1. Paul W Long & Peter Spurgeon 28 August 2013

2. This work was undertaken on behalf of the NHS Institute of Innovation and Improvement, the Department of Health and the NHS Leadership Academy Sue Mortlock Sue Balderson Tracy Lonetto Sabhia Sheikh Jeremy Crabb Pippa Cronk Paul W Long Consulting

3. Medicine – systematically addresses policy, regulation, education and training and workforce development Non medical – not as clear cut Complex environment – public and private sector Multiple clinical professions at varying degrees of development No universal approach to education and training Multiple regulators No national or coordinated policy approach common across professions Clinicians at the frontline frustrated with ever-changing environment and demands from the top they do better without help or support to do so Context Paul W Long Consulting

4. Health and Social Care Bill Health Education England Education Outcomes Framework NHS Leadership Academy NHS England Commissioning bodies National HCS Leadership Strategy Paul W Long Consulting

5. Leadership Qualities Framework Fifteen qualities, arranged in three clusters Each quality defined at levels that identify both effective and outstanding leaders The highest levels relate to the expected behaviours demonstrated by outstanding chief executives within the NHS Launched in 2002

6. Paul W Long Consulting Medical Leadership Competency Framework –Jointly developed by Academy of Medical Royal Colleges and NHS Institute –First in use in 2008 now with 2 further ed. –Describes leadership competences for doctors –Applies to all medical students and doctors –Being used to inform formal education and training curricula –Being progressively embedded into regulation

7. Paul W Long Consulting Workplace NHS GP consortia Private practice & High street Private hospitals Management Training Scheme KSF HR National Framework Nursing careers framework LeAD Vocational and work place training Organisational development Inclusion, Emerging leaders, Board development Specialist frameworks eg CCF Professions Societies, Colleges SIGs, Standards, curricula CPD, revalidation P O L I C Y Legislation LQF MLCF 2010 Regulation Standards of practice & for education and training Undergraduate, postgraduate Curricula, and continuing professional development E-learning

8. Paul W Long Consulting Phase One Develop a generic ‘clinical’ competency framework which related to all clinical professions Consultation and interviews with individuals within the profession bodies and frontline clinicians - using semi-structured questions, to gather data to inform the position of each clinical profession, as well as, the overall findings. Review of documentation – the project team reviewed curricula guidance, standards and frameworks relating to education and training, learning and development activity as well as performance assessment tools Phase two Develop a Leadership Framework which is applicable to all the workforce Products and tools to support adoption

9. Paul W Long Consulting Phase One – February 2010 – July 2010 Develop a generic ‘clinical’ competency framework which related to all clinical professions Consultation and interviews with individuals within the profession bodies and frontline clinicians - using semi-structured questions, to gather data to inform the position of each clinical profession, as well as, the overall findings. Review of documentation – the project team reviewed curricula guidance, standards and frameworks relating to education and training, learning and development activity as well as performance assessment tools Phase two – August 2010 – June 2011 Develop a Leadership Framework which is applicable to all the workforce Products and tools to support adoption

10. Paul W Long Consulting Phase One – February 2010 – July 2010 Develop a generic ‘clinical’ competency framework which related to all clinical professions Phase two – August 2010 – June 2011 Develop a Leadership Framework which is applicable to all the workforce Products and tools to support adoption Phase three – July 2011 – March 2012 Campaign to promote adoption, usage and embedding

11. Paul W Long Consulting Nursing and midwifery Arts therapists – art, drama, music Healthcare scientists Chiropodist/podiatrists Dietitians Occupational therapists Operating department practitioners Orthoptists Paramedics Physiotherapists Prosthetists/orthotists Radiographers Speech and language therapists Practitioner Psychologists Dentists Pharmacists Opticians Plus exploratory discussions with social workers

12. Paul W Long Consulting The NHS LF combines the Leadership Qualities Framework (LQF) (developed in 2002, specifically for senior leaders within the NHS), the Medical Leadership Competency Framework (MLCF)/Clinical Leadership Competency Framework (CLCF) LQF MLCF/CLCF NHS Leadership LQF MLCF/CLCF LF

13. Embedding CLCF – LEADERSHIP Capability Education Profession Regulation WorkforceThe System

14. Paul W Long Consulting For Individuals Online 360° diagnostic: Over 800 users registered, 391 of which are clinicians. Planned that 675 Midwives from NHS North West will undertake the 360° as part of a leadership programme. Self Assessment tools: Over 17,000 downloads. Being used in a number of courses and programmes to help students/participants assess their leadership skills prior to commencement, and often re-assessing at completion. Versions freely available for clinicians, doctors and wider workforce. Leadership Development Module: Freely available, particularly useful after undergoing 360° or self assessment as signposts specific activities to help develop against particular elements of the framework. LeAD (e-learning modules): Freely available, targeted e-learning for doctors and clinicians. Case studies: A range now available, including how individuals as well as organisations are using the CLCF/LF to inform their work. For Organisations Organisational Toolkit For 360° Facilitators E-learning training & materials For further information, please visit www.nhsleadership.org.uk/framework.asp

15. Successfully gained agreement from all the stakeholders on the LF Created the Leadership Framework and clinical versions The LF was launched by the SoS in July 2011 First time in the UK that there is a common and consistent standard of leadership The framework, tools and resources are widely available in the UK and there is a high level of awareness and excellent examples of adoption Paul W Long Consulting

16. Embedding CLCF – LEADERSHIP Capability Education Profession Regulation WorkforceThe System 448,000 visits 60,000 360 448,000 visits 60,000 360

17. Embedding CLCF – LEADERSHIP Capability Education Profession Regulation WorkforceThe System NMC pre-reg HCPC statement 448,000 visits 60,000 360 448,000 visits 60,000 360

18. Embedding CLCF – LEADERSHIP Capability Education Profession Regulation WorkforceThe System NMC pre-reg HCPC statement 448,000 visits 60,000 360 448,000 visits 60,000 360 Nursing, Pharmacy, BPS and more

19. Embedding CLCF – LEADERSHIP Capability Education Profession Regulation WorkforceThe System NMC pre-reg HCPC statement 448,000 visits 60,000 360 448,000 visits 60,000 360 Council of Deans and EOF Nursing, Pharmacy, BPS and more

20. Embedding CLCF – LEADERSHIP Capability Education Profession Regulation WorkforceThe System NMC pre-reg HCPC statement 448,000 visits 60,000 360 448,000 visits 60,000 360 NHS Leadership Academy and FMLM Council of Deans and EOF Nursing, Pharmacy, BPS and more

21. Paul W Long Consulting Workplace NHS GP consortia Private practice & High street Private hospitals Management Training Scheme KSF HR National Framework Nursing careers framework LeAD Vocational and work place training Organisational development Inclusion, Emerging leaders, Board development Specialist frameworks eg CCF Professions Societies, Colleges SIGs, Standards, curricula CPD, revalidation P O L I C Y Legislation LQF MLCF 2010 Regulation Standards of practice & for education and training Undergraduate, postgraduate Curricula, and continuing professional development E-learning Education

22. Paul W Long Consulting Workplace Professions Societies, Colleges SIGs, Standards, curricula CPD, revalidation Undergraduate, postgraduate curricula, and continuing professional development E-learning NHS LF (CLCF* & MLCF) NHS LF (CLCF* & MLCF) Current (2013) Vocational and work place training Organisational development Inclusion, Emerging leaders, Board development Specialist frameworks eg CCF Regulation Standards of practice & for education and training NHS GP consortia Private practice & High street Private hospitals Management Training scheme KSF HR National Framework Nursing careers framework LeAD Embedding Usage Education

23. Paul W Long Consulting Sustainability and custodianship Wide range of supporting products and tools to support embedding Continuous engagement with education sector, the professions and the regulators Combined with campaign to get early wins and build evidence of usage