John Quincy Adams

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Change will not come if we wait for some other person or some other time.
We are the ones we've been waiting for. We are the change that we seek.

Choose 1 leader
What have they done that inspires you?

About this morning
Session 1 . Shared leadership and the CLCF
Session 2 Leadership and you
• exercise 1 your professional values
• exercise 2 self assessment
Session 3 Making the CLCF real
• Exercise 3 Review CLCF examples
Session 4 Taking the leadership challenge
•
Exercise 4 Linking challenges to leadership
Close
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1015

• Students understand how leadership relates to their : -
• practice
• Value set
• Skills attitudes and behaviors for the module and future working
• Their development areas

• Leadership is a transactional process . A leader affects and is affected by followers
• Leadership is transitional. Within a MD team leadership moves around the team dependent on the stage of the process
• Leadership involves influence in a group with a common purpose . Without influence, leadership does not exist
•
Leadership involves attaining goals and directing a group of individuals to achieve
Leadership is multi-factorial and distinct from management

What is
Shared
Leadership?
A dynamic, interactive influencing process among individuals in groups
Self-leadership : feeling confident to contribute and act
Leadership is restricted not to those who hold designated leadership roles
Acts of leadership can come from any individual in the organisation, as appropriate, at different times
Emphasises teamwork and collaboration ; objective is to lead one another to achieve group goals
There is a collective shared responsibility for success of the organisation and its services
Pearce and Conger

Northouse

The leadership problem
There are many examples of poor practice and system failure within health and care where a lack of leadership
– at an individual, collective and system level – has been identified as an important factor.
For example, we ’ ve seen this week that the care being delivered in your clinics may not be optimal and that the system itself has been built up over many years and not been designed to meet with patients needs.
With the economic and other challenges facing the Malawi Health Service it will be imperative that frontline staff have the leadership knowledge, skills and behaviours to drive radical service redesign and improvement.

But I ’ m not a leader....
Why me?
Patients and their family expect clinicians to use their knowledge and experience to contribute to the effective and efficient provision of healthcare.
Leadership is not restricted to people who hold designated leadership roles.
Acts of leadership can come from anyone in the organisation.

But I ’ m not a leader....
Why me?
Patients and their family expect clinicians to use their knowledge and experience to contribute to the effective and efficient provision of healthcare.
Leadership is not restricted to people who hold designated leadership roles.
Acts of leadership can come from anyone in the organisation.

Leadership for CO and midwives is
Leadership in Malawi is about delivering high quality services to patients by:
Demonstrating personal qualities
Working with others
Managing services
Improving services
Setting direction

The CLCF
Domains
– there are 5 which describe the breadth of leadership behaviours
Elements – manageable components which are subsets of each domain
Competences – 4 statements which describe the leadership behaviours underpinning each elements

Domain 1
1.
Demonstrating Personal Qualities
1.1 Developing self awareness
1.2 Managing yourself
1.3 Continuing personal development
1.4 Acting with integrity

Elements x 4
For example
Effective leaders need to draw upon their values, strengths and abilities to deliver high standards of care.
This requires leaders to demonstrate competence in the areas of:
Element 1.1 Developing self awareness

Contextual descriptors
1. Demonstrating Personal Qualities
1.1 Developing self awareness
And the context is staff...
Recognise and articulate their own values and principles, understanding how these may differ from those of other individuals and groups
Identify their own strengths and limitations, the impact of their behaviour on others, and the effect of stress on their own behaviour
Identify their own emotions and prejudices and understand how these can affect their judgment and behaviour
Obtain, analyse and act on feedback from a variety of sources.

Gruen RL, Pearson SD & Brennan TA.
JAMA (2004); 291: 94-98

Stages of Leadership Development
Stage 4
Stage 3
Stage 2
Stage 1 Own practice/Immediate team
Stage 2 Whole service/Across teams
Stage 3 Across services/Wider organisation
Stage 4 Whole organisation/Wider healthcare system
Stage 1

Supporting infrastructure and resources
For Individuals
Self Assessment tools:
Leadership Development Module: Freely available, particularly useful after undergoing or self assessment as signposts specific activities to help develop against particular elements of the framework.
Case studies and clinical examples: A range now available, including how individuals as well as organisations are using the CLCF to inform their work.
For further information, please visit http://www.leadershipacademy.nhs.uk/developyour-leadership-skills/leadership-framework/supporting-tools-and-documents

What motivated you to train as a CO or midwife?:
• Part 1 – working in pairs (2 X 3 mins each = 6 mins) discuss
• Part 2 – working as a group (4) discuss = 4 mins
1 McBain, R., Ghobadian, A., Switzer, J., Wilton, P., Woodman, P. and Pearson, G. (2012) The Business Benefits of
Management and Leadership Development. London: Chartered Management Institute

• Self assessment
• Part 3 – consider what you bought into practice. Now….
• What did you learn about yourself?
• What would you do differently?
• What leadership would you need to maximise the opportunities you identified in your audits?
- Working in Pairs = 8 mins
- Working in groups = 4 mins
- Plenary = 10 mins

• CLCF booklet handouts
• Working in groups - 1 CLCF domain per group
• Step 1 Review the practical examples e.g student, practitioner, experienced practitioner
Are the generic examples suited to Malawi
Are the discipline specific examples relevant, Can they be tweaked/altered or need a lot of change
Can you write an example?
• Step 2 Review the learning and development activity. Is it suitable?

• What are the top 2- 3 challenges facing obstetrics and neonatal care today?
• Step 1 take a domain of the CLCF. Thinking about these challenges and what you have learned earlier, what leadership activity/behaviours can you do to address these
• Working in small groups use the handout = 15 mins
Step 2 feedback in plenary = 15 mins

r
Change will not come if we wait for some other person or some other time. We are the ones we've been waiting for. We are the change that we seek.

"Never doubt that a small group of thoughtful, concerned citizens can change the world. Indeed it is the only thing that ever has.
Margaret Mead

A recently published report 1 found that:
• The average spend on management and leadership development
(MLD) in high performing organisations is £1738 per year/ per manager (compared to £1275 for low performing organisations).
• Accredited qualifications were rated by individuals as having the most impact upon their management/leadership performance.
• The highest performing organisations had higher performing and more effective leaders
• A strategic approach to MLD is required for it to be successful, i.e. commitment to MLD driven by CEO and senior management, the need for HR practices which reinforce leadership development, e.g. leadership succession planning and competency frameworks
Change will not come if we wait for some other person or some other time. We are the ones we've been waiting for. We are the change that we
1 seek.
Management and Leadership Development. London: Chartered Management Institute
The Business Benefits of