Embedding leadership into professional, education and regulatory standards

1. Embedding leadership into professional, education and regulatory standards Paul W Long & Peter Spurgeon 28 August 2013

2. Acknowledgements This work was undertaken on behalf of the NHS Institute of Innovation and Improvement, the Department of Health and the NHS Leadership Academy Sue Mortlock Sue Balderson Tracy Lonetto Sabhia Sheikh Jeremy Crabb PippaCronk Paul W Long Consulting

3. Context Medicine – systematically addresses policy, regulation, education and training and workforce development Non medical – not as clear cut Complex environment – public and private sector Multiple clinical professions at varying degrees of development No universal approach to education and training Multiple regulators No national or coordinated policy approach common across professions Clinicians at the frontline frustrated with ever-changing environment and demands from the top they do better without help or support to do so Paul W Long Consulting

4. Strategic Context Health and Social Care Bill Health Education England Education Outcomes Framework NHS Leadership Academy NHS England Commissioning bodies National HCS Leadership Strategy Paul W Long Consulting

5. Evolution Leadership Qualities Framework • Fifteen qualities, arranged in three clusters • Each quality defined at levels that identify both effective and outstanding leaders • The highest levels relate to the expected behaviours demonstrated by outstanding chief executives within the NHS • Launched in 2002 Paul W Long Consulting

6. MLCF Medical Leadership Competency Framework • Jointly developed by Academy of Medical Royal Colleges and NHS Institute • First in use in 2008 now with 2 further ed. • Describes leadership competences for doctors • Applies to all medical students and doctors • Being used to inform formal education and training curricula • Being progressively embedded into regulation Paul W Long Consulting

7. 2010 NHS GP consortia Private practice & High street Private hospitals Management Training Scheme KSF HR National Framework Nursing careers framework LeAD Workplace Vocational and work place training Organisational development Inclusion, Emerging leaders, Board development Specialist frameworks eg CCF LQF P O L I C Y Legislation MLCF Professions Societies, Colleges SIGs, Standards, curricula CPD, revalidation Undergraduate, postgraduate Curricula, and continuing professional development E-learning Regulation Standards of practice & for education and training Paul W Long Consulting

8. Aim and objectives Phase One • Develop a generic ‘clinical’ competency framework which related to all clinical professions • Consultation and interviews with individuals within the profession bodies and frontline clinicians - using semi-structured questions, to gather data to inform the position of each clinical profession, as well as, the overall findings. • Review of documentation – the project team reviewed curricula guidance, standards and frameworks relating to education and training, learning and development activity as well as performance assessment tools  Phase two • Develop a Leadership Framework which is applicable to all the workforce • Products and tools to support adoption Paul W Long Consulting

9. Timeframes Phase One – February 2010 – July 2010 • Develop a generic ‘clinical’ competency framework which related to all clinical professions • Consultation and interviews with individuals within the profession bodies and frontline clinicians - using semi-structured questions, to gather data to inform the position of each clinical profession, as well as, the overall findings. • Review of documentation – the project team reviewed curricula guidance, standards and frameworks relating to education and training, learning and development activity as well as performance assessment tools  Phase two – August 2010 – June 2011 • Develop a Leadership Framework which is applicable to all the workforce • Products and tools to support adoption Paul W Long Consulting

10. Timeframes Phase One – February 2010 – July 2010 • Develop a generic ‘clinical’ competency framework which related to all clinical professions Phase two – August 2010 – June 2011 • Develop a Leadership Framework which is applicable to all the workforce • Products and tools to support adoption Phase three – July 2011 – March 2012 • Campaign to promote adoption, usage and embedding Paul W Long Consulting

11. Clinical Professions in consultation • Nursing and midwifery • Arts therapists – art, drama, music • Healthcare scientists • Chiropodist/podiatrists • Dietitians • Occupational therapists • Operating department practitioners • Orthoptists • Paramedics • Physiotherapists • Prosthetists/orthotists • Radiographers • Speech and language therapists • Practitioner Psychologists • Dentists • Pharmacists • Opticians • Plus exploratory discussions with social workers Paul W Long Consulting

12. LF journey • The NHS LF combines the Leadership Qualities Framework (LQF) (developed in 2002, specifically for senior leaders within the NHS), the Medical Leadership Competency Framework (MLCF)/Clinical Leadership Competency Framework (CLCF) LQF MLCF/CLCF NHS Leadership LQF LF MLCF/CLCF Paul W Long Consulting

13. Profession Regulation Embedding CLCF – LEADERSHIP Capability Education The System Workforce Embedding the Leadership Framework

14. Supporting products and resources For Individuals Online 360° diagnostic: Over 800 users registered, 391 of which are clinicians. Planned that 675 Midwives from NHS North West will undertake the 360° as part of a leadership programme. Self Assessment tools: Over 17,000 downloads. Being used in a number of courses and programmes to help students/participants assess their leadership skills prior to commencement, and often re-assessing at completion. Versions freely available for clinicians, doctors and wider workforce. Leadership Development Module: Freely available, particularly useful after undergoing 360° or self assessment as signposts specific activities to help develop against particular elements of the framework. LeAD (e-learning modules): Freely available, targeted e-learning for doctors and clinicians. Case studies: A range now available, including how individuals as well as organisations are using the CLCF/LF to inform their work. For Organisations Organisational Toolkit For 360° Facilitators E-learning training & materials For further information, please visit www.nhsleadership.org.uk/framework.asp Paul W Long Consulting

15. Results Successfully gained agreement from all the stakeholders on the LF Created the Leadership Framework and clinical versions The LF was launched by the SoS in July 2011 First time in the UK that there is a common and consistent standard of leadership The framework, tools and resources are widely available in the UK and there is a high level of awareness and excellent examples of adoption Paul W Long Consulting

16. Profession Regulation Embedding CLCF – LEADERSHIP Capability Education The System Workforce Embedding the Leadership Framework 448,000 visits 60,000 360

17. Profession Regulation Embedding CLCF – LEADERSHIP Capability Education The System Workforce Embedding the Leadership Framework NMC pre-reg HCPC statement 448,000 visits 60,000 360

18. Profession Regulation Embedding CLCF – LEADERSHIP Capability Education The System Workforce Embedding the Leadership Framework Nursing, Pharmacy, BPS and more NMC pre-reg HCPC statement 448,000 visits 60,000 360

19. Profession Regulation Embedding CLCF – LEADERSHIP Capability Education The System Workforce Embedding the Leadership Framework Nursing, Pharmacy, BPS and more NMC pre-reg HCPC statement Council of Deans and EOF 448,000 visits 60,000 360

20. Profession Regulation Embedding CLCF – LEADERSHIP Capability Education The System Workforce Embedding the Leadership Framework Nursing, Pharmacy, BPS and more NMC pre-reg HCPC statement Council of Deans and EOF NHS Leadership Academy and FMLM 448,000 visits 60,000 360

21. 2010 NHS GP consortia Private practice & High street Private hospitals Management Training Scheme KSF HR National Framework Nursing careers framework LeAD Workplace Vocational and work place training Organisational development Inclusion, Emerging leaders, Board development Specialist frameworks eg CCF LQF P O L I C Y Legislation MLCF Professions Societies, Colleges SIGs, Standards, curricula CPD, revalidation Education Undergraduate, postgraduate Curricula, and continuing professional development E-learning Regulation Standards of practice & for education and training Paul W Long Consulting

22. Current (2013) Embedding Usage NHS GP consortia Private practice & High street Private hospitals Management Training scheme KSF HR National Framework Nursing careers framework LeAD Vocational and work place training Organisational development Inclusion, Emerging leaders, Board development Specialist frameworks eg CCF Workplace NHS LF (CLCF* & MLCF) Professions Societies, Colleges SIGs, Standards, curricula CPD, revalidation Education Undergraduate, postgraduate curricula, and continuing professional development E-learning Regulation Standards of practice & for education and training Paul W Long Consulting

23. Lessons for Australia Sustainability and custodianship Wide range of supporting products and tools to support embedding Continuous engagement with education sector, the professions and the regulators Combined with campaign to get early wins and build evidence of usage Paul W Long Consulting