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June Pathfinder Learning Network event breakout session:  consortium leadership roles
 

June Pathfinder Learning Network event breakout session: consortium leadership roles

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    June Pathfinder Learning Network event breakout session:  consortium leadership roles June Pathfinder Learning Network event breakout session: consortium leadership roles Presentation Transcript

    • Consortium leadership roles - what, who, why, how? Breakout session from Pathfinder Learning Network event – 7 June 2011
    • Overview Breakout session from Pathfinder Learning Network event – 7 June 2011 Consortium Leadership Roles - what, who, why, how? The Accountable Officer (AO) will be responsible for ensuring that the consortium exercises its functions effectively, efficiently and economically. Where the Accountable Officer is not a clinician the consortium will need a Clinical Lead or Clinical Chair (CC). There is also the option of a third role for a Chief Operating Officer. These top-level leadership roles will be part of a ‘governance group’.   The type of Leadership the NHS requires is changing from the old model of ‘heroic’ leadership to one of shared leadership and innovation both within and across organisations to deliver its goals.   What will encourage GPs to come forward and take on these roles? What support and development will they need?
    • Key discussion points - roles
      • There was a spectrum of views as to how feasible it was for the AO to be a GP. It could be a difficult balancing act – the AO role cannot be fitted in ‘around the edges’ - either the patient has priority or the GPC at any given time. However, there was wide recognition of the value of a clinical AO to ensure the ‘clinically-led service’ goal is achieved
      • There was agreement that a ‘one-size fits all’ board design solution does not exist (those with PBC experience explained how a number of different solutions had worked for them – although noted that not all of these are permissible under the new bill) – and recognition that the current ‘shadow GPC’ period gives everyone a valuable opportunity to explore different solutions. What we start out with now may not be the end solution – this is fine
      • What actually is the role of an AO? Previous board experiences (including PBC) show that the role must be very clearly defined – i.e. What does ‘accountable’ mean? What is the AO accountable for? Some GPs expressed concern that they would be held doubly-accountable should something go wrong
      • GPs need to be adept at putting assurance arrangements in place – this is an essential function of the AO role – getting this right makes it feasible for the AO to maintain clinical work
      Breakout session from Pathfinder Learning Network event – 7 June 2011 Consortium Leadership Roles - what, who, why, how?
    • Key discussion points - recruitment, diversity and succession-planning
      • We need to be careful when designing assessment criteria to ensure a diverse range of applicants feel able to apply whilst also setting the bar very high. For example, many in the group felt formal qualifications were far less important than being able to demonstrate key leadership behaviours. Do we need a national competency framework?
      • At this early stage, it appears only people in a particular age group are expressing an interest. This raises concerns about succession-planning – how do we identify and encourage people with potential but who perhaps have not even considered the AO role as something for them? How can we change the mindset of GPs and incentivise them so that they consider the AO role as being a normal part of their career options?
      Breakout session from Pathfinder Learning Network event – 7 June 2011 Consortium Leadership Roles - what, who, why, how?
    • Key discussion points - leadership behaviours and development
      • To make GPC work, we need to have leaders in place that can use ‘affiliator’ and ‘democratic’ leadership styles – the current system leaders are predominantly displaying the ‘pacesetter’ leadership style that will be needed much less in future. How do we make this change? Will it happen naturally as leaders respond to the system change?
      • There was a spectrum of views of leadership training which GPs had taken part in to date, including +’s and –‘s for the RCGP Leadership Programme. GPs shared experiences of securing development support from a number of providers. Caroline Stanger publicised the offer to GPs of free coaching from the NHS Institute and encouraged them to discuss development needs with her first http://www.institute.nhs.uk/building_capability/general/executive_coaching.html
      • Leadership courses seem to be aimed solely at GPs – what about for the other board roles? And what about the other development needs outside of ‘leadership’ such as the need to develop GPs so they are skilled at putting assurance arrangements in place?
      Breakout session from Pathfinder Learning Network event – 7 June 2011 Consortium Leadership Roles - what, who, why, how?
    • Next steps - locally
      • GPs to use the ‘shadow GPC’ period to fully explore board options to identify the right one for them
      • GPs to consider how the GP mindset can be evolved so that becoming an AO is considered part of the standard career options
      • GPs to share ideas and PBC experiences (permissible under the new Bill) about different leadership role structures via their peer networks, including how power and risk could be distributed. These can be published on the pathfinder website - please contact Caroline
      • GPs to engage with coaching opportunities on offer
      • GPCs who have already developed AO (and other board) role descriptions to share with DH ( [email_address] ). DH will share these on the pathfinder website along with DH work in progress
      Breakout session from Pathfinder Learning Network event – 7 June 2011 Consortium Leadership Roles - what, who, why, how?
    • Next steps - nationally
      • Secretary of State and David Nicholson to encourage the rest of the GPs to get on board with consortia to really make the new system a success
      • Firm up framework and rules on GP AO recompense and remuneration
      Breakout session from Pathfinder Learning Network event – 7 June 2011 Consortium Leadership Roles - what, who, why, how?