The Change Leaders Programme

Transcription

1 The Change Leaders Programme Are you a leader and catalyst for change, focused on delivering improved patient experience and quality of care across the health and care system? Application Form Change Leaders

2 The Change Leaders Programme Great health care needs great leaders and leadership. Change Leaders is a high impact programme aimed at developing the leadership capability of clinical and nonclinical leaders from primary and secondary care to enable quality of care, service transformation and innovation across the East of England. The programme is specifically aimed at those who are leading business-critical quality and service improvement projects and programmes. It builds on current best practice to enable participants to develop the leadership styles, tools and techniques needed to enable change across systems. We welcome applications from individuals and from teams of participants who are collaborating on a specific project or programme. Participants in the programme will already have some leadership experience, and are likely to be operating at Band 7 and above (or similar level). By leadership we don t necessarily mean team leadership - this programme is about leading in the context of projects and programmes, and is open to matrix leaders who do not have any direct reports. Application form This is an opportunity for both clinicians and managers who are leading quality and service improvement projects and programmes. We welcome applications from individuals and multi-professional teams across the East of England. Applicants have responsibility to ensure that Section 4 of this application form is completed by their sponsor. Please submit your completed application form and supporting documents electronically by 9.00am on Monday 19 August 2013 to: UKChangeLeaders@ haygroup.com Please refer to the guidance notes for completing the application form. These can be downloaded from the same website as this form. If you need any specific support in completing the application form by the deadline please let us know by contacting us at: UKChangeLeaders@haygroup.com or calling N.B. Before completing your application please check that you can be available for the programme dates in Section 3. The Change Leaders programme has lived up to its promise. I have seen my attendee change behaviours as a consequence of the diagnostic feedback and subsequent learning. Change Leaders sponsor I can honestly say the Change Leaders programme was the first piece of learning I had done in many years that was meaningful and changed my practice. Change Leaders participant The programme has given me a better understanding of myself and how I like to work, and provided me with a network of others with similar goals (some of whom I ve since worked with on other projects). Change Leaders participant I feel happier and more secure in my leadership role, with greater awareness of the fact that the stronger leadership I deliver to the team, the greater their confidence, development and performance. Change Leaders participant 2 NHS Health Education East of England Change Leaders Programme Application Form

3 Section 1: About you Personal details Name Title/position Organisation name Address Postcode Main telephone number Work direct dial number Work mobile Work address Home telephone number Personal mobile Personal address (if preferred) Name of line manager Line manager job title Line manager telephone number Line manager address 3 NHS Health Education East of England Change Leaders Programme Application Form

4 About your project Health Education East of England aims to ensure that the NHS workforce has the capabilities it needs to deliver the NHS Mandate, which focuses on the areas that matter most to people - our Healthcare priorities. Each participant on the Change Leaders programme will be leading a quality or service improvement project which supports delivery of these priorities. High quality care for the frail elderly (including those with dementia) Please tell us which of the East of England Healthcare priorities your project supports delivery of: Reducing avoidable admissions and preventing unnecessary hospital stays Delivering high quality effective care across children s and young people s services Others, please state: If your project does not come under one of these three categories, please provide an indication of the clinical speciality / care pathway that it relates to so that we can consider this. Are you applying for this programme with team members from your organisation or other organisations who are working on the same quality or service improvement project? Yes No If yes, please could you complete their full name, organisation and address. Name Organisation address Name Organisation address Name Organisation address Name Organisation address 4 NHS Health Education East of England Change Leaders Programme Application Form

5 Section 2: Supporting evidence In this section we ask you to provide further information about your quality or service improvement project, and why you are applying to take part in the Change Leaders programme. Please note that these responses to these questions are scored as part of the selection process so please ensure that you give full and specific answers which demonstrate how participation in the programme will benefit you and your organisation. For further information about this, please see the guidance notes. Please complete the following questions in the boxes provided. 1. Please describe: a) the quality or service improvement project you are working on and b) your role on the project you are currently involved with 2. Please outline what you will bring to the Change Leaders programme in terms of your skills, knowledge and behaviours. 5 NHS Health Education East of England Change Leaders Programme Application Form

6 3. What do you hope to gain from the programme: a) personally? b) for your employing organisation? In this section please be as specific as possible about your learning objectives, how they will support successful delivery of your quality or service improvement project, and any other benefits there will be for you personally or for your organisation. 4. What will be your key challenges in taking part in this programme: a) personally? b) organisationally? 6 NHS Health Education East of England Change Leaders Programme Application Form

7 Section 3: Programme dates 1. If your application is successful, you will need to be available to take part in a one-day development centre. Please identify all dates that you are available by putting 1 for your first choice, 2 for your second choice, etc. and hold these dates until you are notified of the outcome of your application. Ideally please aim to attend the date in the area that you work in, and to attend with team members where applicable. The exact locations for the centres may be subject to change, but they will be in the area of the locations indicated. Monday 23 September Huntingdon Racecourse Thursday 26 September Radisson Blu Stansted Friday 27 September Wyboston Lakes 2. Below are dates for programme delivery, along with the area in which the modules will be delivered. Please note that these are subject to change but at this stage our intention is to use these as the central base for each cohort. Please indicate your first and second choice cohort that you would like to be a part of. You will need to ensure that you are free for all of the dates in the cohorts that you choose; ideally these should be the geographical area or close to the geographical area that you work in. First Choice Second Choice Launch Module 1 Residential Module 2: Webinar 1 ALS 1 CLP Module 2: Networking Day Webinar 2 ALS 2 Module 2: Webinar 3 Module 3 ALS 3 Next Steps Cohort 1 Cambridge 10 October 11 & 12 November 27 November January 26 February 12 & 13 March 29 April 13 May Cohort 2 Newmarket 10 October 5 & 6 November 27 November January 26 February 11 & 12 March 28 April 13 May Cohort 3 Wyboston 10 October 11 & 12 November 27 November January 26 February 11 & 12 March 24 April 13 May In addition to the dates outlined above, participants will also be expected to engage with local activities and networks to support their personal development, as well as delivery of quality and service improvement across the region. This may involve accessing coaching and/or mentorship, in addition to involvement with local networks of support, including your sponsor, line manager, and/or past Change Leaders participants. It may also include self-directed learning, for example accessing online materials or attending other local master classes and events. You will also be applying the learning from the programme by testing tools and techniques out in the workplace and bringing your experiences back to share with fellow participants. In order to get the most from the programme, we would expect participants to spend around 8 hours a month on additional development activities of this sort. 7 NHS Health Education East of England Change Leaders Programme Application Form

8 Section 4: Sponsor support We ask all participants to provide details of a senior leader in their organisation who will act as a sponsor for them throughout the programme. This must be someone who has the authority to release you from the organisation for all of the scheduled activity. They will also ideally be someone who has a direct interest in the quality or service improvement project you are leading. The sponsor s role is to support you throughout the programme, to help you meet both your personal development goals and to support your project. They will also help you to ensure that your project remains organisationally relevant and integrated into the wider work of the organisation. In addition to providing this ongoing support throughout the programme, sponsors should also attend the opening and next steps events alongside the participant. The dates for these events are below. Please ask your sponsor to hold these dates in their diary for now, and we will confirm further details after the closing date for applications. 10 October May 2014 As this programme represents a significant investment for the individual, for their organisation and for Health Education East of England, we will be contacting sponsors following the programme to seek their views on outcomes for the participant, and for the project they are leading. Sponsor details Name Position Telephone number address Relationship to applicant Date Please note that if your sponsor is not an Executive Director your application will needed to be signed off by an Executive Director. Name of Executive Director Job Title Telephone number address Relationship to applicant Date 8 NHS Health Education East of England Change Leaders Programme Application Form

9 Sponsor statement 1. Please indicate why this applicant would benefit from the programme and how this will be of benefit in terms of their agreed business critical quality or service improvement project. What outcomes would you like to see, both for the individual and for the organisation? 2. Please indicate how your nominee s participation in this programme will contribute to the organisations succession plan and to the building of leadership capacity in your organisation. In addition please provide your overall assessment of their position on the talent conversation grid below 9 NHS Health Education East of England Change Leaders Programme Application Form

10 Talent appraisal Please provide your overall assessment, based on their most recent appraisal or similar talent conversation, of your nominee s potential to progress to the next level by highlighting one of the following talent grid categories. Talent conversation grid Below is the talent conversation grid used for entry onto academy development opportunities. Please put a cross in the relevant box to indicate which talent grid category your participant is in. Performance and Behaviours Readiness Move Professional Talent Shows promise to continue to advance in their professional field or into a wider leadership role within 3-5 years if they have the capacity and ambition to do so, but equally valuable where they are. Developing Talent - Ready Soon Demonstrates the potential, ambition and motivation to develop at current level and potentially progress in their career within 1-3 years into new and wider challenges. Ready Now Demonstrates the potential, ambition, motivation and experience to perform at the next level now or within the next 12 months into new and wider challenges. Exceeds Expectations Outstanding performance against objectives, achieves more that what is expected of them and demonstrates role modelling of behaviours required beyond their role. Meets Expectations Meets the expectations for performance against objectives and behaviours required at level for role. Partially Met Expectations Below met expectations against performance objectives and behaviours required at level for role 10 NHS Health Education East of England Change Leaders Programme Application Form

11 Section 5: Equal opportunities monitoring form This part of the form will not be part of the selection process and will be collated separately for our monitoring of equality and diversity. 1. Please tell us your age Under Do you consider yourself to have a disability? Yes No 2b. If yes do you have a: Physical impairment Sensory impairment Learning disability Mental health condition (long term) Other health condition (long term) 3. Ethnicity Asian or Asian British Bangladeshi Indian Pakistani Any other Asian background Mixed White and Asian White and Black African White and Black Caribbean Any other mixed background Black or Black British African Caribbean Any other Black background White White British White Irish Any other White background Other ethnic group Chinese Any other ethnic group Please state: 11 NHS Health Education East of England Change Leaders Programme Application Form

12 4. Gender Male Female 4b. Gender reassignment Do you now, or have you ever considered yourself to be transgender? Tick if yes 5. Religion or beliefs Atheism Agnosticism Buddhism Christianity Hinduism Humanism Islam Jainism Judaism Sikhism Any other religion or belief Please state: No religion or belief 6. Sexual orientation Bisexual Gay man Heterosexual Lesbian/gay woman Other 7. Are you currently providing support to a partner, child, relative, friend or neighbour who could not manage without your help or/and support? 7. Yes No 8. Clinical background Have a clinical background although not currently working in a clinical role Clinician currently working in a clinical role No clinical background 12 NHS Health Education East of England Change Leaders Programme Application Form

13 9. Do you require any adjustments to be considered to help you access the programme? Yes Please state: No 10. Please state here any other specific requirements that we should be aware of: 13 NHS Health Education East of England Change Leaders Programme Application Form