Leading People Programme 2015 Introduction and Aim Aneurin Bevan University Health Board recognises that developing leaders who engage staff effectively to deliver the best possible quality of care is essential to the successful implementation of its key strategic priorities outlined within the Integrated Medium Term Plan. This Leading People Programme has been developed in partnership between Aneurin Bevan Continuous Improvement (ABCi), Organisational Development and Employee Well-Being. The Health Board is committed to the delivery of its vision through the active development of a positive, values based culture. Engaging Effective Leadership Improved staff experience, wellbeing and engagement The Health Board Values are: Patient first Personal responsibility Passion for improvement Pride in what we do The aim of the programme is to develop highly skilled and effective leaders from across the health, social care and third sectors in order to ensure the delivery of high quality, safe and compassionate care through optimising staff well-being and engagement. The underpinning philosophy is one of co-production in which the content and delivery of the programme will be shaped by those leaders who participate. Safer, more compassionate care patient care Improved Patient Experience Background The pace of change in the NHS shows no signs of slowing down. The challenge is to improve services and performance whilst meeting rising patient needs and expectations and managing resource constraints. Rising to this challenge requires organisations to make optimal use of the people they employ, and recent research suggests that staff engagement and well-being are closely connected to patient experience, patient mortality rates and financial performance (West and Dawson, 2012). There is a growing evidence base that suggests particular approaches to leadership are associated with improved performance and with outcomes for patients and are also likely to be associated with reduced sickness absence in teams (e.g. AlimoMetcalfe et al., 2007). With growing awareness of compassionate care and the dire consequences in both health and social care sectors of systemic failures in these 1|Page areas (such as those highlighted in Mid Staffordshire, 2013 in the Andrews report,2014 and in the Winterbourne Inquiry, 2012), there is an increasing need to understand the complex range of factors that make such failings in care more likely. The Francis report cited evidence that providing opportunities for staff to process the emotional impact of their work in the form of Schwartz rounds for example, would be likely to improve the quality of care received by patients, and ABUHB have recently invested in the Schwartz round package with implementation due later in 2015. Tier One targets for the University Health Board prioritise both reducing Staff sickness absence and improving staff engagement as measured by Divisional Pulse Surveys and the Staff Survey nationally. This course aims to build the capacity and capability of those in leadership positions across the health and social care economy to ensure that through building staff engagement and well-being they create the best possible conditions for the delivery of high quality care for patients. The course also supports the People Strategy component of Investors in People. In order to ensure that partnership working around future clinical service strategies is effective there will need to be an increased focus on integration and collaborative working. Through offering places across sectors, the course will promote integration through developing networks and relationships, and providing the opportunity to share good practice. Programme Information Leading People is a course geared towards improving the emotional and organisational literacy of leaders across the health and social care economy including the health, social care and third sector. It aims to improve the quality of care for patients through reducing obstacles to compassionate and safer care, enhancing staff well-being and optimising performance. It will help participants understand the relationship between effective team working, good staff wellbeing, better safety and improved performance and quality. The course will aim to: 1. Equip participants with a strong grasp of the evidence base underpinning the importance of staff engagement, leadership styles and patient outcomes. 2. Increase interpersonal skills with a view to improving team engagement and employee well-being. 3. Contribute to improved quality, safety and performance through influencing associated key factors. 4. Enable participants to become more effective agents of culture change and impact more powerfully upon the systems in which they work. 5. Develop familiarity with key models of leadership and with improvement methodologies. It will achieve this though: Presenting a critique of models of leadership and their impact on performance, with particular reference to Engaging/Transformational leadership Exploring the implications of the Francis and Andrews reports and the Winterbourne Inquiry in relation to understanding the systemic factors that can be obstacles to compassion 2|Page Enabling team leaders to understand the impact working in a complex care system has on their staff, for example the relationship between compassion fatigue and high levels of demand Enabling participants to review a range of options for supporting staff emotionally (e.g., Schwartz rounds and Compassion Circles, informal support, supervision with a restorative emphasis, thinking space, exploring opportunities to build resilience) Building organisational literacy by providing an introduction to organisational/systemic issues and key principles that impact on teams and interpersonal relationships Demonstrating evidence on engaging teams and consider options for building team engagement (e.g., how to have a good PADR, building relationships and the importance of genuine concern) Introducing the evidence base on the benefits of mindfulness practice in the workplace Learning skills to manage difficult relationships in the workplace Considering leading in ways that facilitate autonomy, mastery, purpose and cognitive distribution (ensuring that every member of the team is actively engaged) Developing an awareness of the evidence base on emotional intelligence Understanding the impact of spatial context and the physical environment on team function Using experiential/reflective work to improve self and interpersonal awareness and build an understanding of group process Using improvement methodologies to consider ways of improving services and team working The course will use a range of modalities to support change in practice including: Formal lectures from external speakers, the course team and other senior staff locally Action learning sets focused on creating change to improve team engagement and employee well-being Experiential/reflective work 360 degree feedback Mentoring/coaching Improvement methodologies Team consultation/time out facilitation Target Audience The course is targeted at staff involved in leading people who wish to expand their understanding of leadership and build their capacity to influence. It would serve as an effective introduction to leadership, but would also be appropriate for those wishing to update their understanding as it is based on the latest evidence. It is likely to complement previous leadership training as its curriculum is distinctive. Applications are welcomed from staff across ABUHB, the five local authorities of Gwent and third sector organizations across Gwent. Time commitment and application process The course will commence in June 2015. Written applications are required with support from applicants’ managers confirmed in writing. The course will be run 3|Page across 12 days over the course of a year including 2 blocks of 2-days. The venue will be confirmed but will be within Gwent/ABUHB boundaries. It is expected that participants will make every effort to attend each day of the course. Much of the course content is aimed at improving team functioning in the workplace. It is therefore anticipated that participants will make an additional investment of time to achieve course aims of improving team engagement, relationships and wellbeing. This will be agreed on an individualized basis but may include arranging team development/time out sessions or initiating improvement projects. Participants’ managers should therefore be aware that the time commitment will be greater than 12 days over a year and should indicate their willingness to support this in writing. There are only 24 places available for the course and it is anticipated demand will be high. Outcomes The key outcome identified for this course is to facilitate changes that improve performance, safety and patient/service user experience through increasing employee well-being. The course is based on a strong evidence base linking employee well-being with these outcomes. It is anticipated that the course may lead to impact in the following areas: - Improved sickness absence in team members Improved engagement and ratings on the staff survey (NHS staff only) Evidence of interventions in place to facilitate emotional support of staff Reduction in Patient/Service user complaints Reduction in serious and untoward incidents It is therefore entirely consistent with the principles of Prudent Healthcare. The cross-sector target audience will also promote opportunities for networking across organisations and improve cross-sector working relationships. As such it may serve as a catalyst for integration. However, given the many variables that impact upon the above, and the timescales required to create significant change, it is anticipated that staff experience and narrative of how the course has impacted on participants’ ability to lead people more effectively and improve engagement within their teams will be the primary outcome. Consideration is being given to using narrative analysis software developed by Dave Snowden at Bangor University to provide additional course evaluation. Participants will keep a journal on the impact their participation on the course has had in their place of work, and will present their key learning at an end of course “Sharing the Learning” event. Course Team Overall Course Director: Danny Antebi, Director - ABCi Benna Waites, Consultant Clinical Psychologist, ABCi Associate Jill Evans, Senior Education and Development Manager (Equality Lead) Mel Laidler, Programme Manager – ABCi Helen Knight, Senior Education and Development Manager John Frankish, Improvement Lead – ABCi 4|Page Daniel Madge, Senior Education and Development Manager Adrian Neal, Consultant Clinical Psychologist, Lead for Employee Well-Being Sue Ball, Assistant Director of Workforce and Organisational Development If you have any questions about whether this course might be for you, please contact the course team on 01633 431731 for further discussion of whether the course might meet your needs. An application form can be found at the end of this document and can be completed electronically or please contact Lucy Bennett and ask her to send you one ([email protected]. The deadline for applications is 07 May 2015. Shortlisted applicants will be invited for a brief informal interview and all applicants will be notified if they have a place no later than 27 May 2015. Please ensure that you have noted the course dates on application as the notice for the early events will be limited. References Andrews, J. Trusted to Care: An independent review of the Princess of Wales Hospital and Neath and Port-Talbot Hospital at ABMUHB. 22 May 2014. Borrill, C., West, M., Shapiro, D., & Rees, A. (2000). Team Working and effectiveness in healthcare. British Journal of Healthcare, 6, 364-371. Cornwell, J. (2009). See the person in the health professional: How looking after staff benefits patients. Nursing Times, 105, 10-12. Dixon-Woods et al. (2013) Culture and Behaviour in the English National Health Service: Overview of lessons from a large Multi-method study. BMJ Quality and Safety Francis, R. Report of the Mid-Staffordshire NHS Foundation Trust Public Inquiry. 6 February 2013 Firth-Cozens, J., & Cornwell, J. (2009). The Point of Care: compassionate care in acute hospital settings. London: Kings Fund. Enabling Transforming Care: A government response to Winterbourne View DoH 2012 West, M. A., & Dawson, J. F. (2012). Employee Engagement and NHS Performance. London: Kings Fund. 5|Page Leading People Programme 2015 Application Form Note to potential candidates 1. Application process and offer of place By completing and returning this form you are confirming that you wish to participate in the Leading People Programme. Deadline for completion & return of this application is 08 May 2015 How to apply A: B: Please complete all fields within this form. Get signed endorsement from your line manager (written or electronic). The next step C: You will be notified by ABCi by the 27 May 2015 whether you have been awarded a place; Please protect the following workshop dates in your diary now: Leading People Programme Date All days will run from 09.00 – 16.30 hours Venue 29th June 2015 To be confirmed 30th June 2015 To be confirmed 17th July 2015 To be confirmed 9th September To be confirmed 9th October 2015 To be confirmed 3rd November 2015 To be confirmed 3rd December 2015 To be confirmed 12th January 2016 To be confirmed – Development Centre 13th January 2016 To be confirmed – Development Centre 29th February 2016 To be confirmed 25th April 2016 To be confirmed 10th June 2016 To be confirmed – Shared Learning Event 6|Page Cost This is a funded course; however that does not mean that it is free. The cost of the programme will be met centrally not by your line manager. However, the cost of providing it means that we expect you to make every effort to attend the full programme. I commit to attend the full programme. Sign here: Date: 2. Contact Details This information collected below is purely for the Programme coordinators for cohort. Full name (with title): Job title: Organisation name: Staff Number (Assignment Number): Date of Last Personal Appraisal Development Review/Appraisal: Please note your application cannot be progressed without this Name of Department/Directorate/Division (if applicable): Postal address including postcode: Telephone number (Work): Mobile phone number: Work e-mail address: 7|Page 3. What you hope to gain from the programme As part of the application process you will need to meet with your senior manager sponsor to identify what you hope to gain from attending this programme and how it fits with your personal objectives. What is it about the course that appeals to you? What difference do you hope it will make to you and the people you lead? 8|Page 4. Written endorsement of Manager Please state your reasons for endorsing this application: Agreement from Line Manager to undertake opportunity, to attend full programme, and to participate in additional work arising from programme participation. Name: Signature (written or electronic): Date: E-mail address: Position: Please return this application to [email protected] no later than 07 May 2015 9|Page
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