Third annual NHS leadership and management summit

Date: 
Venue:  The King's Fund

About this event

About this event

This third annual NHS leadership and management summit built on the themes and findings of previous reports and showcased the very best of leadership and change management that currently exists within the NHS and internationally. It provided the opportunity to continue the debate on the leadership implications of the Francis Inquiry and importantly what we really mean by leadership for quality.

You can read the related report: Patient-centred leadership: rediscovering our purpose, see the tweets from the day and browse our Pinterest board for photos from the day.

Highlights from our leadership event

Jeremy Hunt MP: primary care and the role of the GP and his views on leadership

With a focus on primary and community care, the Secretary of State for Health called for a return to the idea of the family doctor, who would be a 'champion for their patient for their patients rather than simply a gateway to “the system”'.

Watch Jeremy Hunt's keynote speech

In our exclusive interview with the Secretary of State for Health, Rt Hon Jeremy Hunt MP, we hear his views on patient-centred leadership and improving the quality of care in the NHS.

Watch our interview with Jeremy Hunt on patient-centred leadership

Nicola Hartley: patient-centred leadership

The King's Fund's Director of Leadership summarises the findings of our third report on leadership in the NHS, Patient-centred leadership: rediscovering our purpose.

Listen to Nicola Hartley's introduction

Havi Carel: the role of the patient in improving quality

Havi CarelHavi Carel, Senior Lecturer in Philosophy, University of Bristol, and a patient, gives a philosophical perspective on patients and improving the quality of care at The King's Fund's NHS Leadership Summit 2013.

Watch Havi Carel's presentation and listen to it in full

Julie Bailey: a carer's perspective on leadership in the NHS

Julie BaileyJulie Bailey, Founder, Cure the NHS, gave a poignant speech at The King's Fund's NHS Leadership Summit 2013. She called on the audience to never let the failings at Mid Staffordshire happen again and to ensure that health care leaders listen to the voices of the patients and their carers.

Watch Julie Bailey's presentation

Jocelyn Cornwell: how can organisations support patients to lead quality improvement?

Jocelyn Cornwell drew on her experience of the Point of Care Programme and examples from other organisations, including Kingston General Hospital in Canada, to prove why we should involve patients and carers in quality improvements.

Listen to Jocelyn Cornwell's presentation

Jeanette Ives Erickson: influencing professional nursing practice

Jeanette Ives EricksonThe Senior Vice President for Patient Care and Chief Nurse, Massachusetts General Hospital and Instructor, Harvard Medical School, articulates the importance of a structure for clearly understanding fundamental standards that are accepted and embraced by both the public and health care professionals.

Listen to Jeanette Ives Erickson's presentation

Stephen Welfare: putting clinical leadership at the heart of quality improvement

Stephen WelfareStephen Welfare, Managing Director of Health, Education East of England, talks about attempts to develop leadership capability in clinical and managerial leaders, to transform care for people with long-term conditions.

Listen to Stephen Welfare's presentation

Programme

Programme

Breakfast workshop

Making clinical leadership work: Enabling clinicians to deliver better health outcomes
This workshop will be delivered by the summit sponsors Hay Group. Find out more on the workshops tab above.

Session one: Leadership for quality and improvement

Welcome and introduction
Nigel Edwards, Senior Fellow, Policy and Leadership Development, The King's Fund

Summary of The King's Fund's third annual review of leadership in the NHS
Nicola Hartley, Director of Leadership, The King's Fund

Response to the review of leadership in the NHS

  • Dean Royles, Chief Executive, NHS Employers
  • Jan Sobieraj, Managing Director, NHS Leadership Academy
  • Ailsa Bosworth, Chief Executive, National Rheumatoid Arthritis Society, and Joint Chair, Rheumatology Futures Group Project
  • Dr Linda Patterson, Clincial Vice President, Royal College of Physicians

Session two: Enhancing quality through better leadership

Delegates will have the choice of attending plenary A or B.

A: Enabling clinical leadership

Vijaya Nath, Assistant Director, Leadership Development, The King's Fund

  • Influencing professional nursing practice
    Jeanette Ives Erickson, Chief Nurse and Senior Vice President for Patient Care Services, Massachusetts General Hospital and Instructor, Harvard Medical School
  • Putting clinical leadership at the heart of quality improvement
    Professor Ian Cumming OBE, Chief Executive, Health Education England
  • Questions and discussion

B: Leadership for culture change

Welcome back
Katy Steward, Assistant Director, Leadership Development, The King's Fund

  • Why values, culture and professionalism matter for quality improvement
    Sir Donald Irvine, Chairman, Picker Institute Europe, past President, General Medical Council and Vice President, The Patients Assocaition
  • What we know about the impact of culture on staff and patient experience
    Professor Jill Maben, Director, National Nursing Research Unit, King’s College London 
  • Questions and discussion

Lunchtime workshop

The development of RFID to improve patient safety and quality in the operating theatre
Mark Capel, IT Director, Synergy Health
This workshop will be delivered by the summit sponsors Synergy Health.

Session three: How patients can support quality improvement

Welcome back
Professor David Haslam, CBE, Chair, NICE

The leadership challenge for the NHS: a carer's view
Julie Bailey, Founder, Cure the NHS

Role of the patient in improving quality
Havi Carel, Patient, Senior Lecturer in Philosophy, University of Bristol and Author of the book Illness

How can organisations support patients to lead quality improvement?
Dr Jocelyn Cornwell, Director, Point of Care Foundation and Senior Fellow, The King's Fund

Questions and discussion

Session four: Thought leadership

Delegates will have the choice to attend one of the following streams. Each stream will explore a different theme of leadership in the NHS in more detail. Find out more information on the workshops tab above.

A. Clinical leaders: leaders on the front line
Facilitated by Liz Saunders, Senior Consultant, Leadership Development, The King's Fund

Judy Taylor, Senior Consultant, Leadership Development, The King's Fund

B. Leading beyond governance: a case study
Facilitated by Katy Steward, Assistant Director, Leadership Development, The King's Fund

Professor David Welbourn, Deputy Director, Centre for Health Enterprise and Visiting Professor in Health Systems Management, Cass Business School

C. The voluntary sector and volunteering: engaging communities and improving patient experience
Facilitated by Lisa Weaks, Third Sector Programme Manager, The King's Fund

David Naylor, Associate, Leadership Development, The King's Fund

D. Creating culture change in organisations
Facilitated by Belinda Weir, Senior Consultant, Leadership Development, and Matthew Rice, Senior Consultant, Leadership Development, The King's Fund

E. Systems leadership: harnessing the power of a distributed leadership approach
Facilitated by Sarah Goodson, Senior Consultant, Leadership Development, The King's Fund

David Fillingham CBE, Chief Executive, AQuA and Visiting Senior Fellow, The King's Fund

F. Medical leadership, the 'unspoken culture': lessons post-Francis
Facilitated by Vijaya Nath, Assistant Director, Leadership, The King's Fund

Session five: Leadership for high-performance

Welcome back
Nicola Hartley, Director, Leadership Development, The King's Fund

Keynote address
Rt Hon Jeremy Hunt MP, Secretary of State for Health

Panel discussion: what kind of leadership is required going forward from Francis?

  • Professor Richard Bohmer, International Visiting Fellow, The King's Fund
  • David Gilbert, Co-Director, Centre for Patient Leadership
  • Dame Jacqueline Docherty DBE, Chief Executive, West Middlesex University Hospital NHS Trust

Closing comments
Nicola Hartley, Director of Leadership, The King's Fund

Close of summit

Drinks reception

Workshops

Breakfast workshop

Making clinical leadership work: Enabling clinicians to deliver better health outcomes

NHS reforms position leadership by doctors as one of the main enablers for change. The ambition is to develop genuinely clinically-led organisations.  However, putting new clinical leadership roles and structures in practice can be challenging. Not only do they require doctors to step into bigger and broader roles than ever before, but they challenge organisations to re-think established ways of working.

In this one-hour seminar, Hay Group draws on experience of working with hundreds of clinical leaders and their organisations to provide some practical insights into what's really important in getting clinical leadership working including:

  • how you can create doable clinical leadership roles that get the best from your leaders
  • which leadership styles and behaviours support the best clinical leaders to be successful and where to focus development activity
  • common pitfalls and issues to pay attention to if you are to develop a genuinely clinically-led organisation.

This will be an interactive session that combines insights with the opportunity to raise questions and explore issues with peers.

This workshop will be delivered by the summit sponsors Hay Group.

Making clinical leadership work: Enabling clinicians to deliver better health outcomes

Lunchtime workshop

The development of RFID to improve patient safety and quality in the operating theatre

Mark Capel, IT Director, Synergy Health

This workshop will be delivered by the summit sponsors Synergy Health.

The development of RFID to improve patient safety and quality in the operating theatre

Session four breakouts on thought leadership

A: Clinical leaders: leaders on the front line

Facilitated by: Liz Saunders, Senior Consultant, Leadership Development, The King's Fund

This workshop will draw on the expertise of delegates and use an 'open space' methodology to help unearth ideas, questions and solutions around harnessing the energy and capacity of frontline clinical leaders. Delegates attending this workshop can expect to share their views, learn from others and learn a new technique for working with groups in their organisations.

B: Leading beyond governance: a case study

Facilitated by: Katy Steward, Assistant Director, Leadership Development, The King's Fund and Professor David Welbourn, Deputy Director, Centre for Health Enterprise, Visiting Professor in Health Systems Management, Cass Business School

'Is Mid-Staffs simply a failure of governance or was there also a failure by the board of leadership?'

To answer this in anything other than a trite way, we need to lift the lid of both leadership and governance to get to the heart of what really counts. We can treat governance and leadership as the chicken and the egg, and wrap ourselves in knots. Or we can explore what can be achieved through effective governance, and ask how strong leadership contributes to safe and high-quality outcomes.

This session explores the complex relationship between these two board-level functions. 

The board failed to fulfil its statutory duty and this session explores what can be learnt about risk management in the light of the Robert Francis inquiry, using a case study. We will invite you to reflect on how boards can assure themselves that there is a culture of care on and behind the front line of their organisations, and to think about the potential for the board to shape culture. Boards, wittingly or otherwise, fulfil a leadership role: setting the tone for what matters through the objectives set for their organisation and the discussions they have.

Topics of risk management, governance and leadership are each vulnerable to become so process-focused that the board becomes anaesthetised to what really counts. Just how can boards deploy these important tools in a vibrant, energising way that reinforces the right culture for safe, high-quality, compassionate care?

This workshop is designed to give participants the opportunity to reflect on risk management, how boards can shape culture, and their own leadership behaviours.

C: The voluntary sector and volunteering – engaging communities and improving patient experience

Facilitated by Lisa Weaks, Third Sector Programme Manager, The King's Fund
Dr David Naylor, Associate, The King's Fund

An estimated three million people volunteer in health and social care, adding significant value to the workforce of paid professionals. Volunteers can play a key role in improving patient experience, building stronger relationships between services and communities, and providing care in a way that improves quality and is compassionate. The voluntary and community sector hosts many of the volunteers and also has an important role in engaging local communities and representing patients.
 
There are huge opportunities for volunteers and the voluntary sector to help transform health and social care services and bring about real improvements for patients and the wider public. However many opportunities are missed and at a time of constraint it is right to consider what leaders in the health and social care system can do to work effectively with volunteers and communities.
 
This workshop will look at the role of volunteers and community organisations and examine recent research by The King's Fund into volunteering. Then by drawing on The King's Fund's work with community-based leaders, explore what is now required from leaders to maximise impact.

D: Creating culture change in organisations: sharing experience, exploring the territory

Facilitated by Belinda Weir, Senior Consultant, Leadership Development, The King's Fund and Matthew Rice, Senior Consultant, Leadership Development, The King's Fund

If changing cultures in organisations is challenging, one reason is that there is no well-defined route map to success, no clear set of directions and sometimes a sense that we are entering uncharted territory. Still, there are examples, both in and outside the health sector, of leaders who have implemented successful change programmes to move their organisations towards healthier cultures, and there is real value in hearing their stories, investigating their approaches and asking 'could it work here?'

This workshop does not offer answers to leaders exploring the conundrum of culture change. It will encourage you to ask questions, to be curious and to share your own experiences as leaders in changing cultures.

We hope that the work we do in this session will help us to begin to map some of the important staging posts on the road to cultural shift.

E: Systems leadership: harnessing the power of a distributed leadership approach

Facilitated by Sarah Goodson, Senior Consultant, Leadership Development, The King's Fund, and David Fillingham CBE, Visiting Fellow, The King's Fund

In 2011 The King's Fund's report, 'The future of leadership and management in the NHS: No more heroes' had systems/distributed leadership as a key recommendation:

'The NHS needs leadership and management, not just from the board to the ward – essential and central though that is – but across NHS boundaries into social care, local government, the voluntary sector and the wide variety of other agencies with which it interacts and without whose co-operation it will not achieve its primary objectives.'

In this session we will take stock of systems/distributed leadership exploring:

  • the behaviours needed by system leaders
  • the key ingredients needed to enable CEOs across health and social care to work successfully as a system
  • the benefits of this approach to improving health, improving quality and ensuring best use of resources.

We will hear from examples of best practice in the North West and explore opportunities to expand this approach in an interactive workshop.

F: Medical leadership, 'the unspoken culture': lessons post-Francis

Facilitated by Vijaya Nath, Assistant Director, Leadership, The King's Fund

This workshop focuses on the future post-Francis, particularly for the medical workforce and doctors at all levels in primary and secondary care. It will examine the findings from our recent stakeholder event, which featured contributions from more than 60 participants, including emerging clinical fellows, consultants, clinical directors, GPs and medical directors from all over the United Kingdom and Northern Ireland.

The workshop will give you the opportunity to explore these findings and understand the future developmental needs for medical leaders post-Francis.

Presentations

Presentations from this event

You can download presentations from this event below:

Session one: Leadership for quality and improvement

Nicola Hartley: Summary of The King's Fund Third Annual Review of Leadership in the NHS

Session two: Enhancing quality through better leadership

Stream A: Enabling clinical leadership

Jeanette Ives Erickson: Influencing professional nursing practice

Stephen Welfare: Putting clinical leadership at the heart of quality improvement

Stream B: Leadership for culture change

Sir Donald Irvine: Why values, culture and professionalism matter for quality improvement

Prof Jill Maben: What we know about the impact of culture on staff and patient experience

Session three: How patients can support quality improvement

Julie Bailey: The leadership challenge for the NHS: a carer's view

Dr Jocelyn Cornwell: How can organisations support patients to lead quality improvement?

Session four: Thought leadership

Stream A: Clinical Leaders: leaders on the frontline

Liz Saunders and Judy Taylor: Clinical leaders: leaders on the frontline

Stream B: Leading beyond governance: a case study

Katy Steward and David Welbourn: Leading beyond governance: a case study

Stream C: The voluntary sector and volunteering: engaging communities and improving patient experience

Lisa Weaks and David Naylor: The voluntary sector and volunteering: engaging communities and improving patient experience

Stream E: Systems leadership: harnessing the power of a distributed leadership approach

Sarah Goodson and David Fillingham CBE: Systems leadership: harnessing the power of a distributed leadership approach

Stream F: Medical leadership and the unspoken culture: lessons post-Francis

Vijaya Nath: Medical leadership and the unspoken culture: lessons post-Francis

Posters

Posters from this event

You can download posters from this event below:

Aileen Fraser: Improving care for older people with complex needs (poster)

Aileen Fraser: Improving care for older people with complex needs (presentation)

Dr Alice Mills: Specialist home treatment for older adults with mental health problems (poster)

Dr Alice Mills: Specialist home treatment for older adults with mental health problems (presentation)

Arpita Ray: Outpatient induction - ambulatory obstetrics (poster)

Arpita Ray: Outpatient induction - ambulatory obstetrics (presentation)

Asad Malik: Evidence-based and cost-effective prescribing (poster)

Asad Malik: Evidence-based and cost-effective prescribing (presentation)

Baljit Wilkhu: Implementing developmentally friendly practices within neonatal services (poster)


Baljit Wilkhu: Implementing developmentally friendly practices within neonatal services (presentation)

Chris Panos: Eye casualty redesign: A clinical leadership fellowship project (poster)

Chris Panos: Eye casualty redesign: A clinical leadership fellowship project (presentation)

Clare Rees: Scissors that cut: Improving quality of instruments to ensure safe surgery for children (poster)

Clare Rees: Scissors that cut: Improving quality of instruments to ensure safe surgery for children (presentation)

Gabrielle Fisher and Ania Dean: A project to improve communication between patients and health care professionals (poster)

Gabrielle Fisher and Ania Dean: A project to improve communication between patients and health care professionals (presentation)

Dr Ian Welton and Bharat Khokrai: Improving communication between ward and community teams (poster)

Dr Ian Welton and Bharat Khokrai: Improving communication between ward and community teams (presentation)

Jenny Paris and David Milne: Reducing delays to discharging patients from the acute medical unit (poster)

Jenny Paris and David Milne: Reducing delays to discharging patients from the acute medical unit (presentation)

Kirsty Baxter and Maria Reza: Improving the inpatient multidisciplinary record (poster)

Kirsty Baxter and Maria Reza: Improving the inpatient multidisciplinary record (presentation)

Lauren Huckerby: Improving financial and clinical coding awareness amongst doctors (poster)

Lauren Huckerby: Improving financial and clinical coding awareness amongst doctors (presentation)

Dr Leigh Poyser: Closing the feedback loop: To support patient-focused improvements (poster)

Dr Leigh Poyser: Closing the feedback loop: To support patient-focused improvements (presentation)

Dr Matt Stammers: Attempting culture change: Oxygen Awareness Project 2013 (poster)

Dr Matt Stammers: Attempting culture change: Oxygen Awareness Project 2013 (presentation)

Zoe Marjoram and Mehreen Tahir: Introducing scrubs to an A&E department (poster)

Zoe Marjoram and Mehreen Tahir: Introducing scrubs to an A&E department (presentation)

Rachel Armstrong and Stephen Wilson: Service-line reporting in fetal medicine (poster)

Rachel Armstrong and Stephen Wilson: Service-line reporting in fetal medicine (presentation)

Rebecca Minton: Why mental health matters for physical health: Improving access to psychological therapies for patients with long-term physical conditions (poster)

Rebecca Minton: Why mental health matters for physical health: Improving access to psychological therapies for patients with long-term physical conditions (presentation)

Sally Greensmith: Physiotherapy Outpatient Efficiency: a project that reduced DNAs by 47.7% (poster)

Sally Greensmith: Physiotherapy Outpatient Efficiency: a project that reduced DNAs by 47.7% (presentation)

Dr Sarah de Freitas: Novel automated acute kidney injury alerts (poster)

Dr Sarah de Freitas: Novel automated acute kidney injury alerts (presentation)

Dr Sashikala Umapathy: 'Learning & sharing’ multidisciplinary teaching session (poster)

Dr Sashikala Umapathy: Learning & sharing’ multidisciplinary teaching session (presentation)

Dr Sashikala Umapathy: Implementation of central CTG monitoring & Intra-partum Electronic Record (K2MS – Guardian) (poster)

Dr Sashikala Umapathy: Implementation of Central CTG monitoring & Intra-partum Electronic Record (K2MS – Guardian) (presentation)

Sharlene Daly: Improving the pathway for those who access maternity care at Barking Havering & Redbridge University Trust (BHRUT): A Clinical Leadership Fellowship Project (poster)

Sharlene Daly: Improving the pathway for those who access maternity care at Barking Havering & Redbridge University Trust (BHRUT): A Clinical Leadership Fellowship Project (poster)

Dr Tejumola Olaoye and Lucy Watson: Service improvement in a district general hospital emergency department (poster)

Dr Tejumola Olaoye and Lucy Watson: Service Improvement in a district general hospital emergency department (presentation)