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Clinical Leadership: Bridging the Divide
Quay books, Jan 2010, Pages: 180
This book aims to encourage and to inspire as well as to inform. It is not a textbook or an academic examination of clinical leadership. Rather, our intention is that the personal narratives of the emerging clinical leaders collected here provide support (maybe even inspiration) to others whose aim is to build an NHS which better unites clinicians’ skills and knowledge to those of general managers and others to create a system that delivers high-quality care to patients every time with minimal waste.
We advocate a new paradigm for clinical leadership, one where every clinician puts improving how care is organised at the heart of what they do day in, day out. We therefore advocate an additional dimension to clinicians’ professional identity: being a great clinician is also about making the organisation and the setup in which you work function better. How each clinician interprets this, of course, will depend on individual strengths and particular passions - there is no one right path or right way.
There is widespread agreement that the NHS requires outstanding leadership to continue to meet the growing healthcare needs of the population it serves. Clinicians, and therefore clinical leaders, are uniquely well placed to lead on many of these issues, because of their experience, knowledge and position. The present authors are a group of specialist registrars who were selected by NHS London to be developed through mentoring and regular workshops, with the long-term aim of creating future clinical leaders. The intention is that, through programmes such as this, the NHS in future will be ‘spoilt for choice’ when looking for clinical leaders.
The ‘Prepare to Lead’ scheme began in 2007 as a pilot for six Fellows from the Department of Biosurgery and Surgical Technology at Imperial College, London. The programme aims to develop leadership knowledge, skills and behaviours in junior doctors, and to do so alongside their clinical training. In 2008, 18 new recruits joined three of the original participants in the ‘Prepare to Lead’ mentoring scheme, and in 2009 a further 26 junior doctors were successfully matched with mentors. The authors of this book are from the 2008 ‘Prepare to Lead’ cohort. Each trainee was allocated a mentor, who is a senior NHS manager and leader, from an NHS Trust, a PCT, the Department of Health or an arm’s-length body. Mentors come from both clinical and non-clinical backgrounds. A number of chapters are co-authored by mentor and mentee.
This book is unique in that it is written by junior doctors who are all passionate to develop as leaders, in combination with senior leaders who have extensive experience of leadership. As Daniel Goleman (2004) puts it: “Leaders are made as they gradually acquire, in the course of their lives and careers, the competencies that make them effective. [These] competencies can be learned by any leader at any time.”
It is hoped that by sharing the narrative of a group of junior doctors who are participating in and who appreciate the value of clinical leadership, this book will spark a sense of possibility in the reader.
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