The case for leadership First and last, think about humanity Everything else is an irrelevance Bertrand Russell
Nov 30, 2014
The case for leadership
First and last, think about humanity Everything else is an irrelevance
Bertrand Russell
The Public Sector Bails out the Private Sector!
Our biggest leadership challenge ever.
Are we up for it?
Leadership is about getting results with and through people.
…no people no results!!
…a lot of managers … trying to solve problems miss the forest for the trees by forgetting to look at their people…
...I think they need to look a little more closely at what it’s like for their people to come to work there every day.
A cow with a name produces more milk than one withoutDouglas & Rowlinson, Newcastle University
…and treating her as an individual
…increases milk yield by 500 pints per year
Some farmers:
• have waterbeds for cows to rest on• play classical music• hire animal chiropractors to give older cows a tune-up
……all to ensure maximum milk output.
Discretionary Effort =
Personal Capability – Minimum Requirement
‘there is an increment of human effort which individuals can apply exclusively at their discretion’
Robert Francis QC 6 Feb 2013
1. Fundamental standards and measures of compliance
2. Statutory requirement for openness, transparency and candour
3. Compassionate, caring, committed nursing
4. Stronger healthcare leadership
Robert Francis 6Feb 2013
The recognition that healthcare management and leadership is, or should be treated as a profession, is important. The concept carries with it a need for members of that profession to commit to a professional code of ethics, conduct and standards relevant to their work, separate from any such commitment they have by reason of other professions. It puts all professionals in the health service on an equal footing………….
Do we Value Medical Leaders & Leadership? • Do we?• As a system?• As a profession?
• Do you value your role?• Do you know your value?• Take it seriously?• Time and resources?• Accountability?
• Is medical leadership a profession?• …and does it matter?
The link between the Management of People & Patient Mortality in Acute Hospitals West M et al. Int J HR Mgt 2002 13:8 1299-1310
Whatever happened to the Boorman Report? £555m savings by reducing sickness absence
HSMR Patient satis50
60
70
80
90
100
110
Trust ATrust D
Absence % Turnover % Agency Spend %
MRSA/100k bed days
0
2
4
6
8
10
12
14
16
18
Trust ATrust D
0.0% 0.5% 1.0% 1.5% 2.0% 2.5% 3.0% 3.5% 4.0% -
5
10
15
20
25
30
35
40
45
R² = 0.259242905838186
Share of Total Management Expenditure on HPL
Per
form
ance
Ran
k M
RSA
Figure 2: Share of total management expenditure on “High Potential Leaders” Programme and Rank of the Trust on MRSA in 2009.
Are Expensive Leadership Development programmes a waste of money?Vaithianathan, Lees, Bate & Hockey
Growth & profitabilityCustomer loyaltyCustomer satisfactionValueProductivityStaff LoyaltyStaff satisfactionInternal qualityLeadership
The service-profit chain at SearsHarvard Business School 1993
How it all fits together?
Leadership
Internal quality
Staff satisfaction and loyalty
Productivity and value
Patient satisfaction and loyalty
Efficiency And
sustainability
Are Expensive Leadership Development programmes a waste of money?Vaithianathan, Lees, Bate & Hockey
Figure 1: Expenditure on HPL courses and management consultants as a share of total management costs
Growing body of evidence
• Leadership saves lives• ….and money• ….no people no results
When I was young I admired clever people. Now that I am old, I admire kind people.
Abraham Joshua Heschel
NHS Staff Management and Health Service Quality Michael West and Jeremy Dawson
By giving staff:• clear direction,• good support and • treating them fairly and • supportively,
…leaders create cultures of engagement, where dedicated NHS staff in turn can give of their best in caring for patients.
The analysis of the data shows this can be achieved by: • Focusing on the quality of patient care • Ensuring that all staff and their teams have clear objectives • Supporting staff via enlightened HRM e.g:
• effective appraisal• high quality training
• Creating positive work climates • Building trust • Ensuring team working is effective
High quality, improving patient care, effective financial performance.
NHS Staff Management and Health Service Quality Michael West and Jeremy Dawson