RCSLT Team Scotland Day: Equipped to lead the way 12 th November 2014 #TeamScotlandDay
NHS Education for Scotland Leadership - A taster session Helen McFarlane, Programme Director Susan Shandley, Educational Projects Manager
Career development within The Four Pillars of Practice Clinical LEVEL 5 Practitioner
Leadership
The Healthcare Quality Strategy for NHS Scotland (Scottish Government 2010) Caring and compassionate treatment Clear communication and explanation Effective collaboration with practitioner Clean and safe environment Continuity of care Clinical excellence 3 Quality ambitions Safe Person - centred Effective
Analysis of Evidence Mid Staffordshire NHS Foundation Trust The Trust s culture was one of self promotion rather than critical analysis and openness No culture of listening to patients As a result of poor leadership a completely inadequate standard of nursing was offered in some wards The trust prioritised its finances over its quality of care, and failed to put patients at the centre of its work
Lessons Learned The negative aspects of culture were identified as A lack of openness to criticism A lack of consideration for patients Defensiveness Looking inwards not outwards Secrecy An acceptance of poor standards A failure to put the patient first in everything that is done
Francis Report (2010) 290 Recommendations The NHS and all who work for it must adopt and demonstrate a shared culture in which the patient is the priority in everything done. Thus requires A common set of core values and standards shared throughout the system Leadership at all levels from ward to top A system which recognises and applies the values of transparency, honesty and candour Freely available information on achievement of the above
A promise to learn a commitment to act: Improving the safety of patients in England Berwick Report (2013) The overarching goal Leadership Patient and public involvement Staff Training and capacity building Measurement and transparency Structures Enforcement Moving forward
The National Delivery Plan for AHPs in Scotland 2012-2015 AHPs as agents of change in health and social care Integration AHPs have a significant leadership role to play at strategic and practice levels in successfully developing new ways of working Reshaping care and enabling independent living Improving health and well being Supporting early years Improvement in care
The National Delivery Plan for AHPs in Scotland 2012-2015 Recommendation 1.3 AHP Directors, with support from NHS Education for Scotland and the NHSScotland Quality Improvement hub, will further develop AHP capacity and capability in leadership and quality improvement methodologies to improve the quality of care within agreed priority areas
Everyone Matters 2020 Workforce Vision (Scottish government 2103) Our vision is that in 2020 everyone is able to live longer healthier lives at home, or in a homely setting This vision makes a commitment to valuing the workforce and treating people well The values shared across Scotland s Health Service are care and compassion dignity and respect openness, honesty and respect quality and teamwork It is everyone's business
Everyone Matters 2020 Workforce Vision Implementation plan 2015-16 Effective leadership and management - Focus on ensuring effective leadership for change Five priorities Cross sector working Adopting values driven approaches Making space for honest dialogue to improve performance, sustain good performance and tackle poor performance Strengthening management at all levels but with a particular focus on middle management, talent management and succession planning Leading teams and engaging people
Everyone Matters 2020 Workforce Vision Implementation plan 2015-16 NHS Boards will Build leadership skills to lead/drive Quality Improvement Ensure leaders at all levels and in all professions have the skills to support the workforce through change
Leadership Impact on delivery of care Quality of leadership affects quality of care Influences how organisations perform, improve and deliver care Successful delivery relies on strong leadership at all levels within Organisations As leaders you need to think about What do we do that makes a real difference? Where do we need to improve? How do we make sure everyone receives equality of care?
Leadership What is leadership? Who are leaders? What should leaders be able to demonstrate?
Leadership styles A leadership style is a leader's style of providing direction, implementing plans, and motivating people. There are many different leadership styles Participative Autocratic Charismatic Distributed Transformational Transactional Laissez Faire Situational Task orientated Relation orientated Bureaucratic Servant
Transformational leadership Regarded as the most active and effective form of leadership to deliver a service improvement Non contingent and proactive and seeks nothing back in return Build trust Integrity Inspire others Encourage innovative thinking Coach people
Transactional leadership Often a prescription for lower levels of performance or non significant change Contingent and reactive Reward achievement Monitor mistakes Wait for mistakes to occur before taking action Fight fires Avoids involvement Keeping the ship afloat
Distributed Leadership Leadership is a practice, not a role,position or attribute People at all levels engage in action accepting leadership in their areas of expertise Relationship based Focuses on achievement of a group rather than an individual Actively supports effective teamwork Shared sense of responsibility and collaborative working
Who are Leaders? Role Models A powerful leadership strategy Learning from role models occurs through observation and reflection Role models inspire and teach by example
If your actions inspire others to dream more, learn more, do more and become more, you are a leader. John Quincy Adams Leadership is unlocking people s potential to become better. Bill Bradley The growth and development of people is the highest calling of leadership. Harvey Firestone I am not a messiah, but an ordinary man who had become a leader because of extraordinary circumstances Nelson Mandela
Characteristics of Role models Clinical competence Knowledge and skills Communication Clinical reasoning and decision making Teaching skills learner centred approach Effective communication and feedback Personal qualities Compassion, honesty and integrity Interpersonal relationships Enthusiasm and quest for excellence
Role modelling People seldom improve when they have no other model but themselves to copy Oliver Goldsmith The most important single influence in the life of a person is another person.who is worthy of emulation Paul D Shafer
What should leaders be able to demonstrate? It is about values, attitudes and behaviours Demonstrating Personal Qualities Working with others Managing services Improving services Setting direction
Leadership and the workplace culture http://www.knowledge.scot.nhs.uk/hcsw/events/3-ahp-hcsw-and-assistantpractitioners-event---200313.aspx
What should leaders be able to demonstrate? It is about values, attitudes and behaviours Demonstrating Personal Qualities Working with others Managing services Improving services Setting direction
The National Delivery Plan for AHPs in Scotland 2012-2015 Recommendation 1.3 AHP Directors, with support from NHS Education for Scotland and the NHSScotland Quality Improvement hub, will further develop AHP capacity and capability in leadership and quality improvement methodologies to improve the quality of care within agreed priority areas
NHS Education for Scotland AHP Leadership and Quality Improvement Initiative Scottish Government funding April 2014 March 2015 Susan Shandley appointed as Educational Projects Manger Project aim Establish a sustainable model to support AHP capability and capacity building in Leadership and Quality Improvement Collaborative approach NES - National leadership Unit,QI Directorate and Organisational Development Healthcare Improvement Scotland and NHSScotland QI Hub Scottish Government HEI s Social care AHP Directors
NHS Education for Scotland AHP Leadership and Quality Improvement Initiative Work in progress Gather baseline data within each board in capability and capacity to inform learning and development needs Supporting development with 2 national groups Supporting development with 2 early adopter Boards Integration of leadership and QI within pre registration AHP curriculums Scoping of national, local, professional and organisational expertise, educational resources and networks PEL development A programme of regional workshops Establish a Community of practice Provision of learning and development funding for all NHS Boards
Post-Registration Career Development Framework (2012) Post-registration Career Development Framework is a NEW interactive professional development tool which maps the key knowledge, skills and behaviours which practitioners need to progress through or up a level. http://www.careerframework.nes.scot.nhs.uk
Resources Leading quality network http://www.knowledge.scot.nhs.uk/leadingquality/events.aspx Public services collaborative learning http://www.scottishleadersforum.org/public-service-collaborative-learning QI hub http://www.qihub.scot.nhs.uk/default.aspx People Connect http://www.qihub.scot.nhs.uk/networks-and-communities/peopleconnect.aspx RCSLT
Support for services http://www.rcslt.org/members/support_for_services
RCSLT Leadership series Video 1 Introduction Video 2 What is a leader? Video 3 Leadership at different stages Video 4 The all round professional Video 5 Influencing and networking Video 6 Leading people Video 7 Planning for better outcomes Videos 8 11 Understanding the bigger picture Video 12 Leadership for change We wanted to bottle the best tips, advice and support from leaders across the health and education workforce into quick and easy to access videos. http://www.rcslt.org/members/professional_development/leadership_resources http://tinyurl.com/rcsltleadership
Call to action Shaping our future SLT profession How well do you think Speech and language therapists do as leaders? How well do you think the SLT profession does in leading awareness of people with communication support needs?
Call to action Shaping our future SLT profession Would you like to be involved in Shaping an SLT leadership experience Participating in an SLT leadership learning experience Nominating for an SLT leadership learning experience
RCSLT Team Scotland Day: Equipped to lead the way 12 th November 2014 #TeamScotlandDay