Comment

07.12.16

Change the climate

Source: NHE Nov/Dec 16

Jill DeBene, CEO of the Institute of Healthcare Management (IHM), argues that there needs to be radical change to the climate in the NHS to encourage future leaders to take up top-level positions.

Earlier this year, the IHM published a report which looked at the pressures health and care leaders face and the impact this is having on the leadership crisis in UK healthcare. Currently, 30% of trusts experience vacancies for key board-level leaders and the average tenure of an NHS chief executive officer is just two and a half years. 

With health and care leaders under constant pressure to do more with less, to give more of themselves while their resources decrease and all of this while being held under the microscope of intense political and media scrutiny, it’s no surprise that fewer people want to take on this challenge. 

The current challenges and need for change 

Previous research into this area had mainly focused on the current generation of leaders and managers. As a result, our ‘Building Future Leaders’ report looked solely at the impact the current healthcare climate is having on the trainees, early- and mid-level managers. The report set out to understand what these future leaders were thinking and feeling, and to gauge whether this next generation is ready and willing to take on the leadership challenge. 

Our research found that 74% of the managers questioned were either unsure or definitely did not aspire to hold an executive board-level position. The main reason given was that the respondents felt that the demands placed on healthcare service delivery, with current available resources, was grossly unrealistic. This suggests that the top-level jobs are simply seen as too challenging in the current climate to be attractive to many managers. 

Our findings also showed that 53% of people in our survey felt that managing change was a key developmental area for them, with just over two-fifths specifically citing managing integration and new models of care as something that they do not have the skills or confidence to do. This suggests that even if the future leaders did want to take on the challenge, they need support to develop the right skillset and build their confidence, but also need current leaders to help create the right environment for change. 

Overall, the report shows we need change. And based on the growing empty leadership posts, we need to change now. 

In a recent blog, entitled ‘Their own weather’, Roy Lilley talked about how this change includes a need for managers to declutter their organisation, allowing space for good people to do great things. He places emphasis on creating a simpler climate and increased collaboration across geographies and organisations in a way much greater than before, and we agree with him.

Leadership and professional development app 

The next challenge for the IHM is how to support our members to create this change. We are passionate about helping our members to develop the capabilities and behaviours they need so that they can change the weather in their organisations and ensure great things can happen. One development that we are very excited about is our leadership and professional development app.

 Just like many of us have access to fitness dashboards and significant data from ‘wearables’, the IHM aspires to ensure that all its members will have access to similar easy-to-use data about their skills, behaviours and developmental needs. 

Our app will work as a personalised development programme to ensure those in healthcare management can continue to feel supported and developed at all stages of their careers. Together we can create future managers that are in charge of their individual plan and equipped to improve the climate, whatever the weather.

For more information

W: www.ihm.org.uk

Tell us what you think – have your say below or email opinion@nationalhealthexecutive.com

Comments

There are no comments. Why not be the first?

Add your comment

 

national health executive tv

more videos >

latest healthcare news

Mackey hails ‘tremendous’ effort as trusts slash £1bn off agency staff bill

01/03/2017Mackey hails ‘tremendous’ effort as trusts slash £1bn off agency staff bill

Major agency controls across the health service have so far succeeded in saving £1bn since they were introduced in October 2015, latest NHS... more >
Major NHS ambition to shift to community care ‘elusive’ without extra cash

01/03/2017Major NHS ambition to shift to community care ‘elusive’ without extra cash

A report released today by the Nuffield Trust has revealed that STPs are working towards “undeliverable expectations”, warning that S... more >
Murphy steps down as Patients Association CEO

01/03/2017Murphy steps down as Patients Association CEO

The CEO of the Patients Association (PA) Katherine Murphy, who wrote for the most recent issue of NHE, is set to relinquish her role after nine y... more >
681 149x260 NHE Subscribe button

the scalpel's daily blog

Communication in the NHS: Who has control?

08/02/2017Communication in the NHS: Who has control?

On behalf of the Patients Association, Nic Hart has recently penned an open letter to the Parliamentary Health Service Ombudsman in an attempt to keep pressing for answers around the 2012 death of his teenage daughter, Averil, whilst in the care of Cambridge and Peterborough NHS FT. Here, he writes about the importance of communication and co-ordination across a whole NHS care pathway in order to avoid similar tragedies. Averil wanted t... more >
read more blog posts from 'the scalpel' >

interviews

Improving the flow

13/02/2017Improving the flow

Glen Burley, chief executive of South Warwickshire NHS FT, explains how his organisation has been able to improve patient flow through its emerge... more >
Leadership development should be for all in health and care

07/12/2016Leadership development should be for all in health and care

Back in August, Stephen Hart joined Health Education England (HEE) as the organisation’s new director of leadership development, which incl... more >
The powerful link between staff and patient satisfaction

03/10/2016The powerful link between staff and patient satisfaction

David Behan CBE, chief executive of the Care Quality Commission (CQC), talks to NHE about the correlation between high rates of staff satisfactio... more >
Dame Fiona Caldicott: We’re not quite ready for sharing back-office function on data security

07/07/2016Dame Fiona Caldicott: We’re not quite ready for sharing back-office function on data security

NHE’s David Stevenson talks to Dame Fiona Caldicott following her much-awaited Review of Data Security, Consent and Opt-Outs. In the f... more >

last word

Lessons from Finland for NHS mental health

Lessons from Finland for NHS mental health

While many countries across Europe struggle to deal with a rising demand for mental health services, Finland is successfully improving service provision via a new online portal. Professor Grigori... more > more last word articles >

editor's comment

07/02/2017Handling the pressure

Although NHS trusts have been feeling the pressure this winter, as demand on A&E services continues to rise and the financial challenge deepens, it is worth noting and applauding the professionalism, determination and resilience of the workforce in still delivering world-class healthcare.  However, as you’ll read throughout... read more >

health service focus

A collaborative approach to tackling agency

20/02/2017A collaborative approach to tackling agency

Jim Forsyth and Jane Goodall from Hertfordshi... more >
Unleashing the benefits of patient feedback

16/02/2017Unleashing the benefits of patient feedback

NHE’s Luana Salles looks back at what t... more >