What is Leadership all about? DR JOHN SIMPSON Associate, CLINICAL LEADERSHIP SOLUTIONS Senior Professional Officer, RQIA, N. IRELAND Formerly Medical Director, SHSCT, N. IRELAND

OVERVIEW LEADERSHIP SKILLS and their DEVELOPMENT in HEALTHCARE “Good Leadership Saves Lives” from HEROIC to DISTRIBUTIVE leadership LEADERSHIP SKILLS and their DEVELOPMENT in HEALTHCARE PATIENTS AS LEADERS Infection Prevention and Control - PUT YOUR LEADERSHIP TO THE TEST

WHY LEADERSHIP? - A FEW REMINDERS Learning from Bristol: Response to the Public Inquiry into children’s heart surgery at Bristol London: DoH (2002) Mid Staffs NHS Trust Public Inquiry Francis (2013) “Place quality of care, especially patient safety, above all other aims.” Berwick (2013) A promise to learn – a commitment to act. London: Department of Health

LEADERSHIP SKILLS & DEVELOPMENT “distributive leadership” Kings Fund (2012) Leadership and Engagement for Improvement in the NHS, Together we can. “collective leadership development, not just developing leaders” West et al (2015) Leadership and Leadership Development in Health Care. Kings Fund, FMLM, Centre For Creative Leadership “You cannot assume safety, only improve it.” Leonard (2012) How can leaders influence a safety culture? The Health Foundation

SOME USEFUL TOOLS? An organisation with a memory – Report on learning from adverse events in the NHS Donaldson (2000) Dept of Health, London Manchester Patient Safety Framework National Patient Safety Agency (2006) Patient-Safety-Related Hospital Deaths in England: Thematic Analysis of a National Database, 2010-12 Donaldson et al PLOS Medicine June 2014, vol 11 Medical Leadership Competency Framework (2010) NHS - applicable to nurse leadership?

INVOLVING PATIENTS AND CARERS ‘Patient and Public Involvement in Quality Improvement’ HQIP April 2016 Provide Training and Support Recruit Two People for Each Key Committee Link with Board Non – Executives

IPC - LEADERSHIP IN ACTION IHI ‘Transforming Care at the Bedside’ Lee, Peck et al 2008 WHO ‘Clean Care is Safer Care’ 2009 WHO ‘Guidelines on Core Components of IPC’ Nov 2016

FOCUS ON PATIENT SAFETY “Good Leadership Saves Lives” PATIENT OUTCOME FOCUSSED BUILD ON WHAT EXISTS MULTI-DISCIPLINARY ACROSS ALL AREAS OF CARE LINK TO COMPLAINTS & LITIGATION LOCAL & NATIONAL LEARNING OUTPUTS AND FEEDBACK OVERSIGHT – BOARD, PPI

In Summary Good leadership in healthcare therefore means continuously improving that leadership, thus continuously improving quality and then demonstrating that with measurable outcomes.

THANK YOU