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NADHAT Commissioning Workshop Clinical Leadership – Skills for Local Professional Networks Dr. Janine Brooks MBE, DMedEth, FFGDP(UK)

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Presentation on theme: "NADHAT Commissioning Workshop Clinical Leadership – Skills for Local Professional Networks Dr. Janine Brooks MBE, DMedEth, FFGDP(UK)"— Presentation transcript:

1 NADHAT Commissioning Workshop Clinical Leadership – Skills for Local Professional Networks Dr. Janine Brooks MBE, DMedEth, FFGDP(UK)

2 What is it? A clinician who is a leader? A leader who is a clinician? A leader for clinical issues? All of the above, none of the above? 2Dentalia Coaching and Training for Dental Professionals. GDC No

3 3 Clinician one who treats patients Manager looks after the organisation’s functions Clinical Leader - Bringing management and clinical visions together. Clinicians who can maintain quality, work alongside managers, provide direction and inspire others Leader “someone who makes others want what he or she wants.” Bennis (1994) Clinical Leader Manager Clinician Dentalia Coaching and Training for Dental Professionals. GDC No

4 Made or Born? Leadership isn’t about being at a certain grade or level of seniority – it isn’t automatic The extent to which a senior person becomes a leader depends upon them Clinicians are not necessarily leaders (and some may not wish to be) 4Dentalia Coaching and Training for Dental Professionals. GDC No

5 “Leaders adopt a personal and active attitude towards goals. The influence a leader exerts in altering moods, evoking images and expectations and in establishing specific desires and objectives, determines the direction a business takes. The net result of this influence is to change the way people think about what is desirable, possible and necessary.” (Zaleznik, 1977) 5Dentalia Coaching and Training for Dental Professionals. GDC No

6 6

7 NHS Leadership – 7 domains of leadership 1. Demonstrating Personal Qualities 2. Working with Others 3. Managing Services 4. Improving Services 5. Setting Direction 6. Creating the Vision 7. Delivering the Strategy 7Dentalia Coaching and Training for Dental Professionals. GDC No

8 39 References to Leadership! (January 2012) Dentalia Coaching and Training for Dental Professionals. GDC No

9 Preparing for Practice - GDC Management and Leadership 10.4 Recognise the significance of their own management and leadership role and the range of skills and knowledge required to do this effectively 11.2 Recognise and respect own and others’ contribution to the dental and wider healthcare team and demonstrate effective team working, including leading and being led 11.4 Where appropriate lead, manage and take professional responsibility for the actions of colleagues and other members of the team involved in patient care 9Dentalia Coaching and Training for Dental Professionals. GDC No

10 Dental Specific Dentalia Coaching and Training for Dental Professionals. GDC No

11 Clinical Leadership Competency Framework Healthcare professionals need to be not only experts in their chosen clinical discipline, but be competent professionals with leadership and management skills that enable them to be more actively involved in the planning, delivery and transformation of services for patients. 11Dentalia Coaching and Training for Dental Professionals. GDC No

12 NHS Leadership Academy In January 2010 the Clinical Leadership workstream of the National Leadership Council (NLC) commissioned the NHS Institute for Innovation and Improvement (NHS Institute) to test the applicability of the generic leadership competences in the Medical Leadership Competency Framework (MLCF) for the other regulated clinical professions. Developing and Embedding the LEADERSHIP FRAMEWORK Progress report October Dentalia Coaching and Training for Dental Professionals. GDC No

13 Products, Tools, Resources The Leadership Framework The Leadership Framework website Self assessment tools 360° feedback tool 360° facilitator training module Online Leadership Development Module The Clinical Leadership Competency Framework Guidance for Integrating the Clinical Leadership Competency Framework into Education and Training LeAD CLCF e-learning online module 13Dentalia Coaching and Training for Dental Professionals. GDC No

14 Leadership Framework 1. Focus on embedding clinical leadership into professional, regulatory and educational standards. 2. Focus on adoption within the workplace by marketing the key tools to support individuals and organisations to apply and use the LF. 3. Focus on determining and gathering of evidence to document adoption, utilisation and impact of the LF, to illustrate benefits and support continued leadership development. 14Dentalia Coaching and Training for Dental Professionals. GDC No

15 Vision for LPNs Ensure clinical leadership at the heart of the local operating model The design proposals for LPNs describe those functions where clinical expertise and leadership could add most value within local commissioning operating model Supporting the skills to become a clinical leader will be important 15Dentalia Coaching and Training for Dental Professionals. GDC No

16 Definitions “Leadership is not someone who makes other people do what he or she wants. It is someone who makes others want what he or she wants.” Bennis (1994) “Leadership is about being successful and enabling success in others.” Forton Group (2008) Dentalia Coaching and Training for Dental Professionals. GDC No

17 It’s about effectiveness Personal effectiveness – being personally successfully through skills such as delegation, time management, etc; Team effectiveness – enabling the team to be successful; Business effectiveness – building a successful business Together they form a vision Dentalia Coaching and Training for Dental Professionals. GDC No

18 Leadership and Management Dentalia Coaching and Training for Dental Professionals. GDC No

19 Dentalia Coaching and Training for Dental Professionals. GDC No Leadership - Questions for you How would you define it? How does it differ from management?

20 Management and Leadership Managers Cope with complexity Bring order and consistency Plan Control and problem solve Leaders Cope with change More change demands more leadership Set a direction Motivate and inspire Dentalia Coaching and Training for Dental Professionals. GDC No

21 Leadership and Management Distinctive and complementary systems of action The real challenge is to combine strong leadership and strong management – use each to balance the other Dentalia Coaching and Training for Dental Professionals. GDC No

22 Leadership behaviours Dentalia Coaching and Training for Dental Professionals. GDC No

23 Traits Skills Inspirational Honesty Loyal Equitable Bold Knowlegeable Vision Integrity Communication Listening Emotional intelligence Negotiation Organisation Time management Analytical and motivational Dentalia Coaching and Training for Dental Professionals. GDC No

24 Personal qualities Self awareness Self management Self development Acting with integrity Dentalia Coaching and Training for Dental Professionals. GDC No

25 Leaders tend to talk of ‘we’ rather than ‘I’ Dentalia Coaching and Training for Dental Professionals. GDC No Peter Drucker

26 Activity Ask yourself: ‘Who are the leaders in dentistry? Why do you think this? Write down the names that come to mind. Try to decide why you view these people as leaders 5 minutes Dentalia Coaching and Training for Dental Professionals. GDC No

27 Transition – practitioner to leader Dentalia Coaching and Training for Dental Professionals. GDC No

28 Budding leaders Dentists initially develop skills and experience in providing clinical care to patients. This is their main focus, their area of expertise. As experience grows they may want to develop their career and broaden what they do – be a practice owner, manage a service, be a tutor Dentalia Coaching and Training for Dental Professionals. GDC No

29 Clinical expertise to leader Clinician Clear understanding of role Reliance on others Certainty ‘Black and white’ issues Narrow, specialist view Informing others Leader Interpretation of role Self-reliance Ambiguity ‘All shades of grey’ Broad overview Persuading/influencing others Dentalia Coaching and Training for Dental Professionals. GDC No

30 Steps on the way Purpose Reality Plan Action Reflect Dentalia Coaching and Training for Dental Professionals. GDC No

31 Context in which leaders operate Burgeoning expectations More for less Stable NHS is now an oxymoron Dentalia Coaching and Training for Dental Professionals. GDC No

32 Practical leadership Demonstrate respect for the people they work with Demonstrate respect for patients Demonstrate fairness and justice in dealings with people Demonstrate, in their personal behaviours, high standards of conduct Ensuring that others in in the practice demonstrate fairness, justice, equity and high standards of personal conduct Dentalia Coaching and Training for Dental Professionals. GDC No

33 Personal values Note down what your personal values are – those things you hold very dear Dentalia Coaching and Training for Dental Professionals. GDC No

34 Activity – archetypes Dentalia Coaching and Training for Dental Professionals. GDC No

35 Messages from good leaders Know yourself Recognise the importance of values Seek out learning and challenge Learn what to avoid Empower others Values relationships Strive for balance Office for Public Management Dentalia Coaching and Training for Dental Professionals. GDC No

36 On line tools The stand-alone LF Self Assessment Tool PDF, which includes all seven domains of the LF can be downloaded from: s/x/50173 The stand-alone CLCF Self Assessment Tool PDF, which includes the five core domains of the LF shared with the CLCF can be downloaded from: s/x/ Dentalia Coaching and Training for Dental Professionals. GDC No

37 References King’s Fund (2011) The Future of Leadership and Management in the NHS: No more heroes. The King’s Fund: London 7 NHS National Leadership Council (2010) Report on the findings of the Clinical Leadership Competency Framework Project by the NHS Institute for Innovation and Improvement. National Leadership Council Leadership Competency Framework – NHS Education South Central 2009 Delivery through leadership: NHS Scotland, June 2005 Developing Clinical leadership NAPC June 2009 NHS Institute for Innovation and Improvement and Academy of Medical Royal Colleges (2009). Shared Leadership: Underpinning of the MLCF. NHS Institute: Coventry Darzi A. (2008) High Quality Care for all: NHS Next Stage Review final report. Department of Health, London 37Dentalia Coaching and Training for Dental Professionals. GDC No


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