Clinical
Leadership
Ian Govier
Isolation
Since the inception of the NHS,
Disempowerment of
more than 50 NHS public inquiries
staff and patients
Inadequate
have been conducted to address
leadership
/
catastrophic failures in patient care.
management
Failure of
The same 5 common
themes
systems and
Poor
emerge
from eachprocesses
inquiry.
communication
Walshe & Higgins (2002)
“Leaders in the NHS
need imagination, vision
& charisma, allied with
outstanding communication
skills & the ability to fire
their staff with enthusiasm”
John Harvey-Jones (2002)
Who are
the leaders?
“Lots of ordinary health
care staff are leaders – it is
in the very nature of the job.
Good care involves winning your
patient’s confidence, convincing them to
keep to their treatment regimes and inspiring
them to battle their way back to health”
(Crouch, 2002)
Clinical
Leadership
The
Challenges!
Permanent White Water
(Vaill, 1996)
Exemplary Leaders
Challenge
Encourage
Model
Inspire
Enable
(Kouzes and Posner, 2002)
Exemplary
Clinical Leaders
Challenge
“The one indisputable
fact that characterises
organisational life, is that
CHANGE
is inevitable.”
(Beverley Alimo-Metcalfe, 2005)
Two choices regarding
CHANGE:
GET ORGANIZED
or
‘go with the flow’
(Yoder-Wise, 1999)
Challenges to
Developing Practice
“The greatest
difficulty in the
world is not for
people to accept
new ideas, but to
make them forget
their old ideas!”
John Maynard Keynes
"Men wanted for
hazardous journey.
Small wages.
Bitter cold. Long
months of
complete darkness.
Constant danger.
Safe return doubtful.
Honour and recognition
in case of success.”
The truth is that our finest
moments are most likely to occur
when we are feeling deeply
uncomfortable, unhappy, or
unfulfilled. For it is only in such
moments, propelled by our
discomfort, that we are likely to
step out of our ruts and start searching
for different ways or truer answers.
M.Scott Peck
Beware of
Change Saboteurs!!
Exemplary
Clinical Leaders
Inspire
a shared
VISION
The most important
task of leadership is to
define and nurture
a shared VISION
that energises and brings
out the best in people
James A. Vaughan
A VISION-less
leader
(lacking in vision or inspiration)
is almost a
contradiction
in terms!
(John Adair, 2002)
Let’s look
at some
VISIONS!
To be the world’s favourite airline
& the undisputed leader in world
travel for the millennium
To experience the emotion of competition,
winning & crushing competitors
To enable people & businesses throughout
the world to realize their full potential
To make people happy
By 2015, through the efforts of the Assembly
Government, the NHS, local authorities, their
partners, the community and individuals, Wales
will have minimised avoidable death, pain,
delays, helplessness and waste.
We need
World Class
Leaders
to deliver
World Class
Healthcare
Delivering this challenging strategy
will require the full engagement of
clinicians and other professionals…
…leading and shaping services,
ensuring that high standards of care
will be the key driver for change.
The vision must be
followed by the venture
It is not
enough to
stare up the steps
Visions without
actions are merely
hallucinations!
What is my
VISION
for my clinical /
work area?
Welsh Regional
Burns Unit
So many of our dreams at first
seem impossible, then they seem
improbable, but when we summon
the will, they soon become inevitable.
Exemplary
Clinical Leaders
Enable
To become a leader one
must believe in one’s own
ability to achieve results for
one’s self, but the real job
of the leader is not doing it
but ENABLING others to do it.
Saskin & Rosenbach 1993
Where once leaders were aloof
decision-makers, today they are
dedicated collaborators & networkers
whose role is to ENABLE & give
power to their team rather than
wield power to their own ends.
Leaders on Leadership – an intimate view of life at the top of Europe plc
Development Dimensions International (DDI), Research Report, January 2006
Exemplary
Clinical Leaders
Model
Everyone thinks
of changing the
world, but no
one thinks of
changing
themselves.
Leo Tolstoy
“If you want
to see change,
be the change
you want
to see”
The biggest disease
today is not leprosy
or tuberculosis but
rather the feeling of
being unwanted,
uncared for and
deserted by
everybody
Compassion and Care
Exemplary
Clinical Leaders
Encourage
Encouraging
...is about the principles &
practices that support the basic
human need to be appreciated
for what we do & who we are.
(Kouzes & Posner, 1997)
How can we
promote
‘excellence
in practice’
unless we first
acknowledge,
and then
PRAISE?
Really believe in your heart of
hearts that your fundamental
purpose, the reason for being,
is to enlarge the lives of others.
Your life will be enlarged also,
and all of the other things we
have been taught to concentrate
on, will take care of themselves.
Exemplary
Clinical Leaders
Challenge
Encourage
Model
Inspire
Enable
Final
Thoughts
opportunitynowhere
Clinical Leadership…
…what am I
going to
do differently
after today?
If I do nothing
about it in 24 hours…
…I’ll probably
do nothing about it!
and
finally…
We do not lead by being
corporate, professional
or institutional.
Clinical
Leadership
Thank You
Diolch
Ian Govier
Clinical
Leadership