leadership saves for lives a purpose Improving Global Health through Leadership Development Fleur Kitsell + Lisa Kelly 19 October 2016

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1 leadership saves for lives Improving Global Health through Leadership Development Fleur Kitsell + Lisa Kelly 19 October 2016

2

3 Background Nigel Crisp: Global Health Partnerships: the UK contribution to health in developing countries (2007) HM Government: Health is Global: an Outcomes Framework for Global Health ( ; ) Need to increase Leadership capability among NHS workers IGH, an innovative leadership programme, became operational in August 2008

4 Aims of the programme To support the delivery of sustainable improvements in health and healthcare, in collaboration with our partners in their community in resource-poor settings To provide an unparalleled personal and leadership development experience for participants (Fellows) who are recruited as volunteers on the programme To create a cadre of skilled leaders with service improvement skills who can make a real difference to the NHS on their return to the UK

5 How we operate Work with a partner organisation in-country Current partnerships: MJP Foundation; Samlout, Cambodia; Department of Health of the Western Cape (Metro and Rural); Cape Town and George, South Africa Department of Health of the Eastern Cape; East London, South Africa Brighter Future Foundation and Myanmar GP Association; Yangon, Myanmar

6 On placement Fellows carry out project work in partnership with local workers - identified by/with the in-country Partner Focus on public health and system development including capacity and capability building of in-country healthcare workers, often in rural settings Recent projects: Implementing a Stroke Care Pathway in East London Improving Theatre efficiency in George Hospital Strengthening referral Communication in East London Implementing a Retinal screening programme for diabetic patients

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8 NHS Healthcare Leadership Behaviours: Creating/Sharing a vision Evaluating Data Connecting the service Model (2013)

9 Nurse Leadership Strengthen Management and Leadership skills among Nurse Operating Managers (14) through undertaking an Improvement project Workshop training and mentor support Presentation to Hospital CEO and senior team

10 leadership saves for lives Health Leadership in Zambia Lisa Kelly IGH Fellow and NHS Senior Manager

11 The Project... After a review of the MMed Anaesthesia programme in early 2012, a need was identified to develop the management and leadership of the anaesthetic department to maximise the benefits of the training programme. The aims of the project were to: Perform a service review Conduct audits of current healthcare provision Explore workforce development needs Improve systems to strengthen the department Develop teaching around health leadership

12 The approach... Mapping the Recovery Process audit/recommendations/implementation Management Support to the Department HR/Finance/Managing upwards Blood identify issues/improve communication Surgical Safety/Quality implement WHO checklist Equipment and drug access and procurement process/system mapping Teaching develop curriculum, learning tools and delivery

13 1. Introduction to Health Leadership 2. People and Performance Management 3. Personal Impact and Influence 4. Project Management 5. Team Building 6. Data, data, data! 7. Finance/procurement 8. Mentoring/coaching 9. Setting direction 10. Patient Experience To maintain frontline services requires skilful and careful managers the fewer the resources, the greater the management challenge!

14 Achievements... System and process strengthening within department First generation of anaesthetic consultants graduated (having some leadership teaching as part of their training) Opportunity to teach in Psychiatry and ENT Extended stay to scope potential for spreading leadership and management training

15 The future... Invited to East London to scope similar programme on leadership and systems strengthening Returned to review progress 18 months on Returned to Zambia April 2016 (train the trainer approach multidisciplinary course) Plan to return again in early 2017 Potential to duplicate leadership teaching on other MMed programmes and beyond Opportunity to influence national policy

16 Thank you

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