Leadership: Lead or be LedLeadership: Lead or be Led

Laurence Mynors-WallisLaurence Mynors-Wallis

RegistrarRegistrar

YorkYork

22 November 201322 November 2013

Top College PrioritiesTop College Priorities

1.1. LeadershipLeadership

2.2. RecruitmentRecruitment

3.3. Do-able jobsDo-able jobs

4.4. When patients need to see a When patients need to see a psychiatristpsychiatrist

5.5. OutcomesOutcomes

6.6. PbRPbR

7.7. Protecting servicesProtecting services

Leadership

Why Clinical Leadership Why Clinical Leadership MattersMatters

Top hospitals in US have doctors in Top hospitals in US have doctors in charge 41% top 100 US hospitals charge 41% top 100 US hospitals (cancer, cardiac, GI) had a doctor as (cancer, cardiac, GI) had a doctor as CEO vs. 4% overall (Goodhall 2011)CEO vs. 4% overall (Goodhall 2011)

LeadershipLeadership

The art of motivating a group of The art of motivating a group of people to achieve a common goalpeople to achieve a common goal

Kings FundKings Fund

Leadership StylesLeadership Styles

The innovative leader – inspire The innovative leader – inspire and communicate a shared and communicate a shared purpose purpose

Tasks of Clinical Tasks of Clinical LeadershipLeadership

1.1. Setting local goalsSetting local goals

2.2. Adjusting local operating Adjusting local operating systemssystems

3.3. Control performanceControl performance

4.4. Improve performanceImprove performance

Leadership StylesLeadership Styles

The encouraging leader – protect The encouraging leader – protect morale and encourage othersmorale and encourage others

The enabling leader – help others The enabling leader – help others to deliverto deliver

Contented cows give better milk!Contented cows give better milk!Bill Catlette & Richard HaddenBill Catlette & Richard Hadden

A cow with a name A cow with a name produces more milk produces more milk than one without than one without (Newcastle University, (Newcastle University, Douglas & Rowlinson)Douglas & Rowlinson)

……and treating her and treating her as an individualas an individual

……increases annual increases annual milk yield by ~500 milk yield by ~500 pintspints

Leadership StylesLeadership Styles

The courageous leader – stand The courageous leader – stand up, speak out and do what is up, speak out and do what is right right

Levels of LeadershipLevels of Leadership

PositionPosition – people follow because they – people follow because they have tohave to

RelationshipsRelationships - people follow because - people follow because they like youthey like you

RespectRespect - people follow because of - people follow because of what you representwhat you represent

Leadership Leadership should be should be founded on founded on integrity and integrity and moral valuesmoral values

Be yourselfBe yourself

Who are They?Who are They?

ACP-360ACP-360

15 Questions of Patients15 Questions of Patients 6 Ratings6 Ratings

1 – Very low1 – Very low

2 – Low2 – Low

3 – Moderately Low3 – Moderately Low

4 – Moderately High4 – Moderately High

5 – High5 – High

6 – Very High6 – Very High

Patient FeedbackPatient Feedback

ACP-360ACP-360

Service User RatingService User Rating

Friendly & easy to approachFriendly & easy to approach 5.35.3

Listens wellListens well 5.35.3

Provides useful informationProvides useful information 5.15.1

Warm, genuine & understandingWarm, genuine & understanding 5.35.3

Shows respect for meShows respect for me 5.35.3

Always values my opinionAlways values my opinion 5.15.1

Remains calm under pressureRemains calm under pressure 5.15.1

1,457 Psychiatrists, 31,357 Patients. Average Score 5.21,457 Psychiatrists, 31,357 Patients. Average Score 5.2

Clinical Effectiveness: Clinical Effectiveness: How Good are our Treatments?How Good are our Treatments?

Summary of Effect SizesSummary of Effect Sizes

• Psychiatric drugsO General medicine drugs

College LeadershipCollege Leadership

When patients should by seen by When patients should by seen by a psychiatrista psychiatrist

Cost effectiveness and value of a Cost effectiveness and value of a psychiatristpsychiatrist

Number of inpatient bedsNumber of inpatient beds

THANK YOUTHANK YOU

registrar@rcpsych.ac.ukregistrar@rcpsych.ac.uk