This report explores findings from the Francis Inquiry about failings of care at Mid Staffordshire NHS Foundation Trust regarding NHS leadership and culture. It discusses what steps might help to avoid comparable failures in future, and looks into three lines of defence against poor-quality care:
- Frontline clinical teams
- The boards leading NHS organisations.
- The national organisations responsible for overseeing commissioning, regulation and the provision of care.
This report draws on a survey of NHS professionals. This survey was carried out in partnership with the Faculty of Medical, Leadership and Management; Managers in Partnership; the NHS Confederation; NHS Professionals; the Royal College of General Practitioners; the Royal College of Midwives; the Royal College of Nursing; and the Royal College of Physicians.
According to this survey on patient-centred leadership, almost three-quarters of NHS professionals do not think that quality of care in the NHS is given enough priority, and 40% of respondents think the quality of leadership in the NHS is poor or very poor. The biggest barriers to increasing quality of care are reported to be “time and / or resources”, followed by “organisational culture”. The report recommends a transformation of NHS systems, leadership and culture.
The main section headings in this report comprise:
- Key messages.
- The Francis Inquiry: diagnosis and prescription.
- What went wrong?
- How can it be put right?
- Did Francis get it right?
- Leading the NHS.
- Leading NHS organisations.
- How should boards lead?
- Leading clinical teams.
- Doctors as clinical leaders.
- Nurses as clinical leaders.
- Leadership for culture change.
- The culture of the NHS.
- Leadership by patients.
- How can patients lead?
- Patient leaders in action.
- Implications for organisational and leadership development.
- Changing the leadership concept.
- The approach needed in the NHS.
- Teams, boards and national leaders.
- Appendix: The King’s Fund Leadership Survey 2013
Hartley, N. and Ham, C. (2013). Patient-centred leadership: Rediscovering our purpose May 2013. London: The King’s Fund, May 2013.
[A brief reference to this item features in Dementia and Elderly Care: the Latest Evidence Newsletter (RWNHST), Volume 3 Issue 9, August 2013].
Possibly also of interest:
Leadership: what’s in a word? – Jane Cummings, Chief Nursing Officer England. London [Online]: NHS England, December 24th 2014.
Note: There is a selected list of further recent influential leadership models and approaches.