Leadership saves lives Navigating the seas ahead – Clinical Leadership and teams Julia Petherbridge RM RN MSC Dip OD

Leadership saves lives

Quality, Care and compassion

What is (Clinical) leadership ? Leadership saves lives

Dr Chris Gordon ‘Changing of the guard: lessons for the new NHS’ March 2013 Leadership saves lives You must Ensure that you concentrate on the core business.....which is patient care Focus on delivering quality, doing things right the first time

T Swanwick: What is clinical leadership The Clinical Teacher 2011; 8: Leadership saves lives Health care is delivered by complex systems often involving large numbers of individuals and organisations. The effective clinician needs to understand these pathways and systems of care if they are to be able to function effectively, and must be comfortable working both within, and with, these systems for the benefit of their patients. Engaging in leading and managing systems of health care, on whatever scale – team, department, unit, hospital or health authority – is therefore a professional obligation of all clinicians.

Leadership saves lives Leaders develop cultures of high quality care by reinforcing an inspiring vision of the work seeking and acting on high quality intelligence listening and responding to patient experiences promoting positivity and staff health and wellbeing involving staff in problem solving and innovation

Leadership saves lives Leaders develop cultures of high quality care by giving helpful feedback and celebrating good performance taking action to address systems problems developing and modelling excellent teamwork ensuring staff feel safe, supported, respected and valued modelling values that inspire those in the organisation

Leadership saves lives Learning for clinical leadership Michael J. Cook EdD, MSc (Quality Management), MSc (Education Management) Cert Ed, RN 1, Helen L. Leathard BSc, PhD 2 Effective clinical leaders adopted a transformational leadership style and improved care, through others, by including transformational (soft) knowledge as an integral part of their effective practice repertoire

Leadership saves lives Kings Fund; Transforming our health care system 2013

Leadership saves lives Teams

LowModerateHigh Team functioning Patient experiences Clarity of objectives Reflexivity Support for innovation Team functioning and patient satisfaction

Leadership saves lives 8 Key factors in effective team working 1. Clear team leadership and identity –inspiring vision 2. Clear objectives – shared understanding 3. Involvement in decision making and constructive debate – commitment to excellent patient care 4. Effective communication and team members working interdependently

Leadership saves lives 8 Key factors in effective team working 5. Accurate and timely feedback on performance 6. Managing conflict 7. Positive attitudes towards diversity and positive, supportive relationships 8. Inter-team cooperation and effectiveness and organisational loyalty

Benefits of Effective Team Working  Improved levels of innovation in patient care  Reduced error rates  Lower patient mortality  Enhanced patient satisfaction with their experience  Increased staff motivation and mental well-being – staff retention West, M.A. & Borrill, C.S. (2005). The Influence of Team Working. In Cox, J., King, J., Hutchinson, A. & McAvoy, P. (eds). Understanding Doctors’ Performance. Oxford: Radcliffe Publishing. Leadership saves lives

. Clinical leadership – unsinkable!

Leadership saves lives @juliapeth

Leadership saves lives The brief Professional leadership versus clinical (pathway) leadership What constitutes leadership and what is management How to get the more junior clinical staff to recognise that they are in leadership positions and what can be done to ‘bring them on’ (succession planning) Making management jobs (i.e. clinical leadership with little clinical work) attractive to those who have worked so hard to become good clinicians How to make a good clinician a good leader of teams