Medical Leadership

1
Medical Leadership

• Competences in action for SAS Doctors

2
Introductions

• Amy Brockbank
• Project Manager for Educator Development
  Medical leadership,
• North Western Deanery
• Dr Arokia Sundari Antonysamy
• Medical Leadership Trainee

3
Objectives

• Introduce
• Medical Leadership
• National Initiatives
• Medical Leadership Competency Framework
• North Western Deanery Medical Leadership
  Programme
• Materials available
• Discuss Consider
• Strategy for implementing Medical Leadership for
  SAS doctors
• Challenges and ideas to overcome barriers to
  Medical Leadership
• Toolkit for SAS Doctors
• Materials

4
Why Medical Leadership?

• Built on the concept of Shared Leadership.
• Not restricted to people who hold designated
  leadership roles
• Leadership which is shown through a shared sense
  of responsibility for the success of the
  organisation and its services.
• Acts of leadership can come from anyone in the
  organisation, as appropriate, at different times,
  and are focused on the achievement of the group
  rather than of an individual.
• Therefore shared leadership actively supports
  effective teamwork.
• (Medical Leadership Curriculum)

5
Why do we need to develop Medical Leadership?

• History of
• Low levels of medical engagement in management
  and leadership
• Tensions between doctors and managers
• Acknowledgment that
• ALL doctors require management and leadership
  competences to be effective practitioners SOME
  take on service leadership roles
• Leadership is a requirement of all doctors as
  laid out in the General Medical Council (GMC)
  publications Good Medical Practice and Management
  for Doctors.
• Growing evidence of a link between
• Medical engagement and organisational performance
  (Ham and Dickinson, 2008).
• Medical engagement and patient safety
  (Firth-Cozens and Mowbary, 2001).

6
National Drivers

• The NHS Next Stage Review Report (2008)
  highlights a commitment to improving leadership
  within the NHS
• National Leadership Council aims to champion the
  transformation of leadership across the NHS and
  ensure that world-class leadership talent and
  development exists at every level of the system
• Enhancing Engagement in Medical Leadership Project

7
Enhancing Engagement in Medical Leadership
Project

• This UK-wide project aims to promote medical
  leadership and help create organisational
  cultures where doctors seek to be more engaged in
  management and leadership of health services and
  non-medical leaders genuinely seek their
  involvement to improve services for patients
  across the UK.

8
Key Project Outputs

• Medical Leadership Competency Framework
• The Medical Leadership Competency Framework
  (MLCF) describes the leadership competencies
  doctors need in order to become more actively
  involved in the planning, delivery and
  transformation of health services
  (June 2009 update)

• Medical Leadership Curriculum
• The Medical Leadership Curriculum is based on
  developed from the MLCF and details the
  knowledge, skills, attitudes and behaviours to be
  formally achieved and consolidated as all doctors
  progress in their careers.
• (Medical Leadership Curriculum)

9
Medical Leadership Competency Framework
To deliver appropriate, safe and effective
services, it is essential that any doctor is
competent in each domain.
10
Delivering the service
11
Demonstrating Personal Qualities

• Demonstrating Personal Qualities
• Developing self Awareness
• Managing yourself
• Continuing personal development
• Acting with integrity

12
How the MLCF is being used

• Basis of Medical Leadership Curriculum
• Integrated into Undergraduate and Postgraduate
  curricula
• Personal Development Planning
• Career Planning
• Appraisal
• Recruitment
• To inform leadership development programmes

13
Leadership Development NHS North West

• Healthier Horizons 10 year vision for the NHS
  North West
• Highlights importance of strengthening clinical
  leadership
• NHS North West Leadership Fellows
• June 2009 launch of Pilot
• Initiated after NHS Next Stage Review
• Partnership with the clinical pathway groups
• 14 clinical leaders (not all medical)
• 12 month secondment support clinical pathway
  groups implement Healthier Horizons
• North Western Deanery Medical Leadership Pilot
  Programme

14
Medical Leadership Programme

• Project started February 2008
• Pilot
• 7 Medical Leadership Trainees
• Based on the MLCF

15
Medical Leadership Clinical Training

• Academic component
• Manchester Business School, University of
  Birmingham and the Kings Fund
• MSc in Health and Public Leadership
• Work alongside trainees on the NHS GMTS

• Vocational Component
• Orientation placements
• Projects
• Workplace Based Assessments

• Clinical Component
• 4 Year Programme
• Integrated into clinical training
• Approximately 50
• Clinical training can be extended by a maximum of
  2 years

Working alongside NHS Graduate Management Trainees
16
Demonstrating Leadership Competencies

• Knowledge, Skills, Attitude Framework
• Medical Leadership Curriculum
• MLP Handbook Outlines the KSA and includes
  suggested learning tools
• Workplace Based Assessments
• Many developed includes
• Time Management
• Chairing a Meeting
• Presentation Skills
• Audit Based Discussion
• Portfolio

• Example of Suggested Learning tools from the
  Medical Leadership Programme Handbook 2008
• Curriculum Area
• Personal Qualities Professionalism
• Learning Tools
• Myers Briggs Type Inventory
  
• Honey and Mumford Learning Styles Inventory
• Reflective practice
• Transformational Leadership Questionnaire
• Urgent and important time management matrix
• The four principle method to medical ethics
• Structured departmental visits to share good
  practice
• Understanding Adult Learning Principles

17
Potential Barriers to Medical Leadership

• Time Conflicts
• Negative perceptions of management and leadership
  in the NHS
• moving to the dark side
• Challenges associated with bridging different
  cultures
• Lack of formal recognition for informal
  leadership roles

18
Medical Leadership Trainee Experience
19
Key Points

• Core concept Medical Leadership is for all
  doctors
• National drives for developing medical leadership
  
• Next Stage Review
• National Leadership Council
• Enhancing Engagement in Medical Leadership
• National projects developing tools to aid the
  development of medical leadership
• Medical Leadership Competency Framework
• Medical Leadership Curriculum
• These tools are translated into local leadership
  development programmes
• Learning from specific programmes can be used to
  help implement Medical Leadership by all doctors

20
Questions
21
Group Work

• 30 minutes to
• Discuss how you can develop/implement medical
  leadership and demonstrate you have completed
  Medical Leadership initiatives in your workplace
• Consider potential challenges you might face in
  completing (1) and how you may overcome them
• Discuss what might be helpful in terms of a
  Medical Leadership toolkit for SAS doctors.

22
Discussion
23
Useful Links

• Information on the Enhancing Engagement in
  Medical Leadership Project
• http//www.institute.nhs.uk/building_capability/en
  hancing_engagement/enhancing_engagement_in_medical
  _leadership.html
• Medical Leadership Competency Framework
• http//www.institute.nhs.uk/assessment_tool/genera
  l/medical_leadership_competency_framework_-_homepa
  ge.html
• Medical Leadership Curriculum
• http//www.institute.nhs.uk/images/documents/Build
  ingCapability/Medical_Leadership/Medical20Leaders
  hip20Curriculum.pdf
• Medical Leadership Project Documents
  Publications
• http//www.institute.nhs.uk/building_capability/bu
  ilding_leadership_capability/project_documents.htm
  l
• National Leadership Council
• http//www.nhsconfed.org/OurWork/Policy/Future-of-
  leadership/Pages/TopLeadersProgramme.aspx
• North West Leadership Academy
• http//www.nwacademy.nhs.uk/
• North Western Deanery Medical Leadership
  Programme

24
Materials

• Medical Leadership Pilot Programme 2008 Handbook
  
• http//www.nwpgmd.nhs.uk/medlead/docs/MLP20Handbo
  ok20v7.1200320042009.pdf
• Time Management Workplace Based Assessment
• http//www.nwpgmd.nhs.uk/medlead/docs/Time20Manag
  ement20Tool20V22005.02.09.pdf
• Presentation Skills Workplace Based Assessment
• http//www.nwpgmd.nhs.uk/medlead/docs/Presentation
  20Skills20Assessment20MLP.pdf
• Chairing a Meeting Workplace Based Assessment
• http//www.nwpgmd.nhs.uk/medlead/docs/Chairing20a
  20Meeting.pdf
• Audit Based Discussion Workplace Based
  Assessment
• http//www.nwpgmd.nhs.uk/medlead/docs/Audit20Base
  d20Discussion.pdf