1. Leadership: Lead or be Led Laurence Mynors-Wallis RegistrarYork 22 November 2013

2. Top College Priorities 1.Leadership 2.Recruitment 3.Do-able jobs 4.When patients need to see a psychiatrist 5.Outcomes 6.PbR 7.Protecting services

3. Leadership

4. Why Clinical Leadership Matters  Top hospitals in US have doctors in charge 41% top 100 US hospitals (cancer, cardiac, GI) had a doctor as CEO vs. 4% overall (Goodhall 2011)

5. Leadership The art of motivating a group of people to achieve a common goal Kings Fund

8. Leadership Styles  The innovative leader – inspire and communicate a shared purpose

10. Tasks of Clinical Leadership 1.Setting local goals 2.Adjusting local operating systems 3.Control performance 4.Improve performance

11. Leadership Styles  The encouraging leader – protect morale and encourage others  The enabling leader – help others to deliver

12. Contented cows give better milk! Bill Catlette & Richard Hadden  A cow with a name produces more milk than one without (Newcastle University, Douglas & Rowlinson)  …and treating her as an individual  …increases annual milk yield by ~500 pints

13. Leadership Styles  The courageous leader – stand up, speak out and do what is right

14. Levels of Leadership  Position – people follow because they have to  Relationships - people follow because they like you  Respect - people follow because of what you represent

15.  Leadership should be founded on integrity and moral values  Be yourself

16. Who are They?

17. ACP-360  15 Questions of Patients  6 Ratings 1 – Very low 2 – Low 3 – Moderately Low 4 – Moderately High 5 – High 6 – Very High

18. Patient Feedback ACP-360 Service User Rating Friendly & easy to approach5.3 Listens well5.3 Provides useful information5.1 Warm, genuine & understanding5.3 Shows respect for me5.3 Always values my opinion5.1 Remains calm under pressure5.1 1,457 Psychiatrists, 31,357 Patients. Average Score 5.2

19. Clinical Effectiveness: How Good are our Treatments?

20. Summary of Effect Sizes Psychiatric drugs O General medicine drugs

21. College Leadership  When patients should by seen by a psychiatrist  Cost effectiveness and value of a psychiatrist  Number of inpatient beds

22. THANK YOU registrar@rcpsych.ac.uk