The Practice of Collaborative Leadership: Across health and care services

Kings Fund – 18th July 2023

Overview

  • The health needs of the population are changing, and many people need more co-ordinated care across primary, community, social and hospital services. More co-ordinated care requires organisations and staff to collaborate well across organisational and professional boundaries.
  • This report draws on interview and survey data from senior leaders working in integrated care boards, NHS providers, local government and the voluntary, community and social enterprise sector, and shares insights and evidence about how to collaborate well.
  • The research shows health and care leaders at all levels have a critical role in modelling and rewarding collaborative behaviours but this is insufficient on its own. Leaders also need to pay attention to six leadership practices if they want to build a stronger collaborative ethos.
  • This style of working is hard especially in a resource-constrained environment. We recommend leaders give greater attention to designing more participatory processes and developing the collaborative skills of other groups of staff.
  • Given the pace of change and disruption needed to solve many of the problems facing our health and care system, we recommend leaders extend the practice of collaborative leadership to work with a broader range of local organisations as well as local communities

Further information – The Practice of Collaborative Leadership: Across health and care services

A picture of health? Examining the state of leadership and management in healthcare

Social Market Foundation – July 2023

The UK’s health care system lags behind those of many comparable countries, despite signs of slow improvement in some areas in the years before the pandemic. This report examines the role that better leadership and management can play in both lifting up the tail of underperforming health care providers and fostering more ‘outstanding’ health care providers, so that health care outcomes in this country are much closer to those of the best systems in the world.

Further information – A picture of health? Examining the state of leadership and management in healthcare

So close to love: compassionate leadership in healthcare

Evans, D. (2022). So close to love: compassionate leadership in healthcare. British Journal of Healthcare . https://doi.org/10.12968/bjhc.2021.0135

This review, published in the British Journal of Healthcare Management explores the need for compassionate leadership and the context in which it has developed, as well as definitions of compassionate leadership according to existing literature. It also considers how compassionate leadership is conceptualised in both theory and practice.

Abstract

Compassionate leadership has received significant attention in the UK health system, particularly following the COVID-19 pandemic. This scoping literature review aimed to explore current knowledge about compassionate leadership in healthcare. A search of MEDLINE, CINAHL, PsycINFO, PubMed and ASSIA databases identified 34 papers published between 2015 and 2020. The review found broad agreement regarding the definition of and need for compassionate leadership, as well as the existence of differences in practice, dependent on the hierarchical levels in healthcare organisations. However, current research lacks clarity and depth concerning the theoretical underpinnings of compassionate leadership. The question ‘how can you be critical of something so close to love?’ draws attention to the paucity of critical analysis and research. As a result, the ability of compassionate leadership to define a new way of working and deliver real change is unclear.

So close to love: compassionate leadership in healthcare

Leadership Listens: inspirational podcasts

NHS Leadership Academy | nd | Leadership Listens: inspirational podcasts

Leadership Listens: inspirational podcasts compassionate leadership and is a collection of conversations between Professor Michael West and leaders from across the health and care sector.

It’s based around Michael’s latest book – Compassionate Leadership: Sustaining Wisdom, Humanity and Presence in Health and Social Care published in 2021

The first podcast, plus the introductory podcast, are available from the Leadership Academy

What is compassionate leadership?

The King’s Fund | February 2022 | What is compassionate leadership?

Research shows that compassionate leadership has wide-ranging benefits for both staff and organisations. This short-read from The King’s Fund questions: What is compassionate leadership? It includes

  • The four behaviours of compassionate leadership
  • Why does compassionate leadership matter?
  • Understanding the core needs of health and care staff at work
  • Compassionate leadership and managing performance
  • What gets in the way of being compassionate?
Image shows the four behaviours of compassionate leadership. Image source: kingsfund.org.uk

What is compassionate leadership?

See also:

The King’s Fund An introduction to leading with kindness and compassion in health and social care [short course]

An introduction to leading with kindness and compassion in health and social care

Future Learn & The King’s Fund | January 2022 | An introduction to leading with kindness and compassion in health and social care

This introductory three-week course from The King’s Fund is for anyone working in or interested in health and social care in its broadest sense, regardless of experience or role.

Learn what is meant by leading with kindness and compassion

It’s designed to introduce you to some of the foundations of leadership, kindness, and compassion. You’ll explore why these qualities matter now more than ever, and how to develop your personal practice of kind and compassionate leadership.

Overview of the mini course

  • What does it mean to lead with kindness and compassion?
  • Why lead with kindness and compassion?
  • How do I lead with kindness and compassion?

Full details are available from Future Learn ( course is free, but requires registration with Future Learn)

The course is available to enrol now

Reframing the Patient Experience: A new scorecard for healthcare leaders

Siemens | December 2021 | Reframing the Patient Experience A new scorecard for healthcare leaders

This publication builds on the earlier “Reframing the Patient Experience, released in 2018. It builds on the foundation laid by the paper and explores and applies the lessons learned during COVID-19. It also contains an updated scorecard. Shaped by the pandemic, this scorecard is more detailed and comprehensive, reflecting what must be the new reality in healthcare.
Perhaps its most interesting feature is the evolution of what patients expect from providers and what goes into
creating what will be perceived as a positive patient experience. From lower costs to easier access to greater
convenience, patients are very clear that these are no longer aspects of their experience on which they are
prepared to compromise. And more than ever before, patients are making it clear that they want to be treated
with humanity. They want respect, they want to be communicated to clearly, consulted on and included.
They want to feel safe and cared for
(Siemens).

Image source: Siemens

Siemens Reframing the Patient Experience: A new scorecard for healthcare leaders

Decision-making in uncertain times

The King’s Fund | 18 May 2021 | Decision-making in uncertain times

This short-read from The King’s Fund considers the following question: How do leaders approach decision-making when the challenges they face seem so intractable and the context so uncertain? Thinking clearly, acting wisely, and staying healthy must be goals for anyone leading anything at the moment, but complex and uncertain times can make these goals hugely challenging to realise. 

Image source: Adapted from Glouberman, S & Zimmerman B (2002). Complicated and complex systems: what would successful reform of Medicare look like? Commission on the Future of Health in Canada. Discussion paper 8. Retrieved from The King’s Fund

Effective decision-making in contexts of uncertainty means slowing down and deepening our awareness of the kinds of problems we face. And it often means letting go; of old habits, tried and tested answers, and the idea that it is always the role of leaders to supply answers and certainty. Instead, when we don’t have answers, effective decision-making rests on our willingness to be curious and ability to inquire, ask the right questions, listen, experiment, notice, and learn.

Decision-making in uncertain times