Leadership: Lead or be Led Laurence Mynors-Wallis RegistrarYork 22 November 2013
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
Leadership
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)
Leadership The art of motivating a group of people to achieve a common goal Kings Fund
Leadership Styles The innovative leader – inspire and communicate a shared purpose
Tasks of Clinical Leadership 1.Setting local goals 2.Adjusting local operating systems 3.Control performance 4.Improve performance
Leadership Styles The encouraging leader – protect morale and encourage others The enabling leader – help others to deliver
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
Leadership Styles The courageous leader – stand up, speak out and do what is right
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
Leadership should be founded on integrity and moral values Be yourself
Who are They?
ACP-360 15 Questions of Patients 6 Ratings 1 – Very low 2 – Low 3 – Moderately Low 4 – Moderately High 5 – High 6 – Very High
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
Clinical Effectiveness: How Good are our Treatments?
Summary of Effect Sizes Psychiatric drugs O General medicine drugs
College Leadership When patients should by seen by a psychiatrist Cost effectiveness and value of a psychiatrist Number of inpatient beds
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