Derek Feeley discusses the challenges of leadership in healthcare, noting that it requires getting people to face complex issues and disappointing them at a manageable rate. Studies of twins separated at birth illustrate the power of genetics, with identical twins showing more similarities than non-identical twins. Feeley asks readers if they are ready to pursue world-class care, continue improving safety and patient-centeredness, learn together, renew ethics and values, and make the right choices easier.

1. Derek Feeley
Director-General Health and Social Care and Chief
Executive NHSScotland

2. Leadership
It is unpopular and dangerous
Leadership is the practise of getting the people to face
complex collective responsibilities
Adaptive leadership
MAINTAINS people within THEIR Productive Zone of Distress
It is about disappointing people
at a rate they can absorb

4. Illustration of the power of genetics
Studies in twins separated at birth
Dizygotic
Twins
Monozygotic
Twins
Borjeson,Acta Paed.1976

5. So are you ready to……?
• Show the courage to persist in our pursuit
of world-class care
• Continue to make care safer, more
effective and more person-centred
• Choose to learn together
• Share and renew our ethics and values
• Make the right thing easier to do
• Get ready for the next curve

7. The Edge of Glory!