1. What makes an excellent Clinical Director
What makes an excellent Clinical Director? Clinical Directors Conference Royal Marine Hotel, Dublin Wednesday, 28th June Professor Patrick Broe Group Clinical Director, RCSI Hospital Group

2. RCSI Hospital Group Monaghan Cavan Dundalk Beaumont Drogheda Rotunda
Connolly
RCSI

3. About Us 1 x Level 4 Hospital – National Specialties x 3 Population:
General Adult Services Catchment 817,522
Maternity Services 1,022,184
1 x Level 4 Hospital
– National Specialties x 3
– Cancer Services
3 x Level 3 Hospitals
2 x Level 2 Hospitals
1 x Maternity Hospital
Activity 2016:
- ED New Attendances 167,306
- Inpatient Discharges 100,995
- Day Case Attendances 151,826
- OPD New Attendances 126,489
- OPD Return Attendances 368,532
- Births 13,444

4. Relevance of Excellent Clinical Leadership
Good medical/clinical leadership Positive impact at 3 levels
Patients – improved clinical outcome1
Healthcare organisations – improved productivity, better value/quality2
Individual doctors – doctors benefit from being well led, better motivation, more productive, higher quality of care
References:
West, M. A., Borrill, C., Dawson, J., Scully, J., Carter, M., Anelay, S., ... & Waring, J. (2002). The link between the management of employees and patient mortality in acute hospitals. International Journal of Human Resource Management, 13(8),
Shipton, H., Armstrong, C., West, M., & Dawson, J. (2008). The impact of leadership and quality climate on hospital performance. International journal for quality in health care, 20(6),

5. Medical Leadership – Evolution of Clinical Director role - Ireland
Prior to 2008
Voluntary Hospitals (SVH, MMH, Adelaide)
Medical Boards
Chairman/Secretary
Mastership Model (Maternity Hospitals)
Medical Administrator
Statutory Hospitals (Co Councils/Health Boards)
Resident Medical Superintendent (RMS)

6. Consultant Contract 2008 - Clinical Director
Formal sessional commitment
5 sessions
CD allowance and backfill
2/3 years renewable
Accountability
CEO

7. Career Pathway to Clinical Director
Successful clinical practice
Sub-specialty interest
Clinical lead
Interests
Patient processes / flow
Quality and safety
Coding and HIPE
Outcomes

8. The Role of the Clinical Director
Operational
Running the business from day to day
Strategic
Planning for the future
Professional
Supporting clinicians

9. Operational performance Patient safety and risk management
Operational Role
Operational performance
Are we doing what we are contracted to do?
Patient safety and risk management
Are we providing a safe service?
Clinical performance
Are our outcomes good?
Patient experience
Are we patient focused?

10. Operational Role (cont.)
Compliance
Do we meet regulatory and legal requirements?
Financial performance
Are we providing value for taxpayers?
Course correction
Making appropriate changes when things go wrong

11. Strategic Role
Understanding strengths and weaknesses and components of the service
Planning human and capital investment
Identifying key co-dependencies – other specialties, support services
Understanding external environment, local and national politics, local healthcare economy
Academic links – R&D, innovation, teaching
Identifying priorities – immediate/medium/long-term

12. Supporting clinical colleagues Team building Doctors in difficulty
Professional Role
Supporting clinical colleagues
Team building
Doctors in difficulty
Appraisal and revalidation
Job planning
Conduct

13. Clinical Director IS NOT…
An elected representative
A Trade Union representative
For everyone / taking your turn!
Clinical Director IS…
A Board appointed member of the management team
Part of collective decision making

14. Skills and Knowledge Leadership skills
Lead by example, inspire, empower others, gain followers, team building
Management knowledge
Operational and service management
Accountancy and financial management
Organisational behaviour
Data management
Corporate governance
Risk management
Health policy development
A set of values
Transparent
Fair/Firm
Approachable, reasonable
Collegiate, kind, decisive
Integrity
Priorities
Patients first
Staff
Reputation, service and institutional

15. Future Interest in CD role Widening the field (Nursing/AHP)
Career path to CEO

16. Professor Patrick Broe Group Clinical Director, RCSI Hospital Group