The King’s Fund recently released a paper on “Developing collective leadership for health care” with the Center for Creative Leadership. This discusses the role of leadership in developing “caring cultures”, and argues for collective leadership (as opposed to top-down command-and-control structures). Collective (decentralised, “devolved”) leadership entails “distributing and allocating leadership power to wherever expertise, capability and motivation sit within organisations”. An accompanying set of results from a survey of NHS managers and clinicians was published at the same time.
West, M. Eckert, R. Steward, K. [and] Pasmore, B. (2014). Developing collective leadership for health care. London: The King’s Fund and Center for Creative Leadership, May 2014.
The King’s Fund 2014 survey:
Culture and leadership in the NHS: the King’s Fund survey 2014. London: The King’s Fund, May 2014.
Monitor’s Model: What Good Leadership (Governance) Looks Like
Taking a different (regulatory) approach, Monitor, the Care Quality Commission (CQC) and NHS Trust Development Authority (NHS TDA) have reported their shared commitment to developing a common framework for assessing the leadership within NHS providers. This framework is intended to ensure a more consistent approach, forming the basis of their regulatory judgements.
Monitor commits to a single view of what good leadership looks like. London: Monitor, the Care Quality Commission and NHS Trust Development Authority, May 20th 2014.
Monitor has published guidance for NHS foundation trust boards about how to assess the quality of their leadership:
Well-led NHS foundation trusts: a framework for structuring governance reviews. London: Monitor, the Care Quality Commission and NHS Trust Development Authority, May 20th 2014.
This relates to the following documents:
Well-led framework for governance reviews. London: Monitor, the Care Quality Commission and NHS Trust Development Authority, May 20th 2014.
Well-led framework: questions and good practice examples. London: Monitor, the Care Quality Commission and NHS Trust Development Authority, May 20th 2014.
How Monitor, the Care Quality Commission and the NHS Trust Development Authority will work together to assess how well led organisations are. London: Monitor, the Care Quality Commission and NHS Trust Development Authority, May 20th 2014.
Background: More on Governance…
In April 2014, Monitor released their updated “Risk assessment framework”. This is Monitor’s framework for ensuring NHS foundation trusts are run well and can provide good quality sustainable services for patients. (It replaced the Compliance framework, earlier in 2013).
Monitor’s risk assessment framework (RAF). London: Monitor, April 1st 2014.
This relates to:
Risk assessment framework: published August 2013. Appendix C only updated April 2014. London: Monitor, March / April 2014.
Note: There is a selected list of further recent influential leadership models and approaches.
A Novel Analogy From NHS Networks
An unexpected (deliberately playful) leadership analogy manages to encompass and transcend all of the above, with a light touch:
Patterson J. (2014). The joy of governance. London [Online]: NHSNetworks, May 23rd 2014.