lancashire research respository

Are CEOs making the grade as influencers on Twitter?: The strategic road to becoming a retweetable online leader
Strategic DirectionVol. 34, Iss. 3,  (2018): 1-3.

Providing feedback following Leadership WalkRounds is associated with better patient safety culture, higher employee engagement and lower burnout
BMJ Quality and Safety, Vol 27, issue 4, Published Online First: 09 Feb 2018.
Sexton JB et al 

Excerpt from full text : “Leadership WRs are resource rich when they include appropriate follow-up actions to the issues surfaced using the leader’s position to make things happen at hierarchical levels above individual work settings. The term ‘work settings’ in this study describes work groups, including clinical units like emergency rooms, intensive care units and general medicine units, as well as non-clinical work groups like labs, patient safety, quality improvement and billing. Accordingly, providing feedback to the HCW about actions taken as a result of these WRs is essential to keep momentum and build trust in the collective ability to find, fix and report back the solutions to patient safety problems. For instance, following WR, work setting managers and patient safety officers keep track of planned initiatives at the work setting or departmental level as well as any updates, and communicate follow-up information back to HCW and senior leadership to supply accurate feedback and ensure completion of improvement tasks.

Unfortunately, when untrained leaders attempt to do WR, it can result in surfacing issues without addressing them or failing to feedback progress that has been made. Whacking the hornets’ nest in this way appears to be counterproductive to improving perceptions of patient safety. To measure the extent to which WRs are being done well, the presence of WR with feedback can be assessed as a brief item on a safety culture or engagement survey. Indeed, researchers have demonstrated that a simple metric to assess WR impact is the extent to which staff report having personally received feedback about actions taken to reduce patient safety risks as a result of WR in their work setting.”

Practicing leadership-as-practice in content and manner
Leadership, epub ahead of print , Lancaster University Dept for Leadership and Management
Raelin, J., Kempster, S.J., Youngs, H., Caroll, B., Jackson, B. 1/02/2018 In: Leadership.
Abstract from webpage: ” A collective and collaborative response to an article appearing in Leadership’s “Leading Questions” department is prepared by a team subscribing to the leadership-as-practice approach. The focus is to represent the manner in which leadership-as-practice operates as a leadership theory and in its communal practice orientation. Among the themes addressed are leadership-as-practice’s theory development, its contribution in comparison to critical leadership theory, its approach to power, and its practicality. Emerging issues in leadership-as-practice theory and application are also reviewed.”

Moves to increase diversity and inclusion in the workplace: Fairness and camaraderie as building blocks
Human Resource Management International Digest, Vol. 26 Issue: 2, pp.41-43

Self-Awareness and Cultural Identity as an Effort to Reduce Bias in Medicine
J Racial Ethn Health Disparities. 2018 Feb;5(1):34-49
White A A et al
Excerpt from PuMed abstract: ” In this article, the authors describe the formation and implementation of a novel medical school course on self-awareness and cultural identity designed to reduce unconscious bias in medicine. Finally, we discuss our observations and lessons learned after more than 10 years of experience teaching the course [at Harvard Medical School] “.
The article has 110 references in its bibliography.

Nurses’ leadership self-efficacy, motivation, and career aspirations
Leadership in Health Services,  Vol 31, issue 1, p 47-61
Cziraki KRead ESpence Laschinger H K Wong C
Research paper, Canadian data
Excerpt from abstract: “Skill development opportunities , temporary management roles and informal mentoring  were significantly related to nurses’ leadership self-efficacy, which significantly influenced motivation to lead and leadership career aspirations . Motivation to lead was significantly related to leadership career aspirations.”

Goleman’s Leadership styles at different hierarchical levels in medical education
BMC Med Educ. 2017 Sep 19;17(1):169.
Saxena A   et al
The PubMed page links through to the freely available PDF .
Excerpt from PubMed abstract: ” Results: There were differences in the repertoire and preferred styles at different leadership levels. As a group, first-level leaders preferred democratic, middle-level used coaching while the senior leaders did not have one preferred style and used multiple styles. Women and men preferred democratic and coaching styles respectively.
The varied use  of styles reflected leadership conceptualizations, leader accountabilities, contextual adaptations, the situation and its evolution, leaders‘ awareness of how they themselves were situated, and personal preferences and discomfort with styles. The not uncommon use of pace-setting and commanding styles by senior leaders, who were interviewed, was linked to working with physicians and delivering quickly on outcomes.”

………..interesting BLOG POSTS

Using Gender Neutral Language in Your Papers  -Posted 23 March 2018
Some great tips here which are simple and easy to adopt in your report and other writing at work .
Posted by The EasyBib Writing Center
The post gives citations including : Davis, A E L. “Gender Neutral Language In Statutory, Official and Legal Documents.” Fawcett Society, 3 August 2017.

REPORTS

Rewiring leadership;  The future we want, the leadership we need
University of Cambridge, Institute for Sustainability Leadership
Published Feb 2018

Gender pay report , NHS England
 Published: 28 March 2018
This report provides details of NHS England’s gender pay gap under the requirements of the Equality Act 2010 Act (Gender Pay Gap Regulations) 2017 .
NHS England has a predominantly female workforce , however women are under-represented at the National Clinical Director level (3 at National Clinical Director level and 5 at Associate National Clinical Director level). NHS England will review how
they can attract more women into this role.
Coaching and mentoring  are highlighted as a specific need.
Also a women’s staff network , in partnership with other NHS England staff networks, will
assist in the shaping and delivery of their gender pay gap projects

Nurse leaders make a difference
Link to pdf of research report  by the King’s Fund 

Excerpt from NHS England webpage: Michael West, Senior Visiting Fellow at The King’s Fund, said “The findings complement a consistent pattern of results demonstrating that supporting staff and creating positive work environments through compassionate and collective leadership is good for staff, vital for patient care and key also to good financial performance in the NHS.”  “The new analysis concludes that the effect size was substantial – a one standard deviation increase in overall staff engagement is associated with a £1.7 million saving on agency staff costs for the average trust.”

BOOKS

NEW BOOKS from SAGE PUBLISHING
Cases in Leadership, Fifth Edition by Rowe, G and Guerrero L
Published: May 2018
Companion site : https://study.sagepub.com/rowe5e (need to register and then login)

 

Leadership Theory and Practice, Eighth Edition (International Student Edition)
Northouse, P G
Published: April 2018
Student Study Site –https://edge.sagepub.com/northouse8e
“The SAGE edge site for Leadership by Peter G. Northouse offers a robust online environment you can access anytime, anywhere, and features an impressive array of free tools and resources to keep you on the cutting edge of your learning experience.”

Building Leadership Character
Newman, A
Forthcoming, to be published: June 2018
Instructor Teaching Site

Gender in Communication A Critical Introduction, Third Edition
Palczewski CH , Pruin DeFrancisco V and McGeough D D
Published: March 2018

GENERATION X , GENERATION Y (Millennials) and now GENERATION Z

What can we glean about workforce planning and leadership?

Definitions explained on a BBC website here
Generation X – aged mid to late 30s  to late 50s (ie those born between the early 1960s and the early 1980s,
Generation Y (also known as Millennials) – aged 17 or 18 years of age through to mid 30s (ie those born between about 1980 and 2000
Generation Z – – aged 17 and 18 ( ie those born since 2000) 

Development and retention of Generation Y employees: a conceptual framework
Naim, M F and Lenka U
Employee Relations;  Vol. 40, Iss. 2,  (2018): 433-455.

Futureproofing our NHS: A generational shift
March 2018
Student-led Health Commission is to employ a group of students and recent alumni from across the different Faculties at King’s College London to gain insights from young people on how the NHS can better deliver for the future. The aim is to train and develop the next generation of health and social care leaders. By guiding the commissioners on how to do policy analysis and explaining the life cycle of a policy, we hope to build engaged leaders for tomorrow.  Over the autumn of 2017, they conducted research and held ‘policy labs’ to develop our ideas, which culminated in this final report of our findings and recommendations. On Friday 16 March 2018, we hosted an ‘unconference’, to share and build on our ideas with a range of participants, including senior NHS leadership.

Dream Placement

Dream Placement, organised annually by the Centre for Leadership Performance, sees public and private sector organisations across Cumbria offering students placements to learn more about leadership and future careers in the area. The placements are highly competitive with almost 200 applicants in total and, of these, 90 were interested in health careers. Jean Hill, learning and development manager at NCUH, commented: “Dream placement offers so much more than the usual work experience. Shadowing clinical teams is great for the students but what makes this different is the focus on developing leadership skills that will help them stand out from the crowd when they apply to study or for a job.”

Publications from the Center for Health Workforce Studies, University of Washington here

Occupational Mobility among Individuals in Entry‐level Healthcare Jobs in the United States
Snyder CR, Dahal A, Frogner BK
Journal of Advanced Nursing, March 2018

The Health Care Job Engine: Where Do They Come From and What Do They Say About Our Future?
Medical Care Research and Review Vol. 75, Iss. 2,  (Jan 2017): 219-231
Frogner, BK

Also:
Health Careers Pipeline and Diversity Programs 
This initiative increases the diversity of the United States’s health professions workforce and to offer high quality, culturally-competent care within underserved communities.
2016-2017 academic year accomplishment snapshotHealth Careers Pipeline and Diversity Programs (PDF – 91 KB)

TALENT MANAGEMENT 

The King’s Fund: Closing the gap on BME representation in NHS leadership: not rocket science 
March 2018
The King’s Fund recently hosted a seminar, in partnership with NHS England, looking at London WRES data with senior leaders.

Emerald Publishing  RealWorldResearch> –
The latest research from our authors on how to lead with a vision

Leadership mistakes you don’t want to make
Most of the time leadership is understood by understanding what makes successful leaders ‘good’. However, what if we look at the ‘dark side’ of leadership and explore what it is exactly that defines an unethical leader?

What makes a superboss super?
“In this Q&A contributing editor of our Strategy & Leadership journal Brian Leavy, asks leadership guru Prof Finkelstein what it is exactly that makes a superboss ‘super’ and finds out why it really is all about the people when it comes to leadership success.”

The great man theory of leadership
Podcast – “delve into the “Great Man Theory” and pick apart the major flaws in the idea that leadership is instinctive and a solo accomplishment.”

A selection of most read papers from the journal Leadership in Health Services  in the last year

Assess your leadership skills tool
American Organization of Nurse Executives
Requires simple registration on the website
Sample report 
The AONE Nurse Leader Competency Assessment Tool is a powerful self-development instrument. Through the assessment you can evaluate your skills, knowledge and abilities for the nurse manager and nurse executive roles. The simple exercise of rating yourself and asking others to rate you provides tremendous insight on hidden strengths, blind spots and areas for development.
After completing the assessment, you will receive a pdf report that scores leadership domains and individual competencies, categorizes your highest and lowest rated items and shows variations between your supervisor’s and your self-assessment.
The assessment and standard report are available to all nurse leaders

Other news

Embedding of a talent management programme at Lancashire Teaching Hospitals NHS Foundation Trust
1/4/2018
Excerpt: “The project has involved creation and embedding of a talent management programme which provides a workplace that fosters ongoing development for all staff, identifies individual strengths and areas for development; retaining talent and enhancing staff satisfaction. Implementation of this strategy included the launch of talent management tools, workshops and materials for all managers which would help them to support their staff, a career MOT programme for those identified as “rising stars”, in addition to individualised coaching sessions. Mandy Davis, Blended Learning Manager at Lancashire Teaching Hospitals is the lead for the talent management programme. “We are one of the only NHS organisations in the North West to offer such a programme for our staff, and have been approached by other organisations to learn about what we have done.” Following attendance on the programme, 30% of participants surveyed have taken up more senior positions. Additionally, 70% said that they had taken on additional responsibilities since attending and 50% said they had experienced development opportunities that they hadn’t previously.”

Suzie Bailey appointed Director of Leadership and Organisational Development at The King’s Fund from JULY 2018
Suzie will build on the work of outgoing director Marcus Powell in developing The King’s Fund’s leadership and organisational development work to support health and care organisations. She will move from being Director of Leadership and Quality Improvement at NHS Improvement to The King’s Fund.

Latest news – December 2017

Updated: How a training scheme could transform clinical leadership
Raza A, James L and Lee E
Health Service Journal, 12th Oct 2017

In practice report : Inter-professional student simulation to promote teamwork and leadership skills in undergraduate education in the UK
BMJ Open Quality
Solanki P, Foster A and Evans L
Dec 2017
Excerpt from abstract “the medical educational team at Princess Alexandra Hospital NHS Trust, a district general hospital in the UK, organised Inter-professional high-fidelity simulation afternoons involving medical, nursing and physician associate (PA) students. The aims of the sessions were to promote teamwork, communication and leadership skills among the students.”

…….coming in January 2018
10th edition of Issues and ethics in the helping professions
What’s New

  • This edition includes a greater focus on the themes common across all or most codes of ethics, as well as an increased emphasis on positive ethics rather than rule-based ethics.
  • The chapters on values and legal issues are extensively updated, incorporating feedback from leading scholars along with the latest research, to help students and practitioners navigate these rapidly changing and complex topic areas.
  • New content helps train practitioners to work in a digital culture by addressing legal and ethical issues created by technology, along with new and evolving professional competencies and training needs.
  • New, concrete examples enhance discussions of multicultural perspectives, diversity issues, and key social justice concepts.
  • Discussions of core ethical issues around boundaries and multiple relationships are updated, with new sections on appropriate boundaries outside the office and the inclusion of new literature dealing with sexual attraction.
  • The chapter on ethical issues in supervision is enhanced with new discussions of the role of the supervisor contract and of the concept of strict liability for supervisors.

When leaders are in the numerical majority or minority: Differential effects on problem-solving
Journal of Social Issues, forthcoming Jan 2018 – available for download 
Robin Martin (University of Manchester, UK), Geoff Thomas (University of Surrey, UK), Miles Hewstone (University of Oxford, UK), Antonis Gardikiotis (Aristotle University of Thessaloniki, Greece)
Excerpt from author’s abstract: “When the leader was supported by the majority, its solution was rated as more favorable by participants than when supported by either the leader or majority on its own. When the leader was supported by the minority, its solution was rated as either less favorable or equally favorable than when supported by the leader or minority on its own. However, when the leader was supported by the minority participants rated an alternative (better) solution that was not discussed by the leader, as more favorable. These findings indicate that leadership endorsement results in greater compliance to a majority-endorsed position but to more elaboration, and better decision-making, to a minority-endorsed position. The policy implications of this research for the role of leaders in team decision-making are discussed.”

Aspiring Chief Executives : supporting the leaders of tomorrow
November 2017
NHS Improvement, NHS Leadership Academy and NHS Providers.

A process evaluation of Leading Change, Adding Value: a framework for nursing, midwifery and care staff.
Edge Hill University, November 2017
This evaluation reports on the first year of the Leading Change, Adding Value framework for nursing, midwifery and care staff, (LCAV) and its implementation, thus far. Case studies have provided evidence to inform the translation of LCAV into practice by frontline staff. These case studies have illustrated optimal practice for addressing unwarranted variation aligned to the 10 Commitments. Twenty interviews with key stakeholders from across the health and social care sectors were undertaken. With a focus on leading everyday change, perceptions were gathered on how LCAV has been, and may be, used by frontline staff. Recommendations have been made on how to measure and explore LCAV becoming “business as usual” to meet the triple aim outcomes of improving outcomes, experience and better use of resources and support closing the three gaps, health and wellbeing, care and quality and funding and efficiency as outlined in the Five Year Forward View (FYFV), over the next two years.

Some assembly required: implementing new models of care Lessons from the new care models programme
The Health Foundation, November 2017
Key findings http://www.health.org.uk/publication/some-assembly-required 
Link to PDF   http://www.health.org.uk/sites/health/files/SomeAssemblyRequired.pdf
Excerpt from full text : “With the creation of new services across organisations, vanguard sites said investing in the development of staff with the right skills for these changes was crucial. This was necessary at all levels of the local systems and focused on aligning the efforts of staff with the aims of the vanguards. Approaches to leadership development varied – some sites used external courses while others created in-house, cohort-based leadership programmes. Sites considered this essential to the success of the new care models.

‘[This gave] everyone a shared sense of what our aims and objectives are, and autonomy and licence to achieve that. Within some limits, but [with] a huge amount of autonomy… I’m absolutely convinced it’s down to the leadership development and the cascading of that across the entire team.’ Medical consultant, MCP

New multidisciplinary teams were brought together in facilitated sessions to agree on their values, ways of working and to discuss what would help them operate more effectively as a team. Co-location of office space for multidisciplinary teams was a common request.

‘Having a little bit of power for themselves to change some things internally and think through how they were working maybe gave people a bit of confidence to think that they could work slightly differently.’ Medical lead, PACS

Many local leaders found creating clinical roles to enable new ways of working and new career opportunities was difficult to tackle at their level in the system, despite describing it as a key part of their work streams.

‘Workforce was a real tough area. I felt like I was wading through treacle… who holds the key to it all?’ Programme lead, EHCH

Are business schools fit for the future?
Professor Simon Collinson, Deputy Pro-Vice-Chancellor, University of Birmingham and Chair of the Chartered Association of Business Schools,
5th December 2017

Meeting the quality challenge Sharing examples of best practice from clinical leaders in Emergency Departments
Care Quality Commission, November 2017
….”we teamed up with senior staff including consultants, clinical leads, senior nursing staff and managers from leading emergency departments in 17 NHS acute trusts across England where we have identified good practice. The senior leaders attended a workshop in September 2017 to discuss the strategies and positive action that their trusts are using to meet the challenges of managing capacity and demand”

Review of determinants of national medical leadership development
Published online 18 November 2017.
Keijser W et al
Excerpt from abstract: “Full-text versions of 43 papers were studied, and a snowballing method was deployed. Data extraction included grounded theory coding, and synthesis of data was done iteratively during data clinics. Analysis of the seven included papers resulted in five discrete categories of determinants of and 10 distinct interventions relevant to national development of ML approaches.”

NHS England should work with local leaders and clinicians to explain accountable care
Blog post by Chris Ham, Chief Executive of The King’s Fund
Dec 15th 2017
Excerpt from blog “Claims that the growing interest in accountable care organisations and systems is undermining the NHS are ill founded at best and misleading at worst. These claims are at the heart of two legal challenges to NHS England’s draft contract for accountable care organisations. The contract has been presented by the government’s critics – who include Stephen Hawking, the theoretical physicist and author – as opening the door to greater private sector involvement in the NHS. For the reasons set out below, this seems highly unlikely.”

NHS workforce Race Equality Standard 2017 Data Analysis Report for NHS Trusts
And 
News : NHS welcomes “important improvements” for race equality in health service workforce
Excerpt from news release on 13th Dec 2017: “The audit provides a comprehensive assessment of the experience of NHS employees from black and minority ethnic (BME) backgrounds, including whether or not they have equal access to career opportunities and receive fair treatment at work. The 2017 Workforce Race Equality Standard (WRES) shows that an increasing proportion of senior nursing and midwifery posts is being filled by people from BME backgrounds, and that there has been a rise in senior BME leaders. The report confirms that an increasing number of trusts has more than one board member from a BME background, with 25 trusts being represented at board level by three or more people from BME communities. However, the WRES demonstrates areas where the NHS needs to make further progress. Despite significant improvements in board and senior management representation, the overall number of BME background leadership positions is still not proportionate to the number of BME workers at other levels in the organisation.”

Diversity and inclusion partners programme 2018/19
The programme supports participating trusts to progress and develop their equality performance over a period of 12 months, and is closely aligned to the Equality Delivery System (EDS2).  Applications opened on Monday 4 December 2017 and will close on Friday 9 February 2018. Due to the high demand for places on the programme, the number of applications accepted for selection to the programme will be capped at 50, and we will accept applications on a first come first served basis. Application forms and related guidance, together with more information on the partners programme can be found on the diversity and inclusion partners web pages.

Clinical leadership in paramedic services: a narrative synthesis 
International Journal of Health Governance, 2017, Vol. 22 Issue: 4, pp.251-268
O’Meara, P et al 
Hospital cultural competency as a systematic organizational intervention: Key findings from the national center for healthcare leadership diversity demonstration project
Health Care Management Review: January/March 2018 – Volume 43 – Issue 1 – p 30–41
Weech-Maldonado, R et al

Latest news – November 2017

Learning from improvement: special measures for quality
A retrospective review

November 2017
Excerpt from NHS Improvement “Four years after the introduction of special measures, we reviewed the experience of trusts that exited the process so we can better understand why they entered special measures, what actions they took and how they implemented change to improve.”
Leadership is mentioned frequently throughout this report

Robin Baddeley: Leadership thinking is swinging back from the “big picture” to local issues
BMJ, November 14, 2017
Robin Baddeley, editorial registrar, The BMJ.

Experiences of nursing students and educators during the co-construction of clinical nursing leadership learning activities: A qualitative research and development study
Nurse Educ Today. 2017,Vol 55, p90-95
Ha L and  Pepin J

The medical director induction guide
A joint NHS Improvement and Faculty of Medical Leadership and Management publication October 2017

Support local leaders or risk having no leaders in future ,15 November 2017
The NHS’s current management approach favours the stick rather than the carrot, leading to huge pressures on local leaders and could undermine the success of STPs, warns Helen Buckingham.

STPs: Destined to fail or the road to better care? Sustainability and Transformation Plans survey of clinicians: The hospital doctors’ view
A report by the Hospital Consultants and Specialists Association
October 2017
HCSA press release

A two-way street What can CCGs teach us about accountability in STPs?
Nuffield Trust , Holly Holder and Helen Buckingham
November 2017
Excerpt from page  19 of report (Chapter : Leadership challenges)  “The leadership environment for CCG chief officers is clearly not as supportive as might be hoped, and is some way from the aspirations that the NHS has for itself in terms of creating a positive context for leadership to flourish. The key issues that emerge from our interviews and research include: • the consequences of coping with austerity and a system under stress • excessive reporting demands • a culture of blame • lack of development and support • high turnover – loss of experience and skills. In addition to this, there is also some significant uncertainty about the future shape and role of commissioning as ACOs and ACSs start to emerge.”

Getting the most from developmental well-led reviews: Commissioning external suppliers and working with peer reviewers
NHS Improvement
October 2017
Following the recent publication of  the well-led framework, publications of two new guides with practical advice on how to get the most from reviews.
NHS Improvement also explain how you can incorporate peer input in these reviews, to make use of and enhance the skills and experience of leaders within the NHS.

Developing People – Improving Care A national framework for action on improvement and leadership development in NHS-funded services
An update on the implementation of DPIC will be published shortly. See http://nhsproviders.org/media/3932/developing-future-leaders-across-the-healthcare-sector.pdf (November 2017)

Quality improvement is not for the faint hearted13 November 2017
Embedding quality improvement into the fabric of the NHS organisations requires a fundamental shift in leadership, say Joni Jabbal and Siva Anandaciva

Using video-reflexive ethnography to capture the complexity of leadership enactment in the healthcare workplace
Adv Health Sci Educ Theory Pract. 2017 Dec;22(5):1101-1121
Gordon L, Rees C, Ker J, Cleland J
Excerpt from PubMed abstract “A whole (interprofessional) team workplace-based study utilising video-reflexive ethnography occurred in two UK clinical sites. Thematic framework analyses of the video data (video-observation and video-reflexivity sessions) were undertaken, followed by in-depth analyses of human-human and human-material interactions. Data analysis revealed a complex interprofessional environment where leadership is a dynamic process, negotiated and renegotiated in various ways throughout interactions (both formal and informal). Being able to “see” themselves at work gave participants the opportunity to discuss and analyse their everyday leadership practices and challenge some of their sometimes deeply entrenched values, beliefs, practices and assumptions about healthcare leadership. These study findings therefore indicate a need to redefine the way that medical and healthcare educators facilitate leadership development and argue for new approaches to research which shifts the focus from leaders to leadership.”

Heard about the Inclusion nudges guidebook: Practical techniques for changing behaviour, culture and systems to mitigate unconscious bias and create inclusive organisations ?
…….quick nuggets available on a free website
Deloitte Case studies : Inclusion nudges guidebook
Free short version (40 pages ) PDF available  (Jan 2016) 
Excerpt from Deloitte case study website : “A key finding  of the guidebook, is that while ‘Feel the Need’ nudges are most commonly used to raise awareness of unconscious biases, the addition of ‘Process’ and ‘Framing’ nudges can act as enablers to help individuals make objective and inclusive choices more easily. They therefore will have a greater impact in sustained behavioural change. Results have also found that “Feel-the-Need”and ‘’Process’’ Inclusion Nudges are also useful in bringing about compliance and accountability in employees without linking D&I to rewards; this is because they create a follow-the-herd reaction, showing the inclusive behaviour of the majority.

Other examples of where the nudges have been used are in:

  • Helping individuals verbalise uncomfortable biased interactions
  • Encouraging women to take promotional opportunities
  • Highlighting biased customer- claim handling
  • Understanding  the importance of diverse customers
  • Retention of senior employees  (age 55+).

This Guidebook is a worthy edition to the literature on unconscious bias, helping  managers and employees identify the critical moments across the employee lifecycle where there is an opportunity create a Nudge and then to h behave more inclusively. The Nudges can be used to focus D&I efforts on making sustainable changes in behaviour and culture.”

Measuring up: your community and your workforce
NHS Employers
1st November 2017
This online tool aims to help employers in the NHS compare their current workforce data with data from their local communities. The aim of the tool is to highlight groups in the local community that may be missing from the workforce, and it offers signposts to advice on how to better attract, recruit and retain from these groups in order to strengthen the workforce supply.
This is a newly developed and launched tool, if you experience any technical difficulties please get in touch by emailing Cat.Clark@nhsemployers.org.
See also Engaging with and recruiting from your local community

Characteristics of highly rated leadership in nursing homes using item response theory
J Adv Nurs. 2017 Dec;73(12):2903-2913
Backman A, Sjögren K, Lindkvist M, Lövheim H, Edvardsson D
Excerpt from PubMed abstract: “Five specific behaviours of highly rated nursing home leadership were identified; that the manager: experiments with new ideas; controls work closely; relies on subordinates; coaches and gives direct feedback; and handles conflicts constructively. The regression analyses revealed that managers with social work backgrounds and privately run homes were significantly associated with higher leadership ratings.”

Factors supporting dentist leaders’ retention in leadership
Community Dent Health. 2017 Nov 10 [Epub ahead of print]
Tuononen T, Lammintakanen J, Suominen AL
.
Excerpt from PubMed abstract: “Out of the five main components, two were significantly associated with staying as a leader: ‘career intentions’, which represented intent to continue or to leave the leadership position; and ‘work time control opportunities’, which represented how leaders could control their own work time. Other factors that supported staying were leadership education, more work time available for leadership work, and lower age. The main component ‘work pressure’ decreased, although not significantly, the odds of continuing; it included lack of leadership work time, and pressure from superiors or subordinates.”

High-performing trauma teams: frequency of behavioral markers of a shared mental model displayed by team leaders and quality of medical performance
Scand J Trauma Resusc Emerg Med. 2017 Nov 10;25(1):109
Johnsen BH, Westli HK, Espevik R, Wisborg T, Brattebø G
Link to PDF 
Excerpt from PubMed abstract: “The results showed a positive correlation of quality of medical management with leaders sharing information without an explicit demand for the information (“push” of information) and with leaders communicating their situational awareness (SA) and demonstrating implicit supporting behavior. When separating the sample into higher versus lower performing teams, the higher performing teams had leaders who displayed a greater frequency of “push” of information and communication of SA and supportive behavior. No difference was found for the behavioral marker of team initiative, measured as bringing up suggestions to other team members.”

Collective leadership and safety cultures (Co-Lead): protocol for a mixed-methods pilot evaluation of the impact of a co-designed collective leadership intervention on team performance and safety culture in a hospital group in Ireland
BMJ Open. 2017 Nov 3;7(11):e017569
McAuliffe E, De Brún A, Ward M et al
Link to PDF 
Excerpt from PubMed abstract:There is accumulating evidence implicating the role of leadership in system failures that have resulted in a range of errors in healthcare, from misdiagnoses to failures to recognise and respond to patient deterioration. This has led to concerns about traditional hierarchical leadership structures and created an interest in the development of collective ways of working that distribute leadership roles and responsibilities across team members. Such collective leadership approaches have been associated with improved team performance and staff engagement. This research seeks to improve our understanding of collective leadership by addressing two specific issues: (1) Does collective leadership emerge organically (and in what forms) in a newly networked structure? and (2) Is it possible to design and implement collective leadership interventions that enable teams to collectively improve team performance and patient safety?  METHODS AND ANALYSIS: The first phase will include a social network analysis, using an online survey and semistructured interviews at three time points over 12 months, to document the frequency of contact and collaboration between senior hospital management staff in a recently configured hospital group. This study will explore how the network of 11 hospitals is operating and will assess whether collective leadership emerges organically. Second, collective leadership interventions will be co-designed during a series of workshops with healthcare staff, researchers and patient representatives, and then implemented and evaluated with four healthcare teams within the hospital network. A mixed-methods evaluation will explore the impact of the intervention on team effectiveness and team performance indicators to assess whether the intervention is suitable for wider roll-out and evaluation across the hospital group.”

Red Bull’s Wingfinder tool
(Assessment of strengths tool – focusing on four areas: Connections, Thinking, Creativity and Drive, all together comprising 25 Strengths in total . Wingfinder assesses the four areas over 35 minutes (approximately 280 questions) through five different assessment formats. Self-against-self and self-against-others measurement. The assessment provides a report about the strengths, with coaching guidance .
According to https://www.wingfinder.com/science Published Scientific research on the Wingfinder assessment by can be seen here (Leutner, Yearsley, Codreanu ,Borenstein, Ahmetoglu 2017 )
From Likert scales to images: Validating a novel creativity measure with image based response scales. Journal of Personality and Individual Differences , (2017) Vol 106, 36–40.
Leutner Franziska, Adam Yearsley, Sonia-Cristina Codreanu, Yossi Borenstein, and Gorkan Ahmetoglu

Book : Clinical leadership in nursing and healthcare: values into action
Stanley, David
2017  Chichester, West Sussex : John Wiley & Sons
The new edition has been updated in light of recent key changes in health service approaches to care and values.

Book: The Oxford handbook of compassion science
Seppala, Emma
2017, Oxford University Press, New York
Publishers website for book states “Includes diverse psychological perspectives, including clinical, social, developmental, organizational, sociological, and neurobiological. Written by established and rising experts in the emerging field of compassion science for basic and applied researchers. Addresses the various definitions of the term “compassion””

Peering over the precipice : a toolkit for hospices to survive and thrive 
Peering over the Precipice is published as part of Hospice UK’s Good Governance programme supporting hospice trustees, boards and senior teams.
The toolkit will give hospice boards and executives the means to diagnose future risks, to make robust plans and to support any changes that need to be made to ensure the sustainability of their service.
To download the report, please register on the website : currently the report is restricted and only available to Hospice UK members. If you work for an organisation that is a member of Hospice UK please select your organisation from the drop-down list, selecting “Other” if your organisation is not listed.

Improving staff retention – a guide for employers
NHS Employers, Sept 2017 
Excerpts “During 2016/17, trustees of the NHS Confederation granted funding for NHS Employers to work closely with 92 NHS organisations, to help equip them with tools and resources to develop and implement their workforce retention plans. This guide draws on the learning and experience from the organisations we worked with, and is aimed at individuals who are leading or working closely on retention issues.”
“During the work programme, several key retention themes emerged which are explored in more detail in this guide. These are: • looking at data in depth • developing organisational values and culture • supporting new starters • supporting flexible working • development and career planning • flexible retirement options • building line manager capability.”

Executive Level Leadership and Talent Management in NHS Scotland
Scottish Government , May 2017
This paper provides a set of actions to address the Health and Social Care Delivery Plan’s (the Delivery Plan) priority of developing a new approach to leadership development and talent management in NHSScotland.
See also Della Thomas’s Public health leadership in the face of complexity, NHS Health Scotland

Latest news – June 2017

Improving employee wellbeing through leadership development
Karanika-Murray M ,  Hasson H ,  Von Thiele Schwarz U, and Richter A
Book chapter – Chapter 23 in The Routledge Companion to Wellbeing at Work (2017), edited by  Cooper, C L , 50th Anniversary Professor of Organizational Psychology and Health at the University of Manchester, UK. He is President of the CIPD, President of the British Academy of Management, and President of RELATE. In 2015 he was number one on HR Magazine’s “Most Influential HR Thinkers” list.

Practising clinical leadership
Book chapter – Chapter 8, by Storey, J and Holti, R in
The Routledge companion to leadership (2016)
Storey J, Hartley J, Dennis JL, Hart P’t, and Ulrich D
John Storey is Professor of Human Resource Management at The Open University, UK.

Exploring senior nurses’ understanding of compassionate leadership in the community
British journal of community nursing; Feb 2017; vol. 22 (no. 2); p. 77-87
Ali, S and Terry, L
Excerpt from abstract: “Little is known regarding how compassionate leadership is perceived in community health care organisations. The aim was to understand how leaders and senior staff within a Community NHS Trust perceive compassionate leadership and its importance. This qualitative study employed semi-structured, audio-recorded interviews analysed using interpretative phenomenological analysis. Purposive sampling was used to recruit nursing leaders (n=11) within one Community NHS Trust.”

Regulation among leaders for service improvement
British Journal of Healthcare Management 2017 23:5, 214-219
Singh N and Stanage F
Excerpt from abstract: “In this commentary, the authors argue that, to protect patients, it should become necessary for policy and strategic decision-makers in healthcare to adhere to the same mandatory regulatory standards that healthcare professionals do.”

 Changing together: brokering constructive conversations
Johnston L and Wilson G 
Published by the Social Care Institute for Excellence , May 2017
Excerpt : There were four strands of work that contributed to this report:
A rapid evidence scan, undertaken by ICF. Key research questions included:  What ‘wicked issues’ does the Five Year Forward View present for local health and care economies?  What is meant by a ‘constructive conversation’, how might it be defined?  What attempts have been made to involve the public in constructive conversations in health and other sectors?  Why have health economy transformation projects failed to facilitate constructive conversations in the past? Where have they been successful and why? The review looked at published evidence and literature, including readily accessible grey literature; quantitative and qualitative empirical studies; systematic reviews and meta-analyses; and evidence-based reviews/commentaries and a brief survey of theoretical and conceptual literature was undertaken to help address the first two research questions. The other work strands were a workshop, conversations with senior leaders , and action research with three case study sites (Mid-Nottinghamshire, Dudley and Camden and Islington).

Reward and threat in the adolescent brain: implications for leadership development
Leadership & Organization Development Journal; Vol 38 Issue 4 (2017): 530-548.
Riddell, PM
Click on Text – Accepted Version , and also see University of Reading’s End User Agreement before downloading.

Excerpt from abstract:  A literature review was conducted to find adolescent research that investigated decision making and risk taking. The data obtained were integrated and implications for leadership were drawn from an analysis of the resulting theoretical framework.
The Baby Boomer generation who currently hold many of the leadership positions in organisations are coming close to requirement. They will have to be replaced by members of Generation X and the Millennial Generation resulting in potentially younger leaders. In addition, flatter organisational structures that are currently being implemented in many organisations will require leadership at many more levels. Thus, we need to be able to develop leadership skills in a more diverse and younger section of society. Understanding how the brain develops can help us to design appropriate leadership experiences and training for this upcoming generation of young leaders.

What works for you may not work for (Gen)Me: Limitations of present leadership theories for the new generation
The Leadership Quarterly, Vol 28, Issue 1, Feb 2017, pages 245-260
Anderson HJ, Baur JE, Griffith JA and Buckley MR

Making sense of effective partnerships among senior leaders in the National Health Service
Health Care Management Review: Post Author Corrections: May 22, 2017
Mitra M, Hoff T, Brankin P, and Dopson, S

Just how multi-level is leadership research? A document co-citation analysis 1980–2013 on leadership constructs and outcomes
The Leadership Quarterly, 2017, 28 (1). pp. 86-103
Batistic, S., Cerne, M. and Vogel, B.

The Influence of Sexual Orientation and Gender on Perceptions of Successful Leadership Characteristics
Chapter in book: Sexual Orientation and Transgender Issues in Organizations:Global Perspectives on LGBT Workforce Diversity, edited by Kollen, T (2016)
Published by Springer – potential readership being researchers , diversity managers, line managers,  human resource managers,  and other staff within organisations.

The Crucible simulation : behavioral simulation improves clinical leadership skills and understanding of complex health policy change
Health Care Management Review . ISSN 0361-6274 (In Press), 2017
Cohen D,  Vlaev, I, McMahon L et al

High reliability organisations : making care safer through reliability and resilience
Sujan, Mark-Alexander (2017)
In: Baillie, L. and Maxwell, E., (eds.) Improving Healthcare: A Handbook for Practitioners. Abingdon, Oxon: Routledge, pp. 101-114.
Book aimed at frontline staff, as well as Quality Improvement leaders and students Editor(s) Bio: Lesley Baillie is Florence Nightingale Foundation Chair of Clinical Nursing Practice in the School of Health and Social Care at London South Bank University. Elaine Maxwell is Associate Professor in Leadership at London South Bank University.

Enabling the flow of compassionate care : a grounded theory study
BMC Health Services Research, 2017, Vol 17 (Issue 1).
Tierney, S, Seers, K, Tutton, E at al

Take it to the top: imagined interactions with leaders elevates organizational identification
The Leadership Quarterly, Vol. Early online, 25.01.2017. (Available freely after 25th July 2018)
Meleady, R and Crisp R J

In learning mode? The role of mindsets in derailing and enabling experiential leadership development
The Leadership Quarterly, June 2017 , Author manuscript
Heslin PA and Keating LA
See also the most cited articles from The Leadership Quarterly

Encouraging disabled leaders in higher education: recognising hidden talents
Stimulus Paper from the Leadership Foundation for Higher Education, March 2017
Martin, N (Professor), London South Bank University
The author gives draws from the limited available literature (full list of references is given), and  based on this and insights from the study participants, concludes; “Disabled leaders tend not to be visible despite often possessing characteristics and the skills associated with effective leadership. Further, the study reveals numerous examples of disabled leaders sensitively adapting to circumstances and team dynamics and expressing a degree of cynicism about the idea of charismatic leadership. However, without strategic level commitment to eradicating barriers and sustaining change, the status quo will remain. Disabled people work effectively within well organised, supportive environments where they feel valued and have some control. Inclusive practices and universal design reduce the requirement for individualised adjustments and benefit everyone. A number of suggestions for action are identified, including strategic responses, inclusive design and reasonable adjustment responses, a focus on leadership recruitment and development, and developing peer support, mentoring, networking and equalities-focussed leadership training”.

Human Side of Collaborative Partnerships: A Microfoundational Perspective
Group and Organization Management, 2017, Vol 42  Issue 2, pp. 151
Liu, Y; Sarala, RM; Xing, Y; Cooper, CL.
Excerpt from abstract: This article has three general objectives. First, we show that collaborative partnerships have been a long-standing issue in management and organization studies and provide an overview of the puzzles that informed and motivated this special issue. Second, we highlight the key insights and contributions of the articles included in this special issue by reviewing their theoretical underpinnings, methodological approaches, and findings. Finally, we outline a future research agenda on the human side of collaborative partnerships that can help advance management and organization studies.

Researching health and social care devolution: learning for Greater Manchester. Interim findings
Lorne C, Coleman A,  McDonald  R et al , published by University of Manchester working closely with the Greater Manchester Health and Social Care Partnership
(GMHSCP), published 6th March 2017
Information about system leadership and shared leadership.

Darkening skies? Insitute of Employment Studies (IES) Perspectives on HR 2017
Link to PDF
Excerpt from webpage: IES’s team of researchers and consultants have pulled together existing research and their own insights and experiences from working with organisations to offer their reflections on how leaders and HR practitioners can successfully navigate the imminent challenges.

Perspectives on effective coaching by those who have been coached
International Journal of Training and Development,  Vol. 21, Iss. 1, March 2017
Carter A, Blackman A, Hicks B, et al

Talent management: responding to uncertainty
Hirsh, W.  Institute of Employment Studies Principal Associate contributes to the Perspectives on HR 2017 series of essay, this one recently published. Hirsh has also authored Effective talent and succession management: A framework for thinking about your own approach Hirsh W (2015), HR Network Paper 103, Institute for Employment Studies,  which offers the practitioner two elements of support on just two pages.

Mindfulness in organisations : Case studies of organisational practice
HR Network Paper 127 | Institute for Employment Studies | Nov 2016
Carter A, Tobias J, and Spiegelhalter K  

For Knowledge Hub readers in HEE London and the South East – New Virtual Faculty Collection, designed to support the work of all clinical teachers, trainers and supervisors
Part of the new e-learning for Healthcare – Educator Hub
http://www.faculty.londondeanery.ac.uk/library-information-services/accessing-the-collection-1
Includes access to Harvard Business Review with several articles on leadership this month – neurodiversity, onboarding and the talent “curse”.

Latest news – April 2017

New national head of NHS talent management appointed
Posted 22nd March 2017, NHS Leadership Academy announcing
Martin Hancock to take on the role.

Mindful nation UK
Report by the Mindfulness All-Party Parliamentary Group (MAPPG)
The Mindfulness All-Party Parliamentary Group was set up to: • review the scientific evidence and current best practice in mindfulness training • develop policy recommendations for government, based on these findings • provide a forum for discussion in Parliament for the role of mindfulness and its implementation in public policy

Next steps on the NHS Five Year Forward View (online view)
March 2017
Direct link to PDF
Executive Summary
The Five Year Forward View was published in 2014, this report looks at what’s been achieved in England over the past three years, and looks forward to 2019 and what can be implemented, with reflection on fact that “next year the NHS turns 70”.
Chapter 8 looks specifically at “Strengthening our workforce”
Excerpts: “The national leadership bodies will take action to implement the next steps of the ‘Developing People, Improving Care’ framework for improving leadership and improvement capabilities across the health and care system, with a particular focus on systems working, building improvement skills for staff at all levels, and compassionate inclusive leadership. The framework set out a number of immediate actions in 2017/18, including making available support for systems leadership development to each STP footprint, developing the role of local leadership academies, launching a system-wide programme to address discrimination against staff with protected characteristics, supporting organisations to improve talent management, and establishing a national support function for senior leaders. We are also developing specific improvement capability programmes for boards and executive teams and for primary care practitioners, and CQC and NHS Improvement are jointly creating a single ‘Well-Led’ Framework.”
“The NHS will become a better and more inclusive employer by making full use of the talents of its diverse staff and the communities it serves. On workforce race equality, over the next two years trusts are expected to show year-on-year improvements in closing the gap between white and BME staff being appointed from shortlisting, and reduce the level of BME staff being bullied by colleagues. The programme to improve the employment opportunities for people with learning disabilities will be expanded. And in 2018/19 over four-fifths of trusts, CCGs and national NHS leadership bodies will have set their baseline measurement for the new Workforce Disability Equality Standard and set out their first year action plan. The NHS will work actively with Government to safeguard and secure the contribution made by international nurses, doctors and other staff as the Brexit negotiations proceed.”
“By 2018/19, the CQUIN incentive payment will be paid to NHS providers that improve the health and wellbeing of their staff by 5% (on a 2015/16 baseline), as measured by the staff survey.” See ref  NHS staff health & wellbeing: CQUIN Supplementary guidance and  The King’s Fund blog post by Marcus Powell on March 23rd ,  A mixed bag of results from the NHS Staff Survey: “the NHS should regard the Staff Survey as an annual report on the quality of leadership within the service”.

Sending shockwaves through the NHS?
Ben Collin’s blog post, The King’s Fund , 24th March 2017
Ben sees a role for system leadership as 6-10 Sustainability and Transformation Plans are set to become Accountable Care Organisations (ACOs) or accountable care systems ending the purchaser-provider split, but the methods by which they will be held to account are still unclear as well as questions on patient choice. See also HSJ’s  First nine ‘accountable care systems’ revealed (March 31st 2017)

Sustainability and Transformation Plan Questionnaire Report
Faculty of Public Health
The UK Faculty of Public Health (FPH) undertook a survey of directors of public health (DPHs) to look at the public health aspects of STPs in England, early in 2017. An outline report was presented to the FPH Board in February 2017. This report presents more detailed findings.

NHS Women on Boards: 50:50 by 2020
Sealy, R (Prof)
Published by University of Exeter Business School in conjunction with NHS Employers and NHS Improvement.
Executive Summary and full breakdown of demographic data from 452 organisations, including arm’s-length bodies (ALBs), NHS trusts and clinical commissioning groups, analyzed regionally, by type of board role, and service type. Includes narratives from
– Kathy McLean, Executive Medical Director, NHS Improvement
-Alison Hill, Non-Executive Director, Royal Berkshire Foundation Trust
-Clare Panniker, Chief Executive Basildon and Thurrock University Hospitals NHS Trust, Mid Essex Hospital Services NHS Trust and Southend University Hospital NHS Foundation Trust
Excerpt from report’s conclusion and recommendations;
This report has endeavoured to start the collection of a complete and longitudinal dataset on the board composition of NHS trust, ALB and CCG boards in England, with a view to contributing to the overall aim to achieve gender-balanced boards – 50:50 by 2020. We need an additional 500 female-held board seats by 2020. If we use the EU Commission’s definition of gender parity of at least 40 per cent of each sex on each board, then there are still 209 boards that do not meet that target. Given the gender split of the NHS’s workforce, if we use our own definition of between 45-55 per cent of each sex, then there are almost 300 organisations who need to pay attention to their gender composition. The scale of the task is stretching but doable: 1-2 more women per board. However, there is a real imbalance in certain roles. While we have a very high percentage of chief nurses, we need more specific research and data on why there is a dearth of women in other roles, (particularly chief financial officers and medical directors). Are women applying and not getting jobs, or are they not applying? If not, do we have a supply problem, or is it a demand problem? Where we know we don’t have a supply problem in terms of availability of competent women eg for non-executive director positions, what is not attractive and/or what is not being recognised? A very helpful meeting was convened in January 2017 with all the major search firms operating in the NHS, and a number of actions were agreed: In addition, it is incumbent on board chairs to insist that they get top-quality female candidates from their search firm or other sources, providing a broad search covering private, public and tertiary sectors.
Footnotes  include several key references .
The standard voluntary code of conduct for executive search firms

The NHS sets leaders up to fail – and then recruits more in the same mould
Guardian Healthcare Network – news from the NHS Frontline
Monday 27th March 2017
Blog opinion post (anon) regarding a shift in leadership characteristics needed, away from business skills to softer skills encompassing staff engagement and partnership working.
Excerpt: ” The NHS cannot afford to lose a swath of senior managers. Many of these people could develop the skills we need, we just need to help them to do so. After all, we require doctors and nurses to refresh their skills regularly, revalidating their qualifications; and these days, the disciplines of management and leadership are changing just as fast as medical practice”.

A Masters degree to grow hospice leadership
For information about the Hospice Leadership and Management module at Cass Business School (part of City University London ), and how to apply for a £4k Hospice UK bursary, see the Leadership and Management Development pages of the Hospice UK website.

Visibility Generates Trust: Walking the talk as an inclusive leader
Bobbie Petford of Walsall Healthcare NHS Trust on the value of  staff networks  as for example  lesbian, gay, bisexual and trans (LGBT+) staff networks. Excerpt: “Successful staff networks need sponsorship from the organisation’s executive team and adequate resourcing. They also work best where reciprocal participation, accountability and co-production involves members, the organisation and the public. The benefits for all concerned are shared expertise, critical friendship, and improved staff wellbeing and patient care.”

Second podcast on inclusive leadership in the NHS
3rd April 2017
Jackie Daniel, Chiief executive, University Hospitals of Morecambe Bay NHS Foundation Trust (UHMBT) talks about the  practical side of inclusive leadership.

19 in-depth interviews with ward leaders and modern matrons – how do they perceive their leadership role and lead improvements in the quality of care ?
Tensions within management roles in healthcare organisations
Nursing Management Vol 24, Issue 1 (Mar 2017): page 31.
Scott A and Timmons S

Does leadership style of modern matrons contribute to safer and more effective clinical services?
Nursing Management 2017 Vol 24: Issue 1 , p21 -25
Hill, B
(Reflections from a Matron for airway, ear, nose and throat, and reconstructive plastic surgery, Imperial College Healthcare NHS Trust)

New book: The essentials of nursing leadership
Authors : Ruth Taylor and  Brian Webster-Henderson
Sage Publishing
Key features include (taken from Publishers website for the book):

  • Real life focus, grounded in everyday practice, with lots of case studies and examples to help students see how theory relates to practice
  • Activities to help students reflect about their own practice, and about themselves as leaders
  • Video interviews with nurse leaders and students on the companion website
  • Further reading and links to journal articles in both the book and the companion website help students delve deeper and prepare for assessments.
  • The Essentials of Nursing Leadership

 

Staying for the long haul? Thinking about retaining talent earlier on as part of talent management
Meaningful interviewing for retention
Nursing Management;  Vol 48. Issue 3      Mar 2017): p7.
Widman, K et al

Technical Guidance for the NHS Workforce Race Equality Standard (WRES)
March 2017
Prepared by Dr Habib Naqvi, Roger Kline, and Saba Razaq
This document updates both the March 2016 version of the Technical Guidance for the NHS Workforce Race Equality Standard, and the July 2015 Supplementary Technical Guidance: Clinical Commissioning Groups and the Workforce Race Equality Standard.
Want the literature ? To assist the development of good practice the WRES Implementation Team has undertaken a significant amount of work (field work and literature search) to identify the shared characteristics of effective interventions against each of the WRES indicator and across organisations as a whole – looking at good practice in the private sector, other parts of the public sector, and within the NHS itself. The results of this  work will be shared from spring 2017 and should further assist organisations’ WRES action plans, which in turn will be evidence-based.

BMJ Leader – Volume 1, Issue 1
Welcome editorial from Stephen Powis and James Mountford

How expert mentoring can pave the way to successful leadership
Teaching associate. School of health sciences, University of Nottingham
Assistant professor. School of health sciences, University of Nottingham
Associate professor. School of health sciences, University of Nottingham
Nursing Children and Young People, April 2017, Vol 29, issue 3 pp20-22
Excerpt from abstract: “A pioneering module developed at the University of Nottingham brings together nurses at the top of the profession with those on the threshold of careers in nursing children”

Equipping future doctors: incorporating management and leadership into medical curriculums in the United Kingdom
Sonsale, A and Bharamgoudar, R  Affiliated to
 Franklin-Wilkins Building, King’s College London, London, UK.
 Imperial College London Business School, London, UK.
Perspectives on medical education6.2 (April 2017): 71-75.

Shared leadership and group identification in healthcare: The leadership beliefs of clinicians working in interprofessional teams
Forsyth, C and Mason, B
Journal of interprofessional care31.3 (May 2017): 291-299.
Excerpt from abstract: “An online survey was responded to by 229 healthcare workers from community interprofessional teams in mental health settings across the East of England”. Professionals responding to survey were psychiatric nurses, clinical psychologists, consultant psychiatrists, occupational therapists, and social workers. The authors “predicted that psychologists, social workers and occupational therapists would report greater agreement with shared and distributed leadership  when compared with consultant psychiatrists”, the latter have been found in their literature review “to work in a directive manner and view leadership as a prominent part of their role in teams”. “The current study reaffirms previous research that has demonstrated it is possible for clinicians to hold strong dual identifications with their teams and professions in situations when the level of professional threat is low.”

Future leaders course prepares nurses for the top
Jones-Berry, S
Nursing Standard. April 2017, Vol 31, issue 33, 12-13
11 nurses were selected for the master’s level course for deputy chief nurses ( launched at London South Bank University) .The course is a collaboration between NHS Improvement (NHSI) and Health Education England and aims to prepare participants to move up to chief nurse roles within 12-18 months. Although there will be fewer director of nursing posts as organisations merge the course participants think their futures may lie in becoming directors for sites within organisations as health and social care organisations merge. A fresh intake is confirmed for the course running from April to October 2017.NHS Improvement (NHSI) says there are 15 places available in the new cohort for the aspiring nurse directors’ course, and 15 places on the aspiring deputy nurse directors’ course.

Leadership and the everyday practice of Consultant Radiographers in the UK: Transformational ideals and the generation of self-efficacy
Booth L, Henwood S, and  Miller PK.
Radiography (Lond). 2017 May;23(2):125-129
Excerpt from abstract : “Using a qualitative-thematic approach, the leadership-related experiences of a purposive sample of six participating Consultant Radiographers are explored, alongside the systems through which they evaluated how successful they had been as leaders.”

Ambition London Toolkit 
Skills for Health  released this toolkit on 4th April 2017
This toolkit aims to ensure that a standardised high quality information advice and guidance is available for people who are looking to join the health and care sector.

 

Latest news – March 2017

Valuing your talent
New website from collaboration between UKCES, CIPD, CIMA, CMI and Investors in People designed to encourage organisations to understand and measure the impact of people on organisational performance and thereby realise the full potential of their workforce.
Development of “Valuing your Talent Framework” from the About People Analytics section.
Latest research reports (links to PDFs from website)
People measurement and reporting: from theory to practice
Reporting human capital: illustrating your company’s true value
Managing the value of your talent
Get involved in the collaboration here 

The two sides of diversity-which are the most ethnically diverse occupations?
Report by thinktank Policy Exchange , March 2017, see also their Integration Hub , a source of information on ethnic integration across five distinct themes – Residential Patterns, Work and Welfare, Society and Everyday Life, Education, and Attitudes and Identity. Link to the March 2017 McGregor-Smith Review on ethnic-minority progression in the workplace, the Government’s response and the Policy Exchange’s response to the McGregor-Smith Review by Richard Norrie

STPs: a call for ‘extraordinary’ leadership
Blog post by  Marcus Powell, Director, Leadership and Organisational Development
March 13th 2017 

Rome wasn’t built in a day – and neither is a good leader!
Blog post by Chris Lake, Head of professional development, NHS Leadership Academy, 17th March 2017

In search of the best available evidence
CIPD Positioning Paper, Dec 2016
Report was written by Jonny Gifford, the CIPD’s Adviser for Organisational Behaviour.  It relates in part to two rapid evidence assessments (REAs) carried out for the CIPD by the Center for Evidence-Based Management (CEBMa). The REA findings are published as a main report : Could Do Better ? Assessing what works in performance management(Gifford 2016) and two technical reports on : goal setting and performance appraisal respectively (Barends et al 2016a, 2016b),
Contents;
Leading practice or fads?
What’s the risk?
The allure of ‘leading practice’ case studies
Picking and choosing research
Enter evidence-based practice
The hierarchy of evidence
The need for multiple sources
Accessing and assessing the best evidence

The five challenges of asking, ‘how am I doing?’
Blog post on Clore Social Leadership webpage, Feb 22 2017

Leadership: Holding boundaries
Blog post on Clore Social Leadership webpage, March 6 2017

‘To get to the top you must be prepared to take risks’
Nursing Standard , Volume 31, Issue 26, p38-39 [Published in print: 22 February 2017]Mary Mumvuri (Executive Director of Nursing & Governance, Kent and Medway Partnership Trust) talks about her experiences and success. 

What can we learn from leadership in the third sector? 
10/02/2017 blog post on Faculty of Medical Leadership and Management
Ashling Lillis explains about leadership within Macmillan Cancer Support . applicable to medical professionals across the Third Sector .
(Macmillan became the first Third Sector provider to host a clinical fellow on the National Medical Director’s Clinical Fellow Scheme through FMLM).
Excerpt from Lillis, A blog – “Macmillan’s leadership model is based around creating these ‘communities of influence’ to enable and encourage change from the ground up. This work builds on the established model of communities of practice and evolved from Macmillan’s work with patient representative groups”.

Seventh annual leadership and management summit
The King’s Fund , 9th May 2017

10 charities have won 2017 GSK IMPACT Awards for their outstanding contributions to improving the UK’s health and wellbeing
The Cascading Leadership programme enables high-performing GSK IMPACT Award winners to share their learning and skills with the wider voluntary and community sector to further develop leadership within the sector. GSK and The King’s Fund, in partnership with Comic Relief, manage the programme. Following the successful pilot in Scotland, the Cascading Leadership programme is now being rolled out across the UK.

Being the change you want to see 
Leaders in health and care contribute their own personal and professional experiences to mark LGBT+ history month.

NHS Working Longer Group
New webpage from NHS Employers , resources for managers and staff, released Feb 2017
Tools and resources section here 

J Health Organ Manag. 2017 Mar 20;31(1):54-63.

Barson S, Doolan-Noble F, Gray J, Gauld R.
This is a study by 3 authors in New Zealand. Excerpt from abstract: ” The interviews provide a rich source of information on critical success factors. The themes largely correspond with MUSIQ (Model for Understanding Success in Quality), reinforcing its robustness. An important factor emerging from the interviews was the importance of engagement with patients and families in QI, and this needs consideration in seeking to understand context in QI.”

Lord RG, Day DV, Zaccaro SJ, Avolio BJ, Eagly AH.
Research into leadership in a historical context .
Excerpt from abstract : “Our review of this work shows dramatic increases in sophistication from early research focusing on personnel issues associated with World War I to contemporary multilevel models and meta-analyses on teams, shared leadership, leader-member exchange, gender, ethical, abusive, charismatic, and transformational leadership.”

Shared leadership and group identification in healthcare: The leadership beliefs of clinicians working in interprofessional teams
J Interprof Care. 2017 Feb 28:1-9. 
Forsyth C, Mason B.
Article based on data collected from an online survey responded to by 229 healthcare workers from community interprofessional teams in mental health settings across the East of England. The findings suggest that strong professional identifcation and team identifications are “likely to be conducive to clinicians supporting principles of shared leadership”.

From staff nurse to nurse consultant Clinical leadership part 10: supervision
British Journal of Nursing, 2017, Vol 26 Issue 2 , page 120 (Go to Sign In, and choose Sign In via OpenAthens if you are a member of NHS staff)
From staff nurse to nurse consultant: Clinical leadership part 11: leadership and training
British Journal of  Nursing, 2017 Feb 23; Vol 26(Issue 4):page 248.
Both articles by Fowler J.

Study of first year medical students’ experiences of attending a leadership and management course hosted by a British Army Reserve Field Hospital, and developed in partnership with Liverpool University. 244 students submitted a 1000-word structured reflective learning assignment each, about their reaction to, learning from and any behaviour and attitude changes as a result of, the training. These were then analysed thematically.

An Examination of the Self-directed Online Leadership Learning Choices of Public Health Professionals: The Maternal and Child Health Public Health Leadership Institute Experience.
J Public Health Manag Pract. 2016 Dec 16.
Fernandez CS, Noble CC, Jensen ET.
Excerpt from abstract: “The 5 most frequently selected module topics were employee engagement (87.2%), talent acquisition strategies (84.4%), employee motivation (79.8%), emotional intelligence (78.9%), and workforce development strategies (68.8%). The least accessed topics focused on cultural competence (15.6%), social marketing (25.7%), effective communication and advocacy (25.7%), family partnerships (25.9%), and creating learning organizations (31.2%).”

Shortened version here
Comments on leadership from webpage  ” STPs have struggled with a lack of authoritative leadership. They are a conglomeration of health and social care bodies rather than legal bodies in their own right. Each organisation within the STP has its own statutory responsibilities and is held accountable to its own regulatory bodies. This presents challenges to collaborative working when organisation-level interests conflict with those of the STP as a whole. Local leaders are unclear as to what extent they can lawfully collaborate without breaching competition legislation. Having different funding streams for different organisations makes it difficult for local leaders to move the money to where it will have the most impact.”

TWO REPORTS from YOUTH HEALTH PARLIAMENT

Leadership, followers’ mental health and job performance in organizations: A comprehensive meta-analysis from an occupational health perspective
Journal of Organizational Behavior;  Vol 38 Issue 3 (Mar 2017): 327-350.
Montano, D; Reeske, A;  Franke, F; and Huffmeier, J
Study was a meta-analysis of 144 included articles from PubMed (PMC), PsycINFO, PsycARTICLES, PSYNDEX (EBSCO), and WISO: Wirtschaftswissenschaften (a German business database). Excerpt from abstract and full text: “results reveal that transformational leadership, a high quality of relations-oriented and task-oriented leadership behavior, as well as a high quality of leader-follower interaction are positively associated with mental health”. “the ndings of recent reviews indicate that, from an occupational health perspective, leadership is not a neutral element.”

Conversation at Work: The Effects of Leader-Member Conversational Quality
Communication Research; Vol 44 Issue 2 (Mar 2017): 177-197.
Jian, G and Dalisay F
The authors state that “this study offers concrete behavioral guidance”. First, managers should be mindful that there is a greater demand (planning, dedicated time, and focus) on conversations with employees with regard to non-routine task assignments and role negotiations. And secondly, the authors postulate that the addition of conversational training to corporate training curricula as a valued skill is warranted.
See also winning essay in the 2016 Roffey Park and HR Magazine essay competition entitiled “Mastering conversation” by Cosgrove, E and Hope S. (registration for download required)

 Unlearning established organizational routines – Part I
The Learning Organization, 2017, Vol. 24 Issue 1, pp.13 – 29
Fiol M and O’Connor E
Unlearning established organizational routines – Part II
The Learning Organization, 2017, Vol. 24 Issue 2, pp.82-92
Fiol M and O’Connor E
Excerpt from abstract : The purpose of Part II of this two-part paper is to uncover important differences in the nature of the three unlearning subprocesses, which call for different leadership interventions to motivate people to move through them. The three processes are identified as 1. initial destabilization of old routines 2. ongoing discarding from use of the old and experimenting with the new; and 3. developing new understanding and releasing the old. Support from leaders and the need for transformational leadership are identified.
See also
How to unlearn and change – that is the question!
The Learning Organization, 2017 , Vol. 24 Iss: 2, pp.127 – 130
Rupčić N,

Reshaping the non-medical workforce
“Signposts to a number of case studies and resources that you may find helpful” .
NHS Employers website, 6th March 2017

  • Developing the support workforce
  • Extending the scope of roles
  • Developing advanced practice roles
  • Creating the conditions for change
  • Help spread the learning further.

NHS European Office – sign up for Brexit news straight to your in-box here . Link to first issue
“This bulletin from the NHS European Office will bring you regular updates on the key policy announcements and help you keep up to date with how Brexit will impact the wider health and care system. Access resources and podcasts, and get the view from key leaders in the UK and Europe in a series of Brexit voices blogs”. Other sites of interest: NHS Employers Brexit and the NHS Workforce , CIPD Brexit Hub a website of resources :Brexit impact on workforce trends, effects on employment law and immigration policy, managing and communicating change, and infographic 

How Leadership Experience Affects Students
Harvard Business Review – research article , February 2017

Latest news – February 2017

What does leadership mean to you?
NHS Confederation  asked leaders across NHS Wales what leadership meant to them.
Posted  31 / 1 / 2017

The Sir Peter Carr Award: inspiring the next generation of NHS leaders
The Sir Peter Carr Award is a £30,000 award which will be made to a clinician and manager partnership (£15,000 each) to invest in their professional development over a year to support the delivery of a shared improvement objective.
Applications are open until 14 March 2017
Pod cast by Jim Mackey Chief Executive, NHS Improvement on Sir Peter Carr 

Lessons in leadership from women clinical commissioners – Practical guidance to support the next generation of women clinical leaders
Published in December 2016 by NHS Clinical Commissioners , the independent collective voice of clinical commissioning groups.

Updated guides for hospice boards and trustees
Jean Hindmarsh, Projects Director at Hospice UK , explains the need for new guides.
Published 9th February 2017

New research into barriers:
From Peter Lees blog post , (Peter Lees is the chief executive and medical director of the UK intercollegiate Faculty of Medical Leadership and Management (FMLM))
Excerpt: “FMLM has agreed to report on the barriers facing aspiring medical leaders and we will be working with the regulators (GMC, the National Midwifery Council and the Health and Care Professions Council) to explore potential regulatory issues. We report back at the end of March 2017 so watch this space”.

The role of the medical director in the NHS
Published January 2017 by The Good Governance Institute
Excerpt from abstract ” With the increasing significance that has been attributed to clinical leadership over recent years, the role of the Medical Director is widely seen as more important than ever. Despite this, there appears to be a lack of clarity about the role, and also significant barriers to its uptake, most pertinently the issue of career progression and succession planning.
This paper explores:

  • background to the role: definition, importance, perception and the route to becoming a medical director
  • responsibilities of the Medical Director
  • what makes an effective medical director?
  • accountabilities and reporting lines and the wider team
  • training for the role and career progression
  • barriers and challenges”

Author(s): Divia Mattoo, Programme Delivery Officer, GGI, Laura Tantum, Knowledge Management Analyst, GGI

Quality improvement: learning from innovations in the vanguards
The King’s Fund blog post by Prof Don Berwick, 26th January 2017
Reflections on what leaders in Morecambe Bay, Lancaster Royal Infirmary, Leeds, Erewash, Wakefield and Sutton are currently doing in new care model sites. See also Prof Don Berwick’s webcast (released 20 Jan 2017- allow one hour for webcast, registration required) .  Scroll down for comments to Prof Don Berwick’s November 2016 post.

Interview with Dr Des Breen, Medical Director; South Yorkshire, Mid Yorkshire & North Derbyshire Working Together Programme (one of the vanguards)
Post on the Academy of Fab NHS Stuff website, 20 January 2017
Excerpt “There is a definite sense of collaboration amongst the Chief Execs, Chairs and Medical Directors. Also each Clinical project has good clinical representation from across the partner Trusts and this has crucially allowed us to engage clinicians in the development of services. I won’t pretend it hasn’t been challenging at times however most people understand the need for change and exploration of different models of delivery.”
and
Interview with Rachel Yates, Director, National Orthopaedic Alliance (NOA) vanguard
Post on the Academy of Fab NHS Stuff website, 19 January 2017
Excerpt “We have not yet fully developed our model but it is clear that to bring about this kind of change you must take everyone with you – providers, users and internal NHS staff. Everyone involved requires clarity around what you are trying to achieve, what you need to get there and who you need to keep informed – and moreover involved in the decision-making processes – along the way. Good and innovative communication is the key to success.”

Reflections on leadership from outside of healthcare

Shakespeare’s mind for the future – a modern day tale
Excerpts “A look at what Shakespeare says about leadership and its relevance to the leadership challenges of today”. Section 1 “reflects on the three leadership styles that Shakespeare develops in his plays and their relevance to today’s leaders, using insights from research conducted by Heidrick & Struggles”.
Published by Heidrick and Struggles, a leadership consultancy, in 2015 but relevant for reading in 2017 too.

The little book of managing change
Training and Development Agency for Schools
Interesting sections on leadership and problem solving using fishbone analysis.

Rapid school improvement
Report by McAleavy T, Riggall A and Fitzpatrick R
Education Development Trust, 2016 (Education Development Trust is a large educational organisation providing education services for public benefit in the UK and internationally).
Report looks at the role of leadership in “an unusually interesting group of schools in England: those in which a dramatic improvement in school quality (as measured by national school inspectors) had taken place in a short period of time. We were particularly interested in examining what school leaders did, and what took place in these schools, during such rapid ‘turnarounds’”, “the study highlights the complexities of school leadership during adversity, and the often-tough personal experiences of those who undertake the difficult role of leading change in an under-performing school.”

Leading Through Uncertainty A view from Hospitality CEOs
Excerpt “Leading through Uncertainty” is Heidrick & Struggles’ first survey of Chief Executive Officers of Britain’s leading hospitality companies in association with the British Hospitality Association. The report is based on individual conversations with CEOs which, with a few exceptions, were conducted in person”. “The spectrum of organisations encompasses:- hotel , restaurants, pub sector, sporting & recreational activities, and catering. The report includes crucial themes that are front of mind for today’s CEOs in the Hospitality sector. Issues range from business confidence, leadership and talent management”. Published in 2015.

The CEO Report Embracing the Paradoxes of Leadership and the Power of Doubt
Report by Heidrick and Struggles in association with University of Oxford’s Said Business School, published ?2015
“The CEO Report is based on rich, individual conversations with more than 150 CEOs from   a broad range of industries and sectors: consumer 30%, finance 19%, industrial 25%, life science 4%, professional services 12%, and technology 10%. Women CEOs made up 8% of the sample. ” Each interview lasted an average of 55 minutes and, with few exceptions, was conducted face-to-face. All interviews were anonymized prior to analysis by researchers at Saïd Business School, University of Oxford”.
Authors ; Saïd Business School Professor Tim Morris, Dr. Andrew White, Dr. Michael Smets, Dr. Amanda Moss Cowan, Dr. Andromachi Athanasopoulou, Dr. Ted Malloch, Lyn Martin, Emily Owen, Dr. Bryn Harris, and Alison McQuater
Heidrick and Struggles: Valerie Germain, Dr. Karen West, Dave Tullett, Patience Berry, Tom Fleming, and a global team of H&S search, leadership, and culture-shaping consultants who interviewed alongside our core research team.

Institute for Healthcare Improvement (IHI) Open School Online Course
Introduction to Health Care Leadership
From this course you can – “learn that leadership isn’t a position of authority — it’s an action. You’ll learn how to persuade different types of people and build enough unity to move forward. Finally, you’ll learn some strategies for sustaining your leadership journey over time.”
This course was updated and retitled on August 15 2016. Its previous title was L 101: Becoming a Leader in Health Care

Diversity Action Plan – Department of Health, Non-executive appointments
Sections on engagement with senior sponsors within DH and Chairs, engagement with DH Ministers, search strategy for candidates, advertising strategy, application process, working with others, monitoring and re-appointments.

Closing the gender leadership gap: a multi-centre cross-country comparison of women in management and leadership in academic health centres in the European Union
Kuhlmann et al
Human Resources for Health (2017) 15:2
Case study of four large European centres: Charité – Universitätsmedizin Berlin (Germany), Karolinska Institutet (Sweden), Medizinische Universität Wien (Austria), and Oxford Academic Health Science Centre (United Kingdom).

Dual leadership in a hospital practice
Thude, B R et al
Leadership in Health Services; Vol 30 issue 1 (2017): 101-112.
Analysis of  three different dual leadership pairs at a Danish hospital.

Escaping the healthcare leadership cul-de-sac
Leadership in Health Services; Vol 30 issue 1 (2017): 76-91
Edmonstone, J D
Excerpt from abstract : “[it is] proposee that healthcare is dominated by a managerialist ideology, powerfully shaped by business schools and embodied in the Masters in Business Administration. It suggests that there may be unconscious collusion between universities, healthcare employers and student leaders and managers.” “Based on a review of relevant literature, the paper examines critiques of managerialism generally and explores the assumptions behind leadership development. It draws upon work which suggests that leading in healthcare organisations is fundamentally different and proposes that leadership development should be more practice-based.”

From staff nurse to nurse consultant: Clinical leadership part 9: succession planning
British Journal of Nursing,  (Dec 8, 2016-Jan 11, 2017): 1272.
Fowler, J
See also
Clinical leadership part 8 From staff nurse to nurse consultant: Clinical leadership part 8: vision
Clinical leadership part 7 From staff nurse to nurse consultant: Clinical leadership part 7: leadership and stress
Clinical leadership part 6 From staff nurse to nurse consultant: Clinical leadership part 6: leadership and mentoring
C
linical leadership part 5 From staff nurse to nurse consultant: Clinical leadership part 5: senior leadership
Clinical leadership part 4  From staff nurse to nurse consultant: Clinical leadership part 4: leading from the front
Clinical leadership part 3  From staff nurse to nurse consultant: Clinical leadership part 3: developing your leadership style
Clinical leadership part 2  From staff nurse to nurse consultant: Clinical leadership part 2: leadership styles
Clinical leadership part 1 From staff nurse to nurse consultant: Clinical leadership part 1: leadership or management?

Nursing competency standards in primary health care: an integrative review
Journal of Clinical Nursing, 2016, 25, 1193–1205
Halcomb E et al
Excerpt from abstract: “Competency standards are important tools for communicating the role of nurses to consumers and other health professionals, as well as defining this role for employers, policy makers and educators. Understanding the content of competency standards internationally is an important step to understanding this growing workforce”.

Transformational leadership in nursing: a concept analysis
Journal of Advanced Nursing , 2016, Vol 72( Issue 11), 2644–2653
Fischer S A
Excerpt from abstract : “Implications for nursing. This report proposes a new operational definition for transformational leadership and identifies model cases and defining attributes that are specific to the nursing context. The influence of transformational leadership on organizational culture and patient outcomes is evident. Of particular interest is the finding that transformational leadership can be defined as a set of teachable competencies. However, the mechanism by which transformational leadership influences patient outcomes remains unclear”

New books:

Leadership Team Coaching, Developing Collective Transformational Leadership
KoganPage
by Peter Hawkins
Peter Hawkins is Professor of Leadership at Henley Business School and  Visiting Professor in executive coaching at Oxford Brookes University and in leadership and change at the University of Bath.
Available to pre-order from 3rd March 2017, published 3rd June 2017

Leadership Team Coaching

The Leader’s Guide to Lateral Thinking Skills
Kogan Page
by Paul Sloane
Available to pre-order from 3rd June 2017, Published: 3rd September 2017

The Leader's Guide to Lateral Thinking Skills

Leadership and Management in Healthcare 3rd edition, by
Neil Gopee – Coventry University
Jo Galloway – Executive Nurse, Quality and Patient Safety, NHS Redditch and Bromsgrove & Wyre Forest Clinical Commissioning Group
Published March 2017

Leadership and Management in Healthcare