The Role of Managers Introduced by Steve Connor
The Role of Managers Nigel Edwards, Senior Fellow, The Kings Fund
"Respect, Integrity, Communication and Excellence." "We treat others as we would like to be treated ourselves....We do not tolerate abusive or disrespectful treatment. Ruthlessness, callousness and arrogance don't belong here."
Code of conduct As an NHS manager, I will observe the following principles: – make the care and safety of patients my first concern and act to protect them from risk; – respect the public, patients, relatives, carers, NHS staff and partners in other agencies; – be honest and act with integrity; – accept responsibility for my own work and the proper performance of the people I manage; – show my commitment to working as a team member by working with all my colleagues in the NHS and the wider community; – take responsibility for my own learning and development.
A Question What is the basis of management & leadership ethics in the NHS? Put down some phrases and ideas that describe this?
Is there an issue? Consequentialist ethics – Actions judged on consequences Rule based ethics – Following the rules – Outcomes secondary Don’t bring me problems, bring me solutions Pace setting Targets, terror & thoughtlessness
Is there an issue? Some genuine dilemmas: Individual or collective? Different valuations of outcomes
A Question What are the issues that cause you the most ethical concern? And why?
Normalising deviance Small steps and compromises Well intentioned trade-offs Failing to act, correct or feedback
A Question What approaches do you use to understand and deal with ethical conflicts?
An old but useful approach David Seedhouse’s grid – 4 layers: Basic purpose Moral duties Outcomes and priorities Practicalities