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LEADING FOR QUALITY
Leading for Quality

New world leadership …
Delivering Quality Though Leadership
• Implementing leadership policy
  for NHSScotland

• Improve leadership capacity
  and capability

• Based within NHS Education

• Work closely with all Health
  Boards and public sector
  agencies
Model for Leadership Development in
            NHSScotland
                          The broad change context within
                          which leaders in NHSScotland
                          operate sets the scene for
                          leadership development.




                          The challenges of the leadership
                          role (at all levels) comprise:
                          Service objectives, i.e., what
                          leaders are required to do – as
                          set out in local Performance
                          Management (PM) processes.
        Personal
                          Role-specific knowledge and
        qualities         skills, i.e., what leaders need to
         (“being”)        know to do their role – as set out
                          in the Knowledge & Skills
                          Framework (KSF) or Personal
                          Development Plans for senior
                          managers.


                          The leadership qualities and
                          behaviours that are required to
                          deliver the challenges facing
                          leaders in NHSScotland, with
                          personal qualities at the heart.
We are moving from…..to
OLD WORLD                                      NEW WORLD
•   Low complexity slow change         •   High complexity and fast
•   Learning has a long shelf life         change
                                       •   Learning has a short shelf
•   The senior ones are the most           life
    knowledgeable                      •   Knowledge is scattered
•   Somewhere ‘someone’ knows          •   No individual can pretend to
•   Doing more of the same is the          ‘know’
    rule                               •   Innovation is the rule
                                                     I LEAD
•   I MANAGE                           •   I am / we are part of a
•   My team reports to me                  virtual network
•   I have a hierarchical role         •   Influencing is the way
                                           forward
•   I understand what is happening     •   I manage projects
•   I have fixed objectives            •   I cope with ambiguity
•   I manage by fixing things myself   •   I lead teams to fix things
•   I manage from knowledge and        •   I lead without knowledge
    experience                             and experience
Leading Quality Reference Group

• Built on the strong foundations

• Provide linkages between a range of existing clinical &
  non-clinical networks and communities

• Inclusive approach

• Enable a wider alliance of leaders for Quality

• Draw from all partner organisations

• Work collaboratively to achieve our Quality Ambitions &
  realise the 20:20 vision
Leading for Quality

“Successful leadership of healthcare improvement
combines three sets of skills: service specific knowledge,
improvement know-how and change management skills”

Advancing Quality Alliance submission to
The Kings Fund: leadership and engagement for
Improvement in the NHS. Together we can (2012)
Leading for Quality Network
• Maximise synergies across networks

• Identify common objectives and goals

• Lessen duplication and fragmentation

• Support connectivity of QI and leadership alumni

• Support QI and leadership capability to make
  changes and realise the 20:20 vision.
Leading for Quality

          If you want the people
          you lead to perform at
          their peak performance
          you must induce them
          to follow you because
          they want to rather than
          because they have to

          (Deering et al, 2005)
LEADING FOR QUALITY
VISION


                        Leadership




                          Quality    Improvement
           Governance




                        Engagement



To engage and support clinical leaders throughout
    NHSScotland to deliver sustainable quality
Purpose of the Network
• Provide support & additional development for Clinical
  Leaders from different professions, enabling them to grow
  into new and unfamiliar roles and situations

• Connect clinicians and provide ‘space’ to foster innovation,
  creativity and increase the spread and adoption of change
  and improvement

• Help clinicians translate our Quality Ambitions into coherent
  and compelling messages, meaningful actions and
  motivating behaviours as they work to improve outcomes

• Work collaboratively to support those within the NHS,
  local and national government, and Voluntary Sector to
  use leadership synergy in order to design, deliver and
  sustain high quality services and support
Scottish Clinical Leadership Network
       What is its Purpose?                                    Who is it for?
 To engage and support Clinical Leaders throughout      The Network is inclusive not exclusive to engage
 NHS Scotland to deliver sustainable quality            connect clinicians and clinical communities at both local
                                                        and national levels.
  Benefits of Network                                                   • Area Clinical Forum and other
                                                                          professional leaders
• A broad base of well-informed                                               • Alumni from wide range of
  Clinical Leaders who                                                          leadership programmes
  understand National and                                                         • Salaried and contracted GP's
  Local policy and priorities
                                                                                    • Heads of Clinical Services
• A quick and effective                                                               • Improvement Leaders
  way to identify,
                                                                                        • Clinical Directors
  connect and engage
  clinical leaders                                                                       • SGHD Clinical Leaders
                                                                                          • MCN Leads
                                                Personal
                                                qualities
                                                (“being”)                                Advice and support
  Signposting                                                                            Access to database and
                                                                                         communication tools
  Shared learning

  Peer support                                                                         Dedicated website through
                                                                                       the ‘knowledge network’
  Personal and professional
  leadership development                                                           Communities of practice
                                                                                  Online Resources
                                                                            Mentoring & Action Learning
  National and Local clinical leadership                                    opportunities
  capability for quality improvement                                   Tests of Change: “Leading for Outcomes”
  National clinical leadership capability to            Events & Master classes designed to: develop skills,
  support policy implementation                         influence policy and share best practice
      What can it support?                                     What can members expect?
Scottish Clinical Leadership Network

• Establish the Leading Quality Reference Group

• Identify and develop proposals to link Leadership and
  Quality Improvement Networks

• Network Leaders programme, The Health Foundation

• Developing a dairy of local engagement events – linking
  with Area Clinical Forum Chairs
Scottish Clinical Leadership Network

• Master Class: Leading Quality through Integration

• Test of Change – “Leading for Outcomes”

• Further tests of change planned

• Support the development of local QI and Leadership
  faculties / directory

• Web based support: www.knowledge.scot.nhs.uk/SCLN
Scottish Clinical Leadership Network


Leadership & Quality Improvement
Leadership & Quality Improvement
                    Spectrum



Adaptive Leadership:
                                                  Readiness to lead Quality
Readiness to Lead
                                                  Improvement work
complex change




                Join us at www.knowledge.scot.nhs.uk/SCLN
Leading for Quality

       Discussion

       • How can we link locally?

       • What can the SCLN offer you?

       • What can you contribute to the
         SCLN?
Leading for Quality
Leading for Quality

Table top themes

•   Quality Improvement / Safer Patient Fellow Network
•   Dialogue Practice
•   Delivering for the Future
•   Generation Q: Putting Quality in context:
•   Adaptive Leadership
•   Scottish Clinical Leadership Network: Leading for Quality
    Test of Change
Leading for Quality



Becoming a leader is synonymous with
becoming yourself. Everything a leader does
reflects who he or she is

Bennis (2003)

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Parallel Session 1.3 Leading for Quality

  • 2. Leading for Quality New world leadership …
  • 3. Delivering Quality Though Leadership • Implementing leadership policy for NHSScotland • Improve leadership capacity and capability • Based within NHS Education • Work closely with all Health Boards and public sector agencies
  • 4. Model for Leadership Development in NHSScotland The broad change context within which leaders in NHSScotland operate sets the scene for leadership development. The challenges of the leadership role (at all levels) comprise: Service objectives, i.e., what leaders are required to do – as set out in local Performance Management (PM) processes. Personal Role-specific knowledge and qualities skills, i.e., what leaders need to (“being”) know to do their role – as set out in the Knowledge & Skills Framework (KSF) or Personal Development Plans for senior managers. The leadership qualities and behaviours that are required to deliver the challenges facing leaders in NHSScotland, with personal qualities at the heart.
  • 5. We are moving from…..to OLD WORLD NEW WORLD • Low complexity slow change • High complexity and fast • Learning has a long shelf life change • Learning has a short shelf • The senior ones are the most life knowledgeable • Knowledge is scattered • Somewhere ‘someone’ knows • No individual can pretend to • Doing more of the same is the ‘know’ rule • Innovation is the rule I LEAD • I MANAGE • I am / we are part of a • My team reports to me virtual network • I have a hierarchical role • Influencing is the way forward • I understand what is happening • I manage projects • I have fixed objectives • I cope with ambiguity • I manage by fixing things myself • I lead teams to fix things • I manage from knowledge and • I lead without knowledge experience and experience
  • 6. Leading Quality Reference Group • Built on the strong foundations • Provide linkages between a range of existing clinical & non-clinical networks and communities • Inclusive approach • Enable a wider alliance of leaders for Quality • Draw from all partner organisations • Work collaboratively to achieve our Quality Ambitions & realise the 20:20 vision
  • 7. Leading for Quality “Successful leadership of healthcare improvement combines three sets of skills: service specific knowledge, improvement know-how and change management skills” Advancing Quality Alliance submission to The Kings Fund: leadership and engagement for Improvement in the NHS. Together we can (2012)
  • 8. Leading for Quality Network • Maximise synergies across networks • Identify common objectives and goals • Lessen duplication and fragmentation • Support connectivity of QI and leadership alumni • Support QI and leadership capability to make changes and realise the 20:20 vision.
  • 9. Leading for Quality If you want the people you lead to perform at their peak performance you must induce them to follow you because they want to rather than because they have to (Deering et al, 2005)
  • 11. VISION Leadership Quality Improvement Governance Engagement To engage and support clinical leaders throughout NHSScotland to deliver sustainable quality
  • 12. Purpose of the Network • Provide support & additional development for Clinical Leaders from different professions, enabling them to grow into new and unfamiliar roles and situations • Connect clinicians and provide ‘space’ to foster innovation, creativity and increase the spread and adoption of change and improvement • Help clinicians translate our Quality Ambitions into coherent and compelling messages, meaningful actions and motivating behaviours as they work to improve outcomes • Work collaboratively to support those within the NHS, local and national government, and Voluntary Sector to use leadership synergy in order to design, deliver and sustain high quality services and support
  • 13. Scottish Clinical Leadership Network What is its Purpose? Who is it for? To engage and support Clinical Leaders throughout The Network is inclusive not exclusive to engage NHS Scotland to deliver sustainable quality connect clinicians and clinical communities at both local and national levels. Benefits of Network • Area Clinical Forum and other professional leaders • A broad base of well-informed • Alumni from wide range of Clinical Leaders who leadership programmes understand National and • Salaried and contracted GP's Local policy and priorities • Heads of Clinical Services • A quick and effective • Improvement Leaders way to identify, • Clinical Directors connect and engage clinical leaders • SGHD Clinical Leaders • MCN Leads Personal qualities (“being”) Advice and support Signposting Access to database and communication tools Shared learning Peer support Dedicated website through the ‘knowledge network’ Personal and professional leadership development Communities of practice Online Resources Mentoring & Action Learning National and Local clinical leadership opportunities capability for quality improvement Tests of Change: “Leading for Outcomes” National clinical leadership capability to Events & Master classes designed to: develop skills, support policy implementation influence policy and share best practice What can it support? What can members expect?
  • 14. Scottish Clinical Leadership Network • Establish the Leading Quality Reference Group • Identify and develop proposals to link Leadership and Quality Improvement Networks • Network Leaders programme, The Health Foundation • Developing a dairy of local engagement events – linking with Area Clinical Forum Chairs
  • 15. Scottish Clinical Leadership Network • Master Class: Leading Quality through Integration • Test of Change – “Leading for Outcomes” • Further tests of change planned • Support the development of local QI and Leadership faculties / directory • Web based support: www.knowledge.scot.nhs.uk/SCLN
  • 16. Scottish Clinical Leadership Network Leadership & Quality Improvement
  • 17. Leadership & Quality Improvement Spectrum Adaptive Leadership: Readiness to lead Quality Readiness to Lead Improvement work complex change Join us at www.knowledge.scot.nhs.uk/SCLN
  • 18. Leading for Quality Discussion • How can we link locally? • What can the SCLN offer you? • What can you contribute to the SCLN?
  • 20. Leading for Quality Table top themes • Quality Improvement / Safer Patient Fellow Network • Dialogue Practice • Delivering for the Future • Generation Q: Putting Quality in context: • Adaptive Leadership • Scottish Clinical Leadership Network: Leading for Quality Test of Change
  • 21. Leading for Quality Becoming a leader is synonymous with becoming yourself. Everything a leader does reflects who he or she is Bennis (2003)