Tag Archives: Shared leadership

May 2019 – over 20 new items on healthcare leadership

NHS England funds £2million to boost system-wide leadership development
8th May 2019

Excerpt from NHS England website announcement

“NHS England has funded a £2million programme to help 23 areas kick-start or boost leadership development activities to support and inspire workforce in health systems across England from GPs, consultants and therapists to nurses, social workers and managers.

The programme builds on learning from five successful leadership models: Frimley Health and Care 2020 Programme, Surrey Heartlands Academy, Fylde Coast 100 Systems Leader Programme, North Cumbria and Leading Greater Manchester.

Their results have shown the importance of equipping individuals with the right skills necessary to drive change and identify new ways of working and collaborating with health, social care and third sector organisations.

The funding will support systems to develop locally tailored programmes, investing in both newly established and experienced leaders to increase their system leadership capability.

They can do this in a number of ways including: growing a cadre of system leaders who are delivering integrated care at the coal face, building a pipeline of future leaders through mechanisms such as talent management, getting more people into leadership learning courses at all levels in a system, and creating networks of people with interests in leadership development who can inspire others, share learning with peers and problem solve.”

Read the latest issue online of Healthcare Leader :

 

What happens when you make nursing a more attractive profession?
The Health Foundation, 30th April 2019
Excerpt “Professor Linda Aiken is Director of the Centre for Health Outcomes and Policy Research, and Senior Fellow of the Leonard Davis Institute of Health Economics at the University of Pennsylvania.
She spoke at a recent Health Foundation event about how the US has tackled its nursing shortage over the last few decades, allowing nurses to provide the highest quality care while delivering better nurse satisfaction and retention. Her pioneering research has created an evidence base showing the importance of improving nurse work environments. We caught up with her to find out more.”

Read the comprehensive guide for improving staff retention, which has been updated for April 2019Improving Staff Retention: A Guide For Employers

Nuturing talent in your team ? How to support staff who are high achieving?
NHS Employers’s popular people performance management toolkit has been refreshed to include links to new guidance and resources.

 Workforce Stress and the Supportive Organisation – A framework for improvement through reflection, curiosity and change 
Health Education England, 4th April 2019
Excerpt “encourages employers to take a closer look at the systems they currently  have in place for managing staff wellbeing,  it challenges them to give greater consideration to the impact  workforce stress has on staff and look at the role they can play in providing better support to staff who may need It. ”  ” It also talks about the impact of leadership, capacity and capability on workforce mental wellbeing and what employers need to consider.”
See also CIPD Health and Wellbeing at Work 19th report, also published in April 2019

Do We Have the Three Types of People Needed for Scale and Spread in the NHS?
NHS Horizons, Ketley, D
8th May 2019

Developing the mindset of a successful leader
In HPMA’s April 2019 Newsletter  (Healthcare People Management Association)

HEAT (healthcare education and training) Awards
Although nominations for the HEAT Awards are now closed, the shortlist will be announced on 20 May and all the shortlisted nominees and their nominators will be invited to an awards event held on 18 July in London.
Watch out for  Leadership awards

  • Inspirational Leader of the Year
  • Emerging Leader of the Year
  • System Transformation Champion of the Year  (open to individuals and teams)

Today’s provider chief executive: Impact of the Aspiring Chief Executive Programme
April 2019
“An independent study by the Institute of Employment Studies (IES) of the impact of first two cohorts of the national Aspiring Chief Executive Programme .”
“An evaluation of the NHS Leadership Academy’s Aspiring chief executive programme has highlighted themes around what makes an effective CEO and highlights tensions in the context in which they lead.”

Reports

Creating a culture of excellence How healthcare leaders can build and sustain continuous improvement
KPMG
April 2019

Acas publishes guidance on workplace neurodiversity
April 1st 2019, the ACAS webpage with the guidance is here 
Excerpt ” Acas has published guidance to help employers learn about neurodiversity and to suggest changes that can be made in the workplace to better support neurodivergent staff. Neurodiversity refers to the way an individual’s brain works and interprets information. It looks at the fact that people think differently and have different interests and motivations.A “neurotypical” person is someone whose brain functions in the way society expects. A “neurodivergent” person is someone whose brain functions, learns and processes information differently. Examples of neurodivergence include autism, attention deficit disorders and dyslexia.

The Acas guidance emphasises that people think differently and that some individuals are naturally better at some tasks and poorer at others and, as the Acas guide points out, employers need to accommodate this difference in practical ways – ways that don’t patronise or disparage individuals.”

Kindness, emotions and human relationships: The blind spot in public policy
Julia Unwin, Carnegie Fellow
Published in November 2018, so coming a bit late to the Knowledge Hub.
Cited in Can integrated care systems change how we work in the NHS?, Healthcare Leader, 29th April 2019.

Journal articles

Priorities and challenges for health leadership and workforce management globally: a rapid review
Figueroa CA , Harrison R, Chauhan A and Meyer L
BMC Health Services Research 2019 19:239 -OPEN ACCESS
24 April 2019
Excerpt from abstract : “Health systems are complex and continually changing across a variety of contexts and health service levels. The capacities needed by health managers and leaders to respond to current and emerging issues are not yet well understood. Studies to date have been country-specific and have not integrated different international and multi-level insights. This review examines the current and emerging challenges for health leadership and workforce management in diverse contexts and health systems at three structural levels, from the overarching macro (international, national) context to the meso context of organisations through to the micro context of individual healthcare managers.”

Leadership perspective on the implementation of guidelines on healthcare-associated infections
Hegarty J, et al. BMJ Leader 2019;0:1–9. – OPEN ACCESS
Excerpt from abstract : “d Leadership is a key component for infection prevention and control and plays an important role in the implementation of guidelines on healthcareassociated infections. A body of literature exists on healthcare workers’ perspectives on implementing these types of guidelines; however, there is a paucity of data on the leadership perspectives on implementation. This study aims to contribute to the evidence base of leadership perspectives”

Healthcare portraiture and unconscious bias
BMJ Views and Reviews, BMJ 2019;365:l1668, 12th April 2019
Authors: Karthik Sivashanker, Harvard Medical School fellow in quality and patient safety,   Kathryn Rexrode, chief,   Nawal Nour, chief diversity and inclusion officer for faculty, trainees, and students,  Allen Kachalia, senior vice president, patient safety and quality.

Women, healthcare leadership and societal culture: a qualitative study
Journal of Healthcare Leadership, published April 2019 – OPEN ACCESS
Kalaitzi S et al
A study of women health care leaders’ challenges in Greece and Malta. See also
Exploring Women Healthcare Leaders’ Perceptions on Barriers to Leadership in Greek Context
Frontiers in Public Health, 09 April 2019

Developing culturally competent and compassionate healthcare leaders: A European model 
Journal of Nursing Education and Practice, 2019, Vol. 9, No. 7 – OPEN ACCESS
Excerpt from abstract: “Methods: The development of this model is part of the IENE 4 EU funded project with participating countries: United Kingdom [Middlesex University, London], Spain, Cyprus, Romania, Italy, Denmark, Turkey. Its development is based on a) a needs assessment survey among healthcare leaders in the partner countries (N = 199), b) two round Delphi study with 14 experts and c) a focus group with healthcare leaders after the development of the model.
Results: The components of this model include the basic principles, values and skills that a health care leader should have as a role model and a coach of his/her staff in delivering compassionate and culturally competent care. This model was further used within the IENE 4 project, as a tool for creating learning tools, aiming to improve the quality of care within a cultural framework. Fourteen such learning tools were developed and piloted in all partner countries”
See also Output 1 of the IENE4: Report on integrative literature reviews on: -Universal components of compassion. -Measuring culturally competent compassion.
-Learning Culturally Competent Compassion in theory and practice.

Why men might be the answer to the staff shortfall
Nursing In Practice, Launder M, 1st May 2019
Excerpt from full text: “The NMC found that just 11.4% of registered UK nurses in 2017/18 were men – barely improving on the 2007/2008 figure of 10.69%. The gender divide gets wider in general practice with men making up just 2.1% of practice nurses, according to NHS Digital data (see graph, page 22). The Universities and Colleges Admission Service, which administers the university application process, reported a slight increase in applications from men to study nursing this year, from 3,400 to 3,620. But that is a drop in the ocean compared with an overall decrease of 39.22% from 2010 to 2019. ” Article also looks at potential dangers of masculinising nursing.
Article cites  research by Professor Heather Whitford at the University of Dundee who  studied the under-representation of men on pre-registration nursing courses in Scotland in 2018. See final report of that research here 

Can shared leadership enhance clinical team management? A systematic review
Leadership in Health Services, Volume 32 Issue 2, May 2019 , pp. 309 – 335
Aufegger L et al

Successful work cultures: recommendations for leaders in healthcare
Leadership in Health Services, Volume 32 Issue 2, May 2019, pp. 296 – 308
Vazquez, CE

Devolving healthcare services redesign to local clinical leaders: does it work in practice?
Storey J ,  Holti R,  Hartley J,  Marshall M
Journal of Health Organization and Management 2019 March 28, 33 (2): 188-203
Article presents the findings arising from a three year research project.

Putting service back into health care through servant leadership
Cottey L (Academic Clinical Fellow Emergency Medicine, University Hospitals Plymouth NHS Trust) and  McKimm J (Professor of Medical Education and Director of Strategic Educational Development,Swansea University Medical School)
British Journal of Hospital Medicine 2019 April 2, 80 (4): 220-224
“Abstract: Servant leadership theory is little reported on in NHS leadership development strategies despite clear alignment with the core values underpinning health care for all. This article reviews the key concepts of servant leadership and suggests that it should be viewed as a core leadership style for those working in health-care organizations.”

Compassionate leadership in palliative and end-of-life care: a focus group study
Hewison A, Sawbridge Y, Tooley L
Leadership in Health Services 2019 May 7, 32 (2): 264-279
The auhors are from School of Nursing, University of Birmingham , Birmingham, UK, College of Social Sciences, University of Birmingham and West Midlands Clinical Networks and Clinical Senate, NHS England, Birmingham, UK.
Excerpt from abstract : ” DESIGN/METHODOLOGY/APPROACH: Four focus groups involving staff from a range of healthcare organisations including hospitals, hospices and community teams were conducted to access the accounts of staff leading palliative and end-of-life care. The data were analysed thematically. FINDINGS: The themes that emerged from the data included: the importance of leadership as role modelling and nurturing; how stories were used to explain approaches to leading end-of-life care; the nature of leadership as challenging existing practice; and a requirement for leaders to manage boundaries effectively. Rich and detailed examples of leadership in action were shared.”

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 – 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

Latest news – Sept 2016

NHS Improvement Tool released – Create a culture and leadership programme: phase 1 discover (released Sept 6th 2016)tick
Diagnose your trust’s current culture and target the right areas for your collective leadership strategy.
This guide covers setting up your culture and leadership programme. It will help you diagnose your current culture using existing data, board, staff and stakeholder perceptions, and workforce analysis. You will then be ready to target the right areas for your collective leadership strategy.
The resources have been developed through the real life experiences of three pilot trusts and are are based on national and international evidence that identifies elements and behaviours needed for high quality care cultures.
The resources for Phase 2: Design and Phase 3: Deliver are currently under development. Find out more about the programme.

Bias in leadership: What’s your story?tick
NHS Employers , blog post by Dan Robertson , 26th August 2016
Moving from the Century Trilogy a book by Ken Follett which Robertson sees as describing classical male dominated , command and control type of leadership to the more authentic  and inclusive leadership attributes described by Kotter, Goffee and Jones in the Harvard Business Review , this post  suggests “the real questions for today’s leader include: Are you aware of how you appear to others who are different to you? How do you move outside of your comfort zones? How do insider outsider dynamics play out in your organisations? And are you brave enough to challenge the status quo? If a colleague wrote a trilogy about you, how would it read?”

Clinical leadership challenges: The role of national clinical audits and registries in improving patient outcomes : Views from the HQIP Clinical Leadership Seminar, London 27 May 2016tick
Healthcare Quality Improvement Partnership (HQIP),
Mullan K
Excerpt:  The main challenges described by participants at the event were:
• Providing leadership that encourages interest in national clinical audit data when there are limitations to the data that reduce its face value for some clinicians
• Finding ways to shift the perception of national clinical audit away from just being a tool to identify poor performance to a way to celebrate excellence as well
• Programme management challenges in relation to securing access to NHS Digital2 data
• Managing the tension between the strong preference among clinicians for publishing audit data at unit/team level instead of consultant level.
Report also has summaries of guest speaker presentations.

Initiating and Utilizing Shared Leadership in Teams: The Role of Leader Humility, Team Proactive Personality, and Team Performance Capability119710687050730804piotr_halas_padlock.svg.hi
J Appl Psychol. 2016 Sep 12.
Chiu CC, Owens BP, Tesluk PE.
A theoretical study based on 62 Taiwanese professional work teams

Leadership and emotional intelligence in nursing and midwifery education and practice: a discussion paperpound-sign
Journal of Advanced Nursing 2016, Sep 8 (embargo on most recent 12 months via NHS OpenAthens)
Carragher J, and Gormley K.
Article is based on a search of published evidence from 1990 – 2015 from which relevant sources were selected to build an informed discussion of links between leadership and emotional intelligence/ emotional-social intelligence . The authors’ search for evidence covered current practices in the United Kingdom, Ireland and internationally.

Assessment of cognitive bias in decision making and leadership styles among critical care nurses: A mixed methods studypound-sign
Journal of Advanced Nursing 2016, Sep 8 (embargo on most recent 12 months via NHS OpenAthens)
Soon LK and  Hani Nawaf Ibrahim AQ.
Article based on quantitative (96 participants) and qualitative (20 participants) study in  a critical care unit in Jordan.  The authors found that there is a need to “develop organization-level strategies to increase non-biased decision making”.

Towards person-centredness in aged care – exploring the impact of leadership
J Nurs Manag. 2016 Sep;24(6):766-74119710687050730804piotr_halas_padlock.svg.hi
Backman A et al
A Swedish study with a large number of respondents (3661 aged care staff) to a validated questionnaire assessing leadership behaviours, person-centeredness of care and the psychosocial climate. The role of middle managers is highlighted as important .

Vertical leadership in highly complex and unpredictable health systemspound-sign
British Journal of  Hospital Medicine (London). 2016 Aug 2;77(8):471-5
Till A, Dutta N, and  McKimm J.
PubMed abstract:  “
This article explores how the concept of vertical leadership development might help health organizations cope with and thrive within highly complex and unpredictable health systems, looking at concepts of VUCA (volatility, uncertainty, complexity and ambiguity) and RUPT (rapid, unpredictable, paradoxical and tangled).”

Do vertical and shared leadership need each other in change management?pound-sign
Leadership & Organization Development Journal, 2016, Vol. 37 Iss: 5, pp.558 – 578
Binci D ,  Cerruti C ,  Braganza A

Evaluating coaching’s effect: competencies, career mobility and retentionpound-sign
Leadership & Organization Development Journal, 2016 Vol. 37 Iss: 7, pp.936 – 948
Reyes Liske JM, Holladay, CL
Article analyses the effectiveness of leadership coaching. The experimental group received both group and individual coaching and the authors point out that the study wasnt able to parse out to one type of coaching vs another. This they suggest merits further study .

NHS Leadership Academy – Participant Experience on the Ready Now programmetick
Jassi, R
Excerpt – Ram Jassi is currently a participant on The Ready Now programme, which is specifically designed for senior black Asian and minority ethnic (BAME) leaders who work in the NHS or in NHS funded services. He shares his experiences of the programme so far here. “It’s a programme about you, discovering the real you and once you have found yourself taking the knowledge back with you to challenge the status quo. It’s about how you operate in the healthcare system and how you can positively influence system change that translates into an inclusive system”.

Authentic leadership and thriving among nurses: the mediating role of empathy
Journal of Nursing Management, 2016, vol 24  issue 3(p357-365)119710687050730804piotr_halas_padlock.svg.hi
Mortier, AV et al
The authors define thriving as a sense of learning and of vitality.
They found that the more nurses perceived their nurse manager as empathic, the more vitality the nurses reported and that nurses’ learning remained strongly and positively associated with the authentic leadership style of the nurse manager regardless of empathy.

Latest news – January 2016

NHS Employers – resource page on staff engagementtick
A webpage of resources including a link to the evidence base (scroll down)

Linking Nurse Leadership and Work Characteristics to Nurse Burnout and Engagementpound-sign
Lewis, H et al
Nursing research, Jan 2016, vol. 65, no. 1, p. 13-23
Study of 120 nurses and effect of transformational leadership on work environment characteristics and engagement.

‘Watching an artist at work’: aesthetic leadership in clinical nursing workplaces
Mannix J, Wilkes L and Daly Jpound-sign
Journal of Clinical Nursing, Volume 24, Issue 23-24,pages 3511–3518, December 2015
Article explores moving away from leadership style based on teamwork, quality and safety to one encompassing a moral dimension with themes of ‘be seen in the clinical area’; leading with composure; ‘a sense of calm in a hideous shift’ and ‘create an environment just by your being’. Based on Australian data collected from 43 nurses (interview data and written accounts).

Dimensions, discourses and differences: trainees conceptualising health care leadership and followershippound-sign
Gordon L et al
Medical Education, Volume 49, Issue 12, pages 1248–1262, December 2015
Posits the “individualist” (individual behaviour, hierarchy and personality) model of leadership and followership as being the dominant model amongst the medical trainees interviewed either individually or in a group setting, in contrast to contemporary view of leadership as a group process.  65 UK medical trainees across all stages of training and a range of specialties were interviewed.
Open access article BMJ Open by Lisi Gordon et al  – Leadership and followership in the healthcare workplace: exploring medical trainees  experiences through narrative inquiry.

Evaluating pharmacy leader development through the seven action logics
Philip A et alpound-sign
Am J Health Syst Pharm. 2016 Jan 15;73(2):82-5
Article based on interviews with 14 leaders who have won national awards for contribution to pharmacy practice, examining characteristics of leadership behaviour in different life stages – early years, education and work years and with benefit of formal education and mentorship.

Health Management Forum, January 2016 issue , Canadian College of Health Leaderstick
“Health Management Forum  is the official peer-reviewed journal of the Canadian College of Health Leaders. The journal publishes articles on leading practices related to health leadership and management, including recent research, new technology and professional practices from health leaders’ perspectives” (excerpt from webpage). Many of the articles are open access.
Examples:  A system of system lenses for leadership decision-making,  Politics trumps policy: How health ministers make decisions, and  Physicians at the executive table.

Exploring senior nurses’ experiences of leading organizational change
Boyal, A and Hewison, Apound-sign
Leadership in Health Services, Vol. 29 Iss: 1 (January 2016), pp.37 – 51
Article aims to address the gap in research in how senior nurses lead change. The researchers from Queen Elizabeth Hospital Birmingham UK and University of Birmingham UK found that senior nurses focused on leadership and workforce issues, internal influences and external pressures. Senior nurses were found to provide stability in times of change but need to be given time and support to lead and influence strategic decision making,  and also to provide the “nursing voice” at board level. 

Case study from NHS Employers:  Supportive leadership training from Coventry and Warwickshire Partnership Trust (published January 2016)tick
Case study looks at this mental health Trust  and describes the challenges , steps to success and top tips for other trusts.
The Trust decided to take part in a pilot programme of training specifically to explore the link between supportive management behaviour and sickness absence, they have since committed to rolling out the ‘train the trainer’ programme in 2016 as part of a band 7 leadership programme.

The role of leader emotion management in leader–member exchange and follower outcomestick
Little LM, Gooty J and Williams M
The Leadership Quarterly, Vol 27, Issue 1, February 2016, Pages 85–97 (Open Access)
Article has substantial literature review and addresses the gap in knowledge of how leaders’ behavioural strategies are used to manage negative emotions by followers.

 

Latest news – October 2015

Leadership edition (October 2015) of Future Hospital Journal, a journal of the Royal College of Physicianspound-sign
A variety of articles with contributors from the Faculty of Medical Leadership and Management
Examples :
Leadership and decision making: a skill for all?
A medical director’s perspective on healthcare leadership
Medical engagement and improving quality of care
The leadership response to the Francis report
Professionalising medical leadership
Supporting and driving trainee-led leadership
An international perspective on medical leadership

Quality, Staff Engagement and Values Based Leadership The WWL Journey tick
Andrew Foster Chief Executive and Dr Umesh Prabhu Medical Director
Wrightington, Wigan and Leigh NHS Foundation Trust
Presentation to CQC Board Meeting, 23 Sept 2015
Cited by Peter Lees, in an interview on Radio 4

 

What do leaders want from NHS Improvement?tick
The Nuffield Trust and NHS Providers
Published September 2015
Following on from the merger of Monitor and the Trust Development Authority to form a single body, NHS Improvement, which now has regulatory and oversight duties over all NHS providers, this “Viewpoint” document asked leaders from across the health service and other key positions in health care policy-making for their advice to the incoming CEO, Jim Mackey.

Identifying and accelerating talent at Novo Nordisktick
360° ,  The Ashridge Journal, Winter 2015
Case Study
Description of an assessment and development programme called KEYS for existing staff with leadership potential.

GenerationQ – The Health Foundation  – applications open for part-time fully-funded leadership and quality improvement programme leading to qualification; postgraduate certificate in Leadership (Quality Improvement) from Ashridge Business School , with option of completing an MSc.tick
Closing date 17th November 2015 (18 places for senior leaders working in or with the health service)

Becoming a Better Leader: Applying Key Strategiestick
Free eBook download after completing request form from Routledge and International Leadership Association
Released October 7th 2015
The introduction is by Ron Riggio, and there is original content from Michael Genovese, Michael Harvey, Al Bolea, and more. The e-book delivers practical, succinct strategies for developing efficient, effective leadership skills.

When we say ‘urgent’ it means now …” : health and social care leaders’ perceptions of each other’s roles and ways of workingpound-sign
Journal of Integrated Care, 23(3), 2015, pp.143-152
Griffith L and Glasby J
Article covers a practical case study of work with a group of senior leaders where it is less common to explore different perceptions of each other.

Landing transformational change: Closing the gap between theory and practice
CIPD and University of Bath Research Report , September 2015 tick
Extract from Executive Summary “this report is the second on landing transformational change in the CIPD series. The first report, launched In September 2014, covers how some of the latest thinking in change management can inform how organisations approach transformational change. This second report explores how the themes identified apply in practice through a focus on providing practical examples of how organisations have approached transformational change”

Using a 360° Feedback Evaluation to Enhance Interprofessional Collaboration
Nurse Leader, 2015 Vol 13, Issue 4, Pages 64–69pound-sign
Sikes D et al

Latest news – August 2015

Effects of coaching supervision, mentoring supervision and abusive supervision on talent development among trainee doctors in public hospitals: moderating role of clinical learning environment (Open access research article)tick
BMC Medical Education 2015, 15:129  (published August 2015)
Subramaniam, A et al
This study of trainee doctors (355 respondents) at 6 public hospitals in Malaysia looked firstly at  the effects of three supervisory styles (coaching, mentoring and abusive supervision) on talent development and secondly examined the influence of clinical learning environment 
on supervision and talent management. 

Hospital Board And Management Practices Are Strongly Related To Hospital Performance On Clinical Quality Metricspound-sign
Health Affairs, August 2015 vol. 34 no. 8 p1304-1311
Tsai, TC et al
Data from England and the US was examined in this study. Better quality care was found in those hospitals with more effective management and leadership practices. Hospitals with boards that monitored quality performance indepth also paid greater attention to clinical quality. Proactive attention to clinical quality metrics by hospitals with boards also had staff that were better at target setting  and operations.
Link to journal article abstract 

Smith Review – Review of centrally funded improvements and leadership development functions tick
A review by Ed Smith, Deputy Chair NHS England,  on behalf of NHS England, Monitor, NHS Trust Development Authority, Health Education England, Public Health England and the Care Quality Commission.
The research for this was undertaken November 2014 to end of March 2015 and the report was released at the end of July 2015.
A short summary of the brief for the research is titled Reviewing improvement and leadership development capability across health and care in England
Commentary by David Williams in the Health Service Journal – Ed Smith Review – 119710687050730804piotr_halas_padlock.svg.hiRecommendations in Full , July 30th 2015
Briefing Pack (comprising 19 powerpoint slides) available to staff and partners only on request to Liz Callow or Liz Land (email addresses are at Contact Us)

Lord Rose Report – Independent Report – Better leadership for tomorrow: NHS tickLeadership Review , published by the Department of Health, 16th July 2015
From Gov.uk website : The Secretary of State for Health asked Lord Rose to conduct a review into leadership in the NHS. The review asked:

  • what might be done to attract and develop talent from inside and outside the health sector into leading positions in the NHS?
  • how could strong leadership in hospital trusts might help transform the way things get done?
  • how best to equip clinical commissioning groups to deliver the Five Year Forward View

The final report contains 19 recommendations, covering 4 areas:

  • training
  • performance management
  • bureaucracy
  • management support

Sarah Neville’s comment in the Financial Times July 16th 2015 on Lord Rose’s report
Lord Rose prescribes better managers for the NHS 

Service impact of a national clinical leadership development programme : findings from a qualitative studypound-sign
Journal of Nursing Management, 2015, vol./is. 23/3(324-332)
Fealy, G et al
This study based on data from 70 participants (methodology – focus groups, group interviews and individual interviews) found positive outcomes from programmes that have a specific service impact element.

Planning for a smooth transition: Evaluation of a succession planning program for prospective nurse unit managers  pound-sign
Nursing Adminstration Quarterly,  Volume 39, Issue 1, 14 December 2015, Pages 58-68
Manning V et al
Article examines a Future Nursing Unit Managers program with  the effectiveness of the program surveys (pre and post – programme)  relating to participants’ perception of personal managerial and leadership skills.

Managing Organizational Transitions: The Chief Nurse Perspective
Nurse Leader pound-sign
June 2015 Volume 13, Issue 3, Pages 71–76
Nelson K and Pilon B

An American study based on interviews with 16 chief nurses (chief nurse officers and chief nurse executives ).

Being a team leader : newly registered nurses relate their experiencespound-sign
Journal of Nursing Management, 2015, vol./is. 23/1(75-86)
Ekstrom L and Idvall, E
A Swedish study based on interviews.

Sharing is caring: Toward a model of proactive caring through shared leadership pound-sign
Human Resource Management Review, (in press) 01 September 2015, vol./is. 25/3(313-327)
Houghton J et al
Article presents a model of shared leadership

What is the value of talent management? Building value-driven processes within a talent management architecturepound-sign
Human Resource Management Review, (in press) 01 September 2015, vol./is. 25/3(249-263)
Sparrow PR and Makram H
Article uses two concepts – talent philosphies and a theory of value – to organize the talent management literature.

The new era of thinking and practice in change and tranformation : a call to action for leaders of health and care tick
Bevan H and Fairman S , for Horizons Group of NHS Improving Quality
Undated
This is a white paper, it talks about the “how” of change rather than the “what” of change. It has sections on five different enablers of change.

Education horizon-scanning bulletin August 2015tick
Compiled by John Gale JET Library – Mid-Cheshire NHS Foundation Trust
Links through to abstracts or full text depending on availability