Leadership Framework

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Doing an unauthorised act in relation to a right of first publication work may give rise to civil liabilities and criminal prosecution.Similar essay Describe How feature Behaviour Could Impact NegativelyThe Clinical Leadership skill mannikin was readyd with the agreement of the NHS Institute for Innovation and Improvement and the Academy of Medical Royal Colleges from the Medical Leadership Competency framework which was created, de veloped and is proclaimed jointly by the NHS Institute for Innovation and Improvement and the Academy of Medical Royal Colleges. NHS Institute for Innovation and Improvement and Academy of Medical Royal Colleges (2010) Medical Leadership Competency Framework, 3rd edition, Coventry NHS Institute for Innovation and Improvement. NHS Institute for Innovation and Improvement and Academy of Medical Royal Colleges 2010 The Leadership Framework The Leadership Framework provides a consistent approach to leaders development for staff in wellness and c ar irrespective of check up on, role or function, and represents the foundation of leadership behaviour that all staff should aspire to. Fundamental to its development was a desire to build on existing leadership frameworks used by different staff groups and create a single overarching leadership framework for all staff in health and c atomic number 18.In developing the Leadership Framework detailed research and cite with a roomy cross s ection of staff and stakeholders has been undertaken, including those with a patient perspective and those involved in health deal out outside the NHS such as professed(prenominal) bodies, academics, regulators and policy makers. Those consulted embraced the concept of the Leadership Framework because it affords a common and consistent approach to professional and leadership development, establish on sh ard value and beliefs which argon consistent with the principles and values of the NHS Constitution1.The Leadership Framework is based on the concept that leadership is not restricted to flock who hold designated leadership roles and where on that point is a shared responsibility for the success of the disposal, receiptss or care organism fork overed. Acts of leadership good deal come from anyone in the giving medication and as a manakin it emphasises the responsibility of all staff in demonstrating leave behaviours, in seeking to contribute to the leadership process and t o develop and empower the leadership force of colleagues2.This enter provides a summary of the seven domains of the Leadership Framework. A full and web based version can be found at www. leadershipacademy. nhs. uk/If Design and building of the Leadership Framework Delivering renovations to patients, religious service users, carers and the public is at the heart of the Leadership Framework. The inevitably of the throng who use services bear always been inter swop to healthcare and all staff work hard to improve services for them. However, if we are going to transform services, acting on what really matters to patients and the public is requisite and nvolves the active participation of patients, carers, community representatives, community groups and the public in how services are planned, stoped and evaluated3. The Leadership Framework is comprised of seven domains. Within each domain there are four categories called elements and each of these elements is further divided into four descriptors. These statements describe the leadership behaviours, which are underpinned by the germane(predicate) association, skills and attributes all staff should be satisfactory to demonstrate.To improve the quality and safety of health and care services, it is essential that staff are competent in each of the five core leadership domains sh throw at right demonstrating personalised qualities, works with others, managing services, ameliorate services, and setting direction. The two other domains of the Leadership Framework, creating the resourcefulness and delivering the system, focus more on the role and constituent of respective(prenominal)ist leaders and particularly those in aged positional roles. 1 Department of Health (2010) The NHS Constitution the NHS belongs to us all.The NHS Constitution can be accessed via http//www. nhs. uk/choiceintheNHS/Rightsandpledges/NHSConstitution/Pages/Overview. aspx NHS Institute for Innovation and Improvement and Academ y of Medical Royal Colleges (2009) Shared Leadership Underpinning of the MLCF Patient and Public strikement, Department of Health (2009) Putting Patients at the Heart of Care The batch for Patient and Public Engagement in Health and Social Care. www. dh. gov. uk/ppe 2 3 Leadership Framework A Summary 3 The word patient is used throughout the Leadership Framework to enerically cover patients, service users, and all those who receive healthcare. Similarly, the word other is used to describe all colleagues from any discipline and ar trimment, as well as patients, service users, carers and the public. The leadership context The application and opportunity to demonstrate leadership allow differ and the context in which competency can be achieved pull up stakes become more complex and demanding with career progression. We have therefore used four stages to describe this and to help staff read their progression and development as a leader.They are Stage 1 Own expend/immediate team is almost building personal relationships with patients and colleagues, a great deal functional as part of a multi-disciplinary team. Staff need to recognise problems and work with others to solve them. The squeeze of the decisions staff take at this take aim will be limited in terms of risk. Stage 2 hearty service/ crossways teams is about building relationships inside and across teams, recognising problems and solving them. At this level, staff will need to be more conscious of the risks that their decisions may pose for self and others for a successful outcome.Stage 3 Across services/wider composition is about working across teams and departments within the wider formation. Staff will challenge the appropriateness of solutions to complex problems. The potential risk associated with their decisions will have a wider preserve on the service. Stage 4 Whole make-up/healthcare system is about building broader partnerships across and outside traditional organisational boun daries that are sustainable and replicable. At this level leaders will be dealing with multi-faceted problems and coming up with sophisticated solutions to those problems.They may lead at a national/international level and would be required to participate in whole systems idea, finding newborn ways of working and leading transformational counter miscellany. Their decisions may have significant impact on the reputation of the NHS and outcomes and would be particular to the coming(prenominal) tense of the NHS. 4 Leadership Framework A Summary Application of the Leadership Framework and supporting tools The Leadership Framework is designed to enable staff to understand their progression as a leader and to support fostering and developing talent.There are many ways it can be applied, for example To raise awareness that impressive leadership is needed across the whole organisation To underpin a talent management schema As part of an existing leadership development programme T o inform the design and commissioning of training and development programmes To develop individual leadership skills As part of team development To enhance existing appraisal systems To inform an organisations recruitment and retention processes.To assist users the full and web based version have a suite of indicators across a variety of work get in situations which illustrate the type of activity staff could be demonstrating relevant to each element and stage as well as examples of behaviours if they are not. complementing tools A self assessment and 360 feedback tool support the Leadership Framework in addition an online development module signposts development opportunities for each of the seven domains.The 360 is a powerful tool to help individuals identify where their leadership strengths and development inescapably lie. The process includes getting confidential feedback from line managers, peers and direct reports. As a result, it gives an individual an insight into oth er peoples perceptions of their leadership abilities and behaviour. To assist with integrating the competences into postgraduate curricula and learning experiences, there is the LeAD e-learning resource which is available on the National Learning Management constitution and through e-Learning for health care (www. -lfh. org. uk/LeAD). The Clinical Leadership Competency Framework and the Medical Leadership Competency Framework are also available to specifically provide staff with clinically based examples in practice and learning and development scenarios across the five core domains shared with the Leadership Framework. A summary version of the Leadership Framework follows, which includes the domains, elements and descriptors. Work-place indicators that demonstrate he practical application of the framework at the four stages are included as tables in the back of the document. The examples in practice are not included, provided these are available in the full document as well as o n the website (www. leadershipacademy. nhs. uk/If). Leadership Framework A Summary 5 1. Demonstrating private Qualities Effective leadership requires individuals to draw upon their values, strengths and abilities to deliver elevated standards of service.To do so, they must demonstrate in force(p)ness in Developing self awareness by existence aware of their own values, principles, and assumptions, and by being able to learn from experiences Managing yourself by organising and managing themselves while taking discover of the needs and priorities of others chronic personal development by learning through participating in move professional development and from experience and feedback Acting with integrity by behaving in an unresolved, honest and ethical flair. 1. 1 Developing self awareness 1. spy and articulate their own value and principles, understanding how these may differ from those of other individuals and groups 2. Identify their own strengths and limitations, the im pact of their behaviour on others, and the effect of stress on their own behaviour 3. Identify their own emotions and prejudices and understand how these can affect their judgement and behaviour 4. Obtain, analyse and act on feedback from a variety of sources 1. 2 Managing yourself 1. Manage the impact of their emotions on their behaviour with consideration of the impact on others 2.Are reliable in meeting their responsibilities and commitments to consistently gritty up standards 3. Ensure that their plans and actions are flexible, and take account of the needs and work patterns of others 4. Plan their workload and activities to fulfil work requirements and commitments, without compromising their own health 1. 3 Continuing personal development 1. Actively seek opportunities and challenge for personal learning and development 2. Acknowledge mistakes and treat them as learning opportunities 3. Participate in continuing professional development activities 4.Change their behaviour in the light of feedback and reflection 1. 4 Acting with integrity 1. Uphold personal and professional ethical motive and values, taking into account the values of the organisation and respecting the culture, beliefs and abilities of individuals 2. Communicate effectively with individuals, appreciating their social, cultural, religious and ethnic backgrounds and their age, gender and abilities 3. Value, respect and promote equation and diversity 4. induce appropriate action if ethics and values are compromised 6 Leadership Framework A Summary 2. Working with OthersEffective leadership requires individuals to work with others in teams and networks to deliver and improve services. To do so, they must demonstrate effectiveness in Developing networks by working in partnership with patients, carers, service users and their representatives, and colleagues within and across systems to deliver and improve services mental synthesis and maintaining relationships by listening, supporting oth ers, gaining leave and sho get throughg understanding Encouraging contribution by creating an environment where others have the opportunity to contribute Working within teams to deliver and improve services. . 1 Developing networks 1. Identify opportunities where working with patients and colleagues in the clinical setting can bring added benefits 2. spend a penny opportunities to bring individuals and groups together to achieve goals 3. labor the sharing of training and resources 4. Actively seek the views of others 2. 2 Building and maintaining relationships 1. Listen to others and recognise different perspectives 2. Empathise and take into account the needs and feelings of others 3.Communicate effectively with individuals and groups, and act as a confirmative role model 4. Gain and maintain the trust and support of colleagues 2. 3 Encouraging contribution 1. Provide encouragement, and the opportunity for people to worry in decision-making and to challenge constructively 2 . Respect, value and acknowledge the roles, contributions and expertise of others 3. Employ strategies to manage conflict of interests and differences of opinion 4. Keep the focus of contribution on delivering and improving services to patients 2. Working within teams 1. Have a sluttish sense of their role, responsibilities and purpose within the team 2. Adopt a team approach, acknowledging and appreciating efforts, contributions and compromises 3. Recognise the common purpose of the team and respect team decisions 4. Are willing to lead a team, involving the right people at the right time Leadership Framework A Summary 7 3. Managing inspection and repairs Effective leadership requires individuals to focus on the success of the organisation(s) in which they work.To do so, they must be effective in Planning by actively contributing to plans to achieve service goals Managing resources by knowing what resources are available and using their influence to get a line that resources a re used expeditiously and safely, and reflect the diversity of needs Managing people by providing direction, reviewing performance, motivating others, and promoting equality and diversity Managing performance by holding themselves and others accountable for service outcomes. . 1 Planning 1. Support plans for clinical services that are part of the outline for the wider healthcare system 2. Gather feedback from patients, service users and colleagues to help develop plans 3. wreak their expertise to planning processes 4. Appraise options in terms of benefits and risks 3. 2 Managing resources 1. Accurately identify the appropriate type and level of resources required to deliver safe and effective services 2.Ensure services are delivered within allocated resources 3. Minimise waste 4. Take action when resources are not being used efficiently and effectively 3. 3 Managing people 1. Provide guidance and direction for others using the skills of team members effectively 2. Review the per formance of the team members to ensure that planned services outcomes are met 3. Support team members to develop their roles and responsibilities 4. Support others to provide good patient care and better services 3. Managing performance 1. Analyse tuition from a range of sources about performance 2. Take action to improve performance 3. Take responsibility for tackling difficult issues 4. Build learning from experience into approaching plans 8 Leadership Framework A Summary 4. Improving Services Effective leadership requires individuals to make a real difference to peoples health by delivering high quality services and by developing improvements to services.To do so, they must demonstrate effective in Ensuring patient safety by assessing and managing risk to patients associated with service developments, equilibrate economic consideration with the need for patient safety critically evaluating by being able to think analytically, conceptually and to identify where services can b e improved, working individually or as part of a team Encouraging improvement and innovation by creating a climate of continuous service improvement Facilitating transformation by actively contributing to change processes that lead to improving healthcare. 4. 1 Ensuring patient safety 1.Identify and quantify the risk to patients using information from a range of sources 2. Use attest, both positive and negative, to identify options 3. Use systematic ways of assessing and minimising risk 4. Monitor the effects and outcomes of change 4. 2 Critically evaluating 1. Obtain and act on patient, carer and user feedback and experiences 2. Assess and analyse processes using up-to-date improvement methodologies 3. Identify healthcare improvements and create solutions through collaborative working 4. Appraise options, and plan and take action to implement and evaluate improvements 4. 3 Encouraging improvement and innovation 1.Question the status quo 2. Act as a positive role model for innova tion 3. Encourage dialogue and debate with a wide range of people 4. Develop creative solutions to transform services and care 4. 4 Facilitating transformation 1. Model the change expected 2. Articulate the need for change and its impact on people and services 3. Promote changes leading to systems redesign 6. Motivate and focus a group to accomplish change Leadership Framework A Summary 9 5. Setting Direction Effective leadership requires individuals to contribute to the strategy and aspirations of the organisation and act in a manner consistent with its values.To do so, they must demonstrate effective in Identifying the contexts for change by being aware of the range of factors to be taken into account Applying knowledge and evidence by gathering information to produce an evidence-based challenge to systems and processes in array to identify opportunities for service improvements Making decisions using their values, and the evidence, to make good decisions Evaluating impact by measuring and evaluating outcomes, taking corrective action where necessary and by being held to account for their decisions. . 1 Identifying the contexts for change 1. essay awareness of the political, social, technical, economic, organisational and professional environment 2. Understand and interpret relevant legislation and accountability frameworks 3. Anticipate and prepare for the coming(prenominal) by scanning for ideas, best practice and emerging trends that will have an impact on health outcomes 4. Develop and communicate aspirations 5. 2 Applying knowledge and evidence 1. Use appropriate methods to gather data and information 2.Carry out analysis against an evidence-based criteria set 3. Use information to challenge existing practices and processes 4. Influence others to use knowledge and evidence to achieve best practice 5. 3 Making decisions 1. Participate in and contribute to organisational decision-making processes 2. Act in a manner consistent with the values and pr iorities of their organisation and profession 3. Educate and inform key people who influence and make decisions 4.Contribute a clinical perspective to team, department, system and organisational decisions 5. 4 Evaluating impact 1. taste and evaluate new service options 2. Standardise and promote new approaches 3. Overcome barriers to implementation 4. Formally and familiarly disseminate good practice 10 Leadership Framework A Summary 6. Creating the Vision Effective leadership involves creating a compelling ken for the hereafter, and communicating this within and across organisations.This requires individuals to demonstrate effectiveness in Developing the passel of the organisation, looking to the future to determine the direction for the organisation Influencing the deal of the wider healthcare system by working with partners across organisations Communicating the vision and motivating others to work towards achieving it Embodying the vision by behaving in ways which are consistent with the vision and values of the organisation. 6. 1 Developing the vision for the organisation 1.Actively engage with colleagues and key influencers, including patients and public, about the future of the organisation 2. Broadly scan and analyse the full range of factors that will impact upon the organisation, to create likely scenarios for its future 3. Create a vision which is vaulting, advanced(a) and reflects the core values of the NHS 4. Continuously ensures that the organisations vision is compatible with future developments within the wider healthcare system. 6. 2 Influencing the vision of the wider healthcare system 1.Seek opportunities to engage in debate about the future of health and care related services 2. Work in partnership with others in the healthcare system to develop a shared vision 3. Negotiate compromises in the interests of better patient services 4. Influence key decision-makers who determine future government policy that impacts on the NHS and i ts services. 6. 3 Communicating the vision 1. Communicate their ideas and enthusiasm about the future of the organisation and its services confidently and in a way which engages and inspires others 2.Express the vision clearly, unambiguously and vigorously 3. Ensure that stakeholders within and beyond the immediate organisation are aware of the vision and any likely impact it may have on them 4. Take time to build critical support for the vision and ensure it is shared and owned by those who will be communicating it. 6. 4 Embodying the vision 1. Act as a role model, behaving in a manner which reflects the values and principles inherent in the vision 2. Demonstrate confidence, self belief, tenacity and integrity in pursuing the vision 3.Challenge behaviours which are not consistent with the vision 4. Identify symbols, rituals and routines within the organisation which are not consistent with the vision, and replace them with ones that are. Leadership Framework A Summary 11 7. Deliver ing the Strategy Effective leadership involves delivering the strategy by developing and agreeing strategical plans that place patient care at the heart of the service, and ensuring that these are translated into manageable operational plans.This requires individuals to demonstrate effectiveness in Framing the strategy by identifying strategic options for the organisation and drawing upon a wide range of information, knowledge and experience Developing the strategy by engaging with colleagues and key stakeholders Implementing the strategy by organising, managing and assuming the risks of the organisation Embedding the strategy by ensuring that strategic plans are achieved and sustained. 7. 1 Framing the strategy 1. Take account of the culture, history and long term underlying issues for the organisation 2.Use heavy(p) organisational theory to inform the development of strategy 3. Identify best practice which can be applied to the organisation 4. Identify strategic options whi ch will deliver the organisations vision 7. 2 Developing the strategy 1. Engage with key individuals and groups to formulate strategic plans to meet the vision 2. Strive to understand others agendas, motivations and drivers in order to develop strategy which is sustainable 3. Create strategic plans which are challenging until now realistic and achievable 4. Identify and mitigate uncertainties and risks associated with strategic choices 7. Implementing the strategy 1. Ensure that strategic plans are translated into workable operational plans, identifying risks, critical success factors and evaluation measures 2. Identify and strengthen organisational capabilities required to deliver the strategy 3. Establish clear accountability for the delivery of all elements of the strategy, hold people to account and expect to be held to account themselves 4. Respond quickly and decisively to developments which require a change in strategy 7. 4 Embedding the strategy 1.Support and inspire others responsible for delivering strategic and operational plans, helping them to overcome obstacles and challenges, and to remain focused 2. Create a consultative organisational culture to support delivery of the strategy and to drive strategic change within the wider healthcare system 3. Establish a climate of transparency and trust where results are discussed openly 4. Monitor and evaluate strategic outcomes, making adjustments to ensure sustainability of the strategy 12 Leadership Framework A Summary The following tables conflate the indicators of behaviours at different leadership stages from each domain section.Please refer to the full domain pages for the element descriptors. 1. DEMONSTRATING PERSONAL QUALITIES Effective leadership requires individuals to draw upon their values, strengths and abilities to deliver high standards of service. To do so, they must demonstrate effectiveness in demonstrating self awareness, managing themselves, continuing their personal development and acting with integrity. 2 Whole Service/Across Teams 3 Across Services/Wider Organisation chemical element Appreciates the impact they have on others and the impact others have on them. Routinely seeks feedback and adapts their behaviour appropriately.Reflects on their interactions with a wide and diverse range of individuals and groups from within and beyond their immediate service/organisation. Challenges and refreshes own values, beliefs, leadership styles and approaches. Overtly role models the giving and receiving of feedback. Successfully manages a range of personal and organisational demands and pressures. Demonstrates tenacity and resilience. Overcomes setbacks where goals cannot be achieved and quickly refocuses. Is visible and accessible to others. Acts as an exemplar for others in managing their continuous personal development.Facilitates the development of a learning culture. 1 Own coiffe/Immediate Team 4 Whole Organisation/Wider Healthcare System Uses sophisticated too ls and sources to continuously learn about their leadership impact in the wider health and care community and improve their effectiveness as a senior leader. Understands how pressures associated with carrying out a high profile role impact on them and their performance. Remains focused on strategic goals when faced with competing and, at times, conflicting demands arising from differing priorities.Identifies where they need to personally get involved to achieve the most benefit for the organisation and wider healthcare system. Develops through systematically scanning the outer environment and exploring leading edge thinking and best practice. Applies learning to build and refresh the service. Treats challenge as a positive force for improvement. 1. 1 Developing Self Awareness Reflects on how factors such as own values, prejudices and emotions influence their judgement, behaviour and self belief. Uses feedback from appraisals and other sources to consider personal impact and change behaviour.Understands personal sources of stress. 1. 2 Managing Yourself Plans and manages own time effectively and fulfils work requirements and commitments to a high standard, without compromising own health and wellbeing. Remains calm and focused under pressure. Ensures that own work plans and priorities fit with the needs of others involved in delivering services. Demonstrates flexibility and sensitivity to service requirements and remains imperative in pursuing service goals. Leadership Framework A Summary Puts self forward for challenging assignments and projects which will develop strengths and address development areas.Acts as a role model for others in demonstrating integrity and inclusiveness in all aspects of their work. Challenges where organisational values are compromised. 1. 3 Continuing Personal Development Takes responsibility for own personal development and seeks opportunities for learning. Strives to put learning into practice. 1. 4 Acting with Integrity Behave s in an open, honest and inclusive manner, upholding personal and organisational ethics and values. Shows respect for the needs of others and promotes equality and diversity.Creates an open, honest and inclusive culture in accordance with clear principles and values. Ensures equity of access to services and creates an environment where people from all backgrounds can excel. Assures standards of integrity are maintained across the service and communicates the importance of always adopting an ethical and inclusive approach. Generic behaviours observed if individual is not yet demonstrating this domain Demonstrates behaviours that are retort to core values of openness, inclusiveness, honesty and equality Lacks confidence in own abilities to deliver results Does not understand own emotions or recognise the impact of own behaviour on others Approaches tasks in a disorganised way and plans are not realistic Unable to discuss own strengths and development needs and spends teeny-weeny time on development 13 14 2 Whole Service/Across Teams 3 Across Services/Wider Organisation 4 Whole Organisation/Wider Healthcare System kit and boodle across boundaries creating networks which facilitate high levels of collaboration within and across organisations and sectors.Builds and maintains sustainable strategic alliances across the system and other sectors. Has high impact when interacting with others at all levels. Uses networks to bring individuals and groups together to share information and resources and to achieve goals. Identifies and builds effective networks with a range of influential stakeholders internal and external to the organisation. Builds and maintains relationships with a range of individuals involved in delivering the service. Manages sensitivities between individuals and groups.Creates a supportive environment which encourages others to express diverse opinions and engage in decisionmaking. Constructively challenges suggestions and reconciles conflicting views. Helps lead others towards common goals, providing clear objectives and offering appropriate support. Shows awareness of team dynamics and acts to promote effective team working. Appreciates the efforts of others. Integrates the contributions of a diverse range of stakeholders, being open and honest about the extent to which contributions can be acted upon.Builds and nurtures trusting relationships at all levels within and across services and organisational boundaries. Creates systems which encourage contribution throughout the organisation. Invites contribution from different sectors to bring about improvements. Takes on recognised positional leadership roles within the organisation. Builds high performing inclusive teams that contribute to productive and efficient health and care services. Promotes autonomy and empowerment and maintains a sense of optimism and confidence. Contributes to and leads senior teams.Enables others to take on leadership responsibilities, building h igh level leadership capability and capacity from a diverse range of backgrounds. Does not encourage others to contribute ideas Does not adopt a collaborative approach 2. WORKING WITH OTHERS Effective leadership requires individuals to work with others in teams and networks to deliver and improve services. This requires them to demonstrate effectiveness in developing networks, building and maintaining relationships, encouraging contribution, and working within teams. division 1 Own Practice/Immediate Team . 1 Developing Networks Identifies where working and cooperating with others can result in better services. Endeavours to work collaboratively. 2. 2 Building and Maintaining Relationships Communicates with and listens to others, recognising different perspectives. Empathises and takes into account the needs and feelings of others. Gains and maintains trust and support. 2. 3 Encouraging Contribution Seeks and acknowledges the views and input of others. Shows respect for the contr ibutions and challenges of others. Leadership Framework A Summary 2. 4 Working within TeamsUnderstands roles, responsibilities and purpose within the team. Adopts a collaborative approach and respects team decisions. Generic behaviours observed if individual is not yet demonstrating this domain Fails to network with others and/or allows relationships to deteriorate Fails to win the support and respect of others 3. MANAGING SERVICES Effective leadership requires individuals to focus on the success of the organisation(s) in which they work. This requires them to be effective in planning, managing resources, managing people and managing performance. Whole Service/Across Teams 3 Across Services/Wider Organisation 4 Whole Organisation/Wider Healthcare System Anticipates the impact of health trends and develops strategic plans that will have a significant impact on the organisation and wider healthcare system. Ensures strategic objectives are translated into operational plans. Strategic ally manages resources across the organisation and wider healthcare system. Element Works collaboratively to develop business cases and service plans that support organisational objectives, appraising them in terms of benefits and risks.Leads service design and planning processes. Communicates and keeps others informed of strategic and operational plans, progress and outcomes. 1 Own Practice/Immediate Team 3. 1 Planning Contributes ideas to service plans, incorporating feedback from others including a diverse range of patients, service users and colleagues. 3. 2 Managing Resources Understands what resources are available and organises the appropriate type and level of resources required to deliver safe and efficient services. Identifies resource requirements associated with delivering services.Manages resources and takes action to ensure their effective and efficient use. Forecasts resource requirements associated with delivering complex services efficiently and effectively. Manages resources taking into account the impact of national and local policies and constraints. Motivates and coaches individuals and teams to strengthen their performance and assist them with developing their own capabilities and skills. Aligns individual development needs with service goals. Leadership Framework A Summary Provides others with clear purpose and direction.Helps others in developing their roles and responsibilities. Works with others to set and monitor performance standards, addressing areas where performance objectives are not achieved. Does not effectively manage and develop people Fails to identify and address performance issues 3. 3 Managing People Supports others in delivering high quality services and excellence in health and care. Inspires and supports leaders to mobilise diverse teams that are committed to and aligned with organisational values and goals. Engages with and influences senior leaders and key stakeholders to deliver joined up services. . 4 Managing P erformance Uses information and data about performance to identify improvements which will strengthen services. Establishes rigorous performance measures. Holds self, individuals and teams to account for achieving performance standards. Challenges when service expectations are not being met and takes corrective action. Promotes an inclusive culture that enables people to perform to their best, ensuring that appropriate performance management systems are in place and that performance data is systematically evaluated and fed into future plans.Generic behaviours observed if individual is not yet demonstrating this domain Disorganised or unstructured approach to planning Wastes resources or fails to monitor them effectively 15 16 2 Whole Service/Across Teams 3 Across Services/Wider Organisation 4 Whole Organisation/Wider Healthcare System Creates a culture that prioritises the health, safety and security of patients and service users. Delivers assurance that patient safety underpins p olicies, processes and systems. Reviews practice to improve standards of patient safety and minimise risk.Monitors the impact of service change on patient safety. Develops and maintains audit and risk management systems which will drive service improvement and patient safety. Engages with others to critically evaluate services and create ideas for improvements. Synthesises complex information to identify potential improvements to services. Identifies potential barriers to service improvement. Benchmarks the wider organisation against examples of best practice in healthcare and other sectors. Evaluates options for improving services in line with future advances.Acts as a positive role model for innovation. Encourages dialogue and debate in the development of new ideas with a wide range of people. Challenges colleagues thinking to find better and more effective ways of delivering services and quality. Accesses creativity and innovation from relevant individuals and groups. Drives a cu lture of innovation and improvement. Integrates radical and innovative approaches into strategic plans to make the NHS world class in the provision of healthcare services. Focuses self and others on achieving changes to systems and processes which will lead to improved services.Energises others to drive change that will improve health and care services. Actively manages the change process, drawing on models of effective change management. Recognises and addresses the impact of change on people and services. Inspires others to take bold action and make important advances in how services are delivered. Removes organisational obstacles to change and creates new structures and processes to facilitate transformation. Maintains the status quo and sticks with traditional outdated ways of doing things Fails to implement change or implements change for changes sake 4.IMPROVING SERVICES Effective leadership requires individuals to make a real difference to peoples health by delivering high quality services and by developing improvements to services. This requires them to demonstrate effectiveness in ensuring patient safety, critically evaluating, encouraging improvement and innovation and facilitating transformation. Element 1 Own Practice/Immediate Team 4. 1 Ensuring Patient Safety Puts the safety of patients and service users at the heart of their thinking in delivering and improving services. Takes action to report or rectify shortfalls in patient safety. . 2 Critically Evaluating Uses feedback from patients, carers and service users to contribute to healthcare improvements. Leadership Framework A Summary 4. 3 Encouraging Improvement and Innovation Questions established practices which do not add value. Puts forward creative suggestions to improve the quality of service provided. 4. 4 Facilitating switching Articulates the need for changes to processes and systems, acknowledging the impact on people and services. Generic behaviours observed if individual is not ye t demonstrating this domain Overlooks the need to put patients at the forefront of their thinking Does not question/evaluate current processes and practices 5. SETTING DIRECTION Effective leadership requires individuals to contribute to the strategy and aspirations of the organisation and act in a manner consistent with its values. This requires them to demonstrate effectiveness in identifying the contexts for change, applying knowledge and evidence, making decisions, and evaluating impact. 2 Whole Service/Across Teams 3 Across Services/Wider Organisation 4 Whole Organisation/Wider Healthcare System Synthesises knowledge from a broad range of sources.Identifies future challenges and imperatives that will create the need for change and move the organisation and the wider healthcare system in new directions. Influences the context for change in the best interests of services and service users. Uses knowledge, evidence and experience of national and international developments in healt h and social care to influence the future development of health and care services. Ensures that corporate decision-making is rigorous and takes account of the full range of factors impinging on the future direction of the organisation and the wider healthcare system.Can operate without all the facts. Takes unpopular decisions when in the best interests of health and care in the long term. Identifies gains which can be applied elsewhere in the organisation and incorporates these into operational/ business plans. Disseminates learning from changes which have been introduced. Synthesises learning arising from changes which have been introduced and incorporates these into strategic plans. Shares learning with the wider health and care community. Element Identifies the external and internal drivers of change and communicates the rationale for change to others.Actively seeks to learn about external factors which will impact on services. Interprets the meaning of these for services and inc orporates them into service plans and actions. 1 Own Practice/Immediate Team 5. 1 Identifying the Contexts for Change Understands the range of factors which determine why changes are made. 5. 2 Applying Knowledge and Evidence Gathers data and information about aspects of the service, analyses evidence and uses this knowledge to suggest changes that will improve services in the future. Involves key people and groups in making decisions.Actively engages in formal and informal decision-making processes about the future of services. Obtains and analyses information about services and pathways to inform future direction. Supports and encourages others to use knowledge and evidence to inform decisions about the future of services. Understands the complex interdependencies across a range of services. Applies knowledge to set future direction. Leadership Framework A Summary Evaluates and embeds approaches and working methods which have proved to be effective into the working practices of te ams and individuals. 5. 3 Making DecisionsConsults with others and contributes to decisions about the future direction/vision of their service. Remains accountable for making timely decisions in complex situations. Modifies decisions and flexes direction when faced with new information or changing circumstances. 5. 4 Evaluating Impact Assesses the effects of change on service delivery and patient outcomes. Makes recommendations for future improvements. Generic behaviours observed if individual is not yet demonstrating this domain Makes poor decisions about the future Fails to evaluate the impact of previous decisions and actions Unaware of political, social, technical, economic, organisational factors that impact on the future of the service/organisation Does not use an evidence-base for decision-making 17 18 ELEMENT DESCRIPTORS (see also page 11) 4 Whole Organisation/Wider Healthcare System Actively engages key stakeholders in creating a bold, innovative, shared vision which ref lects the future needs and aspirations of the population and the future direction of healthcare. Thinks broadly and aligns the vision to the NHS core values and the values of the wider healthcare system.Actively participates in and leads on debates about the future of health, wellbeing and related services. Manages political interests, balancing tensions between organisational aspirations and the wider environment. Shapes and influences local, regional and national health priorities and agendas. Clearly communicates the vision in a way that engages and empowers others. Uses enthusiasm and energy to inspire others and encourage joint ownership of the vision. Anticipates and constructively addresses challenge. Consistently displays passion for the vision and demonstrates personal commitment to it through their periodical actions.Uses personal credibility to act as a convincing advocate for the vision. Misses opportunities to communicate and share understanding of the vision with oth ers Lacks enthusiasm and commitment for driving the vision 6. CREATING THE VISION Those in senior positional leadership roles create a compelling vision for the future, and communicate this within and across organisations. This requires them to demonstrate effectiveness in developing the vision for the organisation, influencing the vision of the wider healthcare system, communicating the vision and embodying the vision.Element 6. 1 Developing the Vision for the Organisation Actively engage with colleagues and key influencers, including patients and public, about the future of the organisation Broadly scan and analyse the full range of factors that will impact upon the organisation, to create likely scenarios for its future Create a vision which is bold, innovative and reflects the core values of the NHS Continuously ensures that the organisations vision is compatible with future developments within the wider healthcare system . 2 Influencing Vision in the Wider Healthcare Syste m Seek opportunities to engage in debate about the future of health and care related services Work in partnership with others in the healthcare system to develop a shared vision Negotiate compromises in the interests of better patient services Influence key decision-makers who determine future government policy that impacts on the NHS and its services Leadership Framework A Summary 6. 3 Communicating the Vision Communicate their ideas and enthusiasm about the future of the organisation and its services confidently and in a way which engages and inspires others Express the vision clearly, unambiguously and vigorously Ensure that stakeholders within and beyond the immediate organisation are aware of the vision and any likely impact it may have on them Take time to build critical support for the vision and ensure it is shared and owned by those who will be communicating it 6. 4 Embodying the Vision Act as a role model, behaving in a manner which reflects the values and principle s inherent in the vision Demonstrate confidence, self belief, tenacity and integrity in pursuing the vision Challenge behaviours which are not consistent with the vision Identify symbols, rituals and routines within the organisation which are not consistent with the vision, and replace them with ones that are Generic behaviours observed if individual is not yet demonstrating this domain Does not involve others in creating and defining the vision Does not align their vision with the wider health and care agenda 7. DELIVERING THE STRATEGY Those in senior positional leadership roles deliver the strategic vision by developing and agreeing strategic plans that place patient care at the heart of the service, and ensuring that these are translated into achievable operational plans. This requires them to demonstrate effectiveness in framing the strategy, developing the strategy, implementing the strategy, and embedding the strategy. ElementELEMENT DESCRIPTORS (see also page 12) 4 Whole Organisation/Wider Healthcare System Critically reviews relevant thinking, ideas and best practice and applies whole systems thinking in order to conceptualise a strategy in line with the vision. 7. 1 Framing the Strategy Take account of the culture, history and long term underlying issues for the organisation Use sound organisational theory to inform the development of strategy Identify best practice which can be applied to the organisation Identify strategic options which will deliver the organisations vision . 2 Developing the Strategy Engage with key individuals and groups to formulate strategic plans to meet the vision Strive to understand others agendas, motivations and drivers in order to develop strategy which is sustainable Create strategic plans which are challenging yet realistic and achievable Identify and mitigate uncertainties and risks associated with strategic choices Integrates the views of a broad range of stakeholders to develop a coherent, joined up and s ustainable strategy.Assesses organisational readiness for change. Manages the risks, political sensitivities and environmental uncertainties involved. Leadership Framework A Summary 7. 3 Implementing the Strategy Ensure that strategic plans are translated into workable operational plans, identifying risks, critical success factors and evaluation measures Identify and strengthen organisational capabilities required to deliver the strategy Establish clear accountability for the delivery of all elements f the strategy, hold people to account and expect to be held to account themselves Respond quickly and decisively to developments which require a change in strategy Responds constructively to challenge. Puts systems, structures, processes, resources and plans in place to deliver the strategy. Establishes accountabilities and holds people in local, regional, and national structures to account for jointly delivering strategic and operational plans. Demonstrates flexibility when change s required. 7. 4 Embedding the Strategy Support and inspire others responsible for delivering strategic and operational plans, helping them to overcome obstacles and challenges, and to remain focused Create a consultative organisational culture to support delivery of the strategy and to drive strategic change within the wider healthcare system Establish a climate of transparency and trust where results are discussed openly Monitor and evaluate strategic outcomes, making adjustments to ensure sustainability of the strategy Enables and supports the conditions and culture needed to sustain changes integral to the successful delivery of the strategy.Keeps momentum alive by reinforcing key messages, monitoring progress and recognising where the strategy has been embraced by others. Evaluates outcomes and uses learnings to adapt strategic and operational plans. Generic behaviours observed if individual is not yet demonstrating this domain Absolves oneself of responsibility for holding others to account Fails to enable an organisational culture that embraces the strategy Does not align the strategy with local, national and/or wider health care system requirements Works to develop the strategy in isolation without input or feedback from others 19