This document summarizes a nursing and midwifery leadership forum on the changing role of healthcare professionals. It discusses the legislative framework shaping Ireland's health system, the transition from the HSE to new hospital groups, and challenges like leadership transitions and meeting access targets. It emphasizes the importance of succession planning through leadership development programs to ensure future leaders have the skills to drive organizational change and quality assurance. The forum focused on enhancing learning opportunities for nurses and midwives to build skills in areas like teamwork, communication, and emotional intelligence.

1. National Health Care Conference
Nurse Leaders Forum
2nd April 2014
Colette Cowan Group Director of Nursing
& Midwifery

2. Leaders Forum
The Changing & Challenging Role of The Nursing
& Midwifery Professional & The Importance of
Succession Management

3. Overview
Welcome and Introduction
The Legislative Framework- Future Health.
A Changing Environment
The West North West story
Challenges we face
Leadership
Succession Plans

5. Timeline for Future Health
2011
SDU
2012
Directorate
Structure in HSE
2013
Hospital
Groups & ISA
Review
2014
Healthcare
Commissioning
Agency
2015
Free GP
Care
2016
UHI

6. After the HSE: The Three Ps
HSE

7. Context of a changing environment
• Group to Foundation TRUST.
• Clinicians in Management.
• Directorates to Business Units.
• Licensing.
• Learning, Innovation, Research
• Strategy
• Regulation and Reports

8. Galway University
Hospitals
&
NUI Galway
Mayo General*
Sligo Regional* Letterkenny General*
Roscommon
Portiuncula*
* NUI Galway Medical Academy co-located

9. Challenges We Face
 Governance & Leadership
 Implementation of Clinical Director Structures
 Group Integration
 Establishing the Board
 Development of Performance Management Culture
 Human Resource Challenges (Retirements, Ceiling, Absenteeism)
 Financial Challenge
 Access Targets (Trolley Waits, Waiting Lists)
 Implementation of National Clinical Programmes

10. Succession Planning to Survival!
• Skills sets to drive the change of multiple organisations
• Assurance system to define and drive quality
• Future leaders
• Progressive ONMSD National Leadership Programmes
• Lifelong learning- Group centres for learning & innovation

11. Enhancing Learning for the future
• Develop skills in teamwork, communication and critical thinking.
• Clinical transformation.
• Human factors
• Emotional intelligence
• Scenario Re-enactment
• Linking the learning to research & Innovation

12. Leadership drives Possibilities
Leadership Toolkit – West/North West Hospitals
Group Framework
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13. Leadership Framework in WNWHG
 Agreed the Mission for the Group
 Translated Mission into Objectives for Directorates/Hospitals
 Established Personal Objectives for Executive Council Members – 10+5
 Facilitated progress through POAs
 Developed KPIs to track progress
 Underpinned through the Communications Strategy
 Created/Developed Teams through Leadership Programmes

14. Leadership Framework in WNWHG
 Leadership is important & gets results
 Many leadership models exist – pick one that works for you
 Resilience is important
 Staff are our greatest asset – really and never forget it.
 My personal view - Leaders are developed, not born
 Psychological Contract – an important tool
 Recruit the best / spot the talent
 Train them and grow them
 Create Followers
 Give them the tools to do the job
 Keep out of their way as far as possible
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15. Senior Nurse/Midwife Leaders
• The lonely Road
• Onus on us to develop a strong forum
• Broader view
• Input into future legislation
• Define the future for our next generation
• Sustainability, Safety & Staff with skill set

16. AUTHORITY
Formally Delegated Power
- Right to command
- Commit resources
- Give orders
- Expect them to be obeyed
RESPONSIBILITY
Duty/Obligation to satisfactorily
Perform/complete a task
ACCOUNTABILITY
- Obligation to account for ones actions, money or
entrusted property and accept responsibility

17. A leader is a dealer in Hope
I’ve missed more than 9000 shots in my career.
I’ve lost almost 300 games. 26 times I’ve been
trusted to take the game winning shot and
missed. I’ve failed over and over and over again
in my life. And that is why I succeed. –Michael
Jordan

18. Food for Thought
IF NOT YOU-WHO?
IF NOT NOW- WHEN?
Thank You