Healthcare Leadership Challenges for the Consultant of the future Peter Homa, Chief Executive Nottingham University Hospitals NHS Trust Agenda: • • • • Today’s NHS: invited guest – King’s Fund Hand of history: Francis, Berwick, Keogh Context The successful Consultant Today’s NHS: Invited guest - King’s Fund Hand of History; Francis, Keogh, Berwick • Francis: http://www.midstaffspublicinquiry.com/report • Keogh http://www.nhs.uk/NHSEngland/bruce-keoghreview/Documents/outcomes/keogh-review-finalreport.pdf • Berwick: https://www.gov.uk/government/publications/berwickreview-into-patient-safety Context: Regulation 1. 2. 3. 4. Safe Effective Caring Well-led (Board to Ward visible and effective leaders) 5. Responsive to people’s needs CQC website: http://www.cqc.org.uk/ Context • • • • Financial challenge “Integrated Transformation Fund” The Seven Day Hospital Publication of clinical outcomes and patient experience • Workforce challenges The successful Consultant • Patient centred high quality care • Published measurement of clinical outcome and patient experience • Relationships; shared purpose • Clinical and managerial leadership • Addressing clinically unjustified variation in care • Improvement (www.ihi.org) • Involvement “Now there’s no more money, it’s time to think”