Becoming Tomorrow’s
Leaders
Leadership in Health and Social
Care
Ken Jarrold
Topics
• Leadership and Management- definitions
• Leadership in Health and Social Care
• Management in Health and Social Care
Topics
• What matters
• One approach to leadership and
management-servant leadership
• Other thoughts on Leadership
• Hard questions for would be leaders
• 10 steps to leadership and management
Leadership and Managementdefinitions
• Leadership is showing the way-showing
what to do next. Leadership is not
dependent on role or seniority.
• Management is the responsibility for the
use of resources. Management is
dependent on role and includes seniority.
Leadership in Health and Social
Care
• Leadership in health and social care may
come from;
• Patients
• Clients
• Carers
• Voluntary Organisations
• Representatives of the public
• Other agencies
Leadership in Health and Social
Care
Professions
Trade Unions
Politicians
Team Managers
Directors and Senior Managers
Chief Executives
Chairs and Non Executives
Management in Health and Social
Care
• Team Managers
• Directors and Senior Managers
• Chief Executives
What matters
• What matters is the approach to
leadership and management
• What matters is how you do it
• What matters is what you say, what you
do and how you behave.
One Approach to leadership and
management-servant leadership
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Robert Greenleaf’s story
AT and T
Retired at 60
A useful old age
24 years of research writing and teaching
Servant leadership-an international
following
Ten Characteristics of the Servant
Leader/Manager
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Listening
Empathy
Healing
Awareness
Persuasion
Conceptualisation
Ten Characteristics of the Servant
Leader/ Manager
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Foresight
Stewardship
Commitment to the growth of people
Building community
• Larry Spears
Other Thoughts on leadership and
management
• Surveys [Sheffield Study 1998 National
Staff Surveys 2003- London Study 2004]
tell us that the approach taken to
leadership and management matters to
the people of the NHS
• The people of the NHS work in teams
• The quality of team managers is crucial to
the well being of the people of the NHS
Other thoughts on leadership and
management
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Team Managers need to provide:
Support
Feedback including appraisal
Development and training
Clear job content
Other thoughts on leadership and
management
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Survey of 2500 NHS Managers
Most important leadership qualities
Concern for others
Ability to communicate and inspire
Decency
Humanity
Humility
Other thoughts on leadership and
management
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Sensitivity
Respect for others
Not a soft option
The leader as servant not as hero
Other thoughts on leadership and
management
• NHS leadership research highest scores for
observed leadership behaviours
• Focusing effort
• Being decisive
• NHS leadership research lowest scores for
observed leadership Behaviours
• Inspiring others
• Supporting a developmental culture
Other thoughts on leadership and
management
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Showing genuine concern
Encouraging change
Being honest and consistent
Acting with integrity
Other thoughts on leadership and
management
• Good Boss Consultancy Group Survey- private
sector
• More than two thirds of staff had been bullied or
publicly humiliated
• 6 out of ten people with a bad boss have looked
for a new job
• Almost 70% of workers often criticise their boss
to colleagues
• Only 1% are made to feel proud and wanted
Other thoughts on leadership and
management
• More than a third of staff with bad bosses
admitted to sickies
• The worst bosses;
• Leave things to the last minute
• Provide little or no direction
• Go for easy quick fix solutions
• Keep changing direction
Other thoughts on leadership and
management
• Are stressed by a lack of organisational
skills
• Disregard work-life balance
• Are poor at identifying problems
• Provide no career options
• Over-commit the team
• Delegate difficult and unpleasant tasks
Other thoughts on leadership and
management
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The best bosses;
Defend the team when necessary
Do not let personal life affect work
Give credit where it is due
Support career development
Always support team members
Other thoughts on leadership and
management
• Are cheerful and positive
• Are gently persuasive
• Challenge decisions with which they
disagree
• Face up to difficulties
• Have reasonable expectations
Other thoughts on leadership and
management
• David Fillingham Trust CE asked A and E
nurses in Stoke -on-Trent what makes
good leaders?
• They said;
• Integrity and support for people
• Good communicator
• Passion-belief in the NHS and service
improvement
Other thoughts on leadership and
management
• Peter Griffiths Foundation Trust
Chair/former Deputy CE NHS describes
leaders as;
• Passionate about high standards of
service
• Looking for improvement
• Being willing to learn
• Seeking consensus
Other thoughts on leadership and
Management
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Admitting mistakes
Concerned for the treatment of people
Having realistic visions
Committed to relationships with
professional colleagues
Other thoughts on leadership and
management
• Beverley Alimo-Metcalfe’s [Professor of
Leadership and researcher] descriptions of
leadership and leaders;
• Leadership is;
• A contact sport
• Asking ourselves do those I serve grow as
people?
• Being obsessed with values-living inside
out
Other thoughts on leadership and
management
• Connecting what I do with who I am and
those I serve
• A leader is:
• Someone who has more belief in others
than they have in themselves
• The keeper of the faith until they come to
believe it for themselves
Other thoughts on leadership and
management
• Max du Pre American industrialist
influenced by Robert Greenleaf said that
leadership was about;
• Polishing, liberating,enabling the gifts of
others
• Bearing not inflicting pain
• Believing that people are the heart and
spirit
Other thoughts on leadership and
management
• Giving people space to exercise gifts and
be themselves
• Behaving with consistent and dependable
integrity
Other thoughts on leadership and
management
• Courage is important in leadership and
management
• David Wilkinson and Elaine Applebee said
courage is more important than charisma
• Simon Caulkin said that leadership is about
honesty, courage, and a willingness to worry a
way through the hard decisions
• C S Lewis said that courage is the master virtue
because it makes practice of all the others
possible
Other thoughts on leadership and
management
• Leadership is about action
• Don Detmer American academic said that
leadership is about who you are, what you
believe and doing something about it
Other thoughts on leadership and
management
• Warren Bennis is one of the most
respected thinkers on leadership. Writing
with James O’Toole he said
• Real leaders demonstrate integrity,
provide meaning, generate trust, and
communicate values
• Real leaders move the human heart
Hard questions for would be
leaders
• Warren Bennis and James O’Toole ask 9
hard questions of would be leaders
• 1. Do you lead consistently in a way that
inspires followers to trust you?
• 2. Do you hold people accountable for
their performance and promises?
• 3. Are you comfortable delegating
important tasks to others?
Hard questions for would be
leaders
• 4. How much time do you spend
developing other leaders?
• 5. How much time do you spend
communicating your vision, purpose, and
values? Do people down the line apply
your vision to their day to day work?
• 6. How comfortable are you sharing
information, resources, praise and credit?
Hard questions for would be
leaders
• 7. Do you energise others?
• 8. Do you consistently demonstrate
respect for followers?
• 9. Do you really listen?
10 Steps to leadership and
management
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5 Process steps
1. Listen to other people
2. Think about what they have said
3. Exercise judgement- come to a decision
4. Explain your decision and persuade
others
• 5. See it through with courage
10 Steps to leadership amd
Management
• 5 behaviour steps
• 1. Demonstrate your commitment to the
work of your organisation and your belief
in service improvement.
• 2. Respect the people you work with and
take delight in their development.
• 3. Exercise empathy- put yourself in other
people’s shoes
10 Steps to leadership and
Management
• 4. Build trust by acting with integrity and
living your values
• 5. Act with humility and be willing to learn