Paul W Long & Peter Spurgeon 28 August 2013. This work was undertaken on behalf of the NHS Institute...

Embedding leadership into professional, education and regulatory standards

Paul W Long & Peter Spurgeon28 August 2013

AcknowledgementsThis work was undertaken on behalf of the NHS Institute of Innovation and Improvement, the Department of Health and the NHS Leadership Academy

Sue Mortlock

Sue Balderson

Tracy Lonetto

Sabhia Sheikh

Jeremy Crabb

Pippa Cronk

Paul W Long Consulting

Medicine – systematically addresses policy, regulation, education andtraining and workforce development

Non medical – not as clear cut

Complex environment – public and private sector

Multiple clinical professions at varying degrees of development

No universal approach to education and training

Multiple regulators

No national or coordinated policy approach common across professions

Clinicians at the frontline frustrated with ever-changing environment and demands from the top they do better without help or support to do so

Context


Strategic ContextHealth and Social Care Bill

Health Education England

Education Outcomes Framework

NHS Leadership Academy

NHS England

Commissioning bodies

National HCS Leadership Strategy


Evolution


Leadership Qualities Framework

•Fifteen qualities, arranged in three clusters

•Each quality defined at levels that identify both effective and outstanding leaders

•The highest levels relate to the expected behaviours demonstrated by outstanding chief executives within the NHS

•Launched in 2002

MLCF


Medical Leadership Competency Framework– Jointly developed by Academy of Medical

Royal Colleges and NHS Institute

– First in use in 2008 now with 2 further ed.

– Describes leadership competences for doctors

– Applies to all medical students and doctors

– Being used to inform formal education and training curricula

– Being progressively embedded into regulation


WorkplaceNHS

GP consortiaPrivate practice & High

streetPrivate hospitals

Management Training Scheme

KSFHR National Framework

Nursing careers framework

LeAD

Vocational and work place training

Organisational development

Inclusion, Emerging leaders, Board development

Specialist frameworks eg CCF

ProfessionsSocieties, Colleges

SIGs,

Standards, curricula

CPD, revalidation

P O

L I C

YLe

gisla

tion

LQF

MLCF

2010

RegulationStandards of practice & for education and

training

Undergraduate, postgraduate Curricula,

and continuing professional development

E-learning

Aim and objectives


Phase One• Develop a generic ‘clinical’ competency framework which related to all

clinical professions• Consultation and interviews with individuals within the profession bodies

and frontline clinicians - using semi-structured questions, to gather data to inform the position of each clinical profession, as well as, the overall findings.

• Review of documentation – the project team reviewed curricula guidance, standards and frameworks relating to education and training, learning and development activity as well as performance assessment tools

Phase two• Develop a Leadership Framework which is applicable to all the workforce• Products and tools to support adoption

Timeframes


Phase One – February 2010 – July 2010• Develop a generic ‘clinical’ competency framework which related to all

clinical professions• Consultation and interviews with individuals within the profession bodies

and frontline clinicians - using semi-structured questions, to gather data to inform the position of each clinical profession, as well as, the overall findings.

• Review of documentation – the project team reviewed curricula guidance, standards and frameworks relating to education and training, learning and development activity as well as performance assessment tools

Phase two – August 2010 – June 2011• Develop a Leadership Framework which is applicable to all the workforce• Products and tools to support adoption

Timeframes


Phase One – February 2010 – July 2010• Develop a generic ‘clinical’ competency framework which related to all

clinical professions

Phase two – August 2010 – June 2011• Develop a Leadership Framework which is applicable to all the workforce• Products and tools to support adoption

Phase three – July 2011 – March 2012• Campaign to promote adoption, usage and embedding

Clinical Professions in consultation


• Nursing and midwifery• Arts therapists – art, drama, music• Healthcare scientists• Chiropodist/podiatrists• Dietitians• Occupational therapists• Operating department practitioners• Orthoptists• Paramedics

• Physiotherapists• Prosthetists/orthotists• Radiographers• Speech and language therapists• Practitioner Psychologists• Dentists• Pharmacists• Opticians

• Plus exploratory discussions with social workers


LF journey• The NHS LF combines the Leadership Qualities Framework (LQF)

(developed in 2002, specifically for senior leaders within the NHS), the Medical Leadership Competency Framework (MLCF)/Clinical Leadership Competency Framework (CLCF)

LQF MLCF/CLCF NHS Leadership

LQF MLCF/CLCF LF

Embedding

CLCF – LEADERSHIP

Capability

Education

Profession

Regulation

WorkforceThe System

Embedding the Leadership Framework

Supporting products and resources


For Individuals

Online 360° diagnostic: Over 800 users registered, 391 of which are clinicians. Planned that 675 Midwives from NHS North West will undertake the 360° as part of a leadership programme.

Self Assessment tools: Over 17,000 downloads. Being used in a number of courses and programmes to help students/participants assess their leadership skills prior to commencement, and often re-assessing at completion. Versions freely available for clinicians, doctors and wider workforce.

Leadership Development Module: Freely available, particularly useful after undergoing 360° or self assessment as signposts specific activities to help develop against particular elements of the framework.

LeAD (e-learning modules): Freely available, targeted e-learning for doctors and clinicians.

Case studies: A range now available, including how individuals as well as organisations are using the CLCF/LF to inform their work.

For Organisations

Organisational Toolkit

For 360° Facilitators

E-learning training & materials

For further information, please visit www.nhsleadership.org.uk/framework.asp

Results

Successfully gained agreement from all the stakeholders on the LF Created the Leadership Framework and clinical versions

The LF was launched by the SoS in July 2011

First time in the UK that there is a common and consistent standard of leadership

The framework, tools and resources are widely available in the UK and there is a high level of awareness and excellent examples of adoption


Embedding

CLCF – LEADERSHIP

Capability

Education

Profession

Regulation

WorkforceThe System

Embedding the Leadership Framework

448,000 visits60,000 360

Embedding

CLCF – LEADERSHIP

Capability

Education

Profession

Regulation

WorkforceThe System

Embedding the Leadership Framework NMC pre-reg

HCPC statement

448,000 visits60,000 360

Embedding

CLCF – LEADERSHIP

Capability

Education

Profession

Regulation

WorkforceThe System


HCPC statement

448,000 visits60,000 360

Nursing, Pharmacy, BPS

and more

Embedding

CLCF – LEADERSHIP

Capability

Education

Profession

Regulation

WorkforceThe System


HCPC statement

448,000 visits60,000 360

Council of Deans and EOF


and more

Embedding

CLCF – LEADERSHIP

Capability

Education

Profession

Regulation

WorkforceThe System


HCPC statement

448,000 visits60,000 360

NHS Leadership Academy and

FMLM

Council of Deans and EOF


and more


WorkplaceNHS

GP consortiaPrivate practice & High

streetPrivate hospitals

Management Training Scheme

KSFHR National Framework

Nursing careers framework

LeAD





ProfessionsSocieties, Colleges

SIGs,

Standards, curricula

CPD, revalidation

P O

L I C

YLe

gisla

tion

LQF

MLCF

2010


training

Undergraduate, postgraduate Curricula,


E-learning

Education


Workplace

ProfessionsSocieties, CollegesSIGs, Standards,

curriculaCPD, revalidation

Undergraduate, postgraduate curricula,


E-learning

NHS LF(CLCF* & MLCF)

Current (2013)






training

NHS GP consortia

Private practice & High street

Private hospitals Management Training

schemeKSF

HR National FrameworkNursing careers

frameworkLeAD

Em

beddin

g

Usa

ge

Education

Lessons for Australia


Sustainability and custodianship

Wide range of supporting products and tools to support embedding

Continuous engagement with education sector, the professions and the regulators

Combined with campaign to get early wins and build evidence of usage

Paul W Long & Peter Spurgeon 28 August 2013. This work was undertaken on behalf of the NHS Institute...

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