The Leadership Framework The foundation of leadership behaviours for all health staff in health and care

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1 The Leadership Framework The foundation of leadership behaviours for all health staff in health and care Jeremy Crabb

2 Overview of session Introduction Leadership Framework (LF) LF support Embedding Any questions

3 Vision for the Leadership Framework A single over-arching framework for all staff irrespective of discipline, role or function. Is underpinned by a consistent set of guiding principles which reflect the values of NHS staff and embodies the NHS constitution and represents the foundation of leadership behaviour for staff in health and care. Combines and builds on the Leadership Qualities Framework and the Medical and Clinical Leadership Frameworks Staff are able to understand their progression and development as a leader

4 Why have a National Framework? The framework is a consistent description of the leadership skills, competences and behaviours required to: Embed the NHS constitution and values Articulate the leadership behaviours required to deliver the reforms Provide a common language and consistent approach to leadership across the education, regulation and professional sectors Align these with those in the NHS Common language for leadership that spans professions Negate the requirement of existing & new organisations to create their own frameworks Support leaders to access the right development opportunities throughout their career trajectory Build leadership capability from under/post graduate training through continued professional development using a consistent set of descriptors

5 The Leadership Framework - genesis Commissioned by the NLC in May 2010 Contemporary leadership literature review Build on strengths of the LQF and the MLCF/CLCF to reflect change in the NHS landscape and contemporary theories LQF factor analysis-meta qualities National Leadership Council programmes e.g. Clinical Leadership, Top Leaders and Inclusion workstreams, SHA Leadership Lead Alliance The qualities and behaviours described are generic and transcend specific roles Designed to be applicable to all staff groups including clinical roles Being progressively embedded in education curriculum and regulation

6 Consultation with a wide cross section of NHS staff and stakeholders, including: Clinicians Chief Executives and Board members Experts in workforce planning, OD and HR, leadership development and commissioning Wider workforce Outside the NHS Lay advisors representing patient groups Professional bodies Regulators Academics

within the NHS), the Medical Leadership Competency Framework

7 The Leadership Framework The 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 Leadership Framework

8 The Leadership Framework It includes 5 core domains, shared with the MLCF/CLCF: Demonstrating Personal Qualities Working with Others Managing Services Improving Services Setting Direction There are two additional domains Creating the vision Delivering the strategy

9 Stages of Leadership Development Stage 4 Stage 3 Stage 2 Stage 1 Stage 1 Own practice/immediate team Stage 2 Whole service/across teams Stage 3 Across services/wider organisation Stage 4 Whole organisation/wider healthcare system

10 Domain 1 1. Demonstrating Personal Qualities 1.1 Developing self awareness 1.2 Managing yourself 1.3 Continuing personal development 1.4 Acting with integrity

11 Elements x 4 For example Effective leaders need to draw upon their values, strengths and abilities to deliver high standards of care. This requires leaders to demonstrate competence in the areas of: Element 1.1 Developing self awareness

12 Contextual descriptors 1. Demonstrating Personal Qualities 1.1 Developing self awareness And the context is staff... Recognise and articulate their own values and principles, understanding how these may differ from those of other individuals and groups Identify their own strengths and limitations, the impact of their behaviour on others, and the effect of stress on their own behaviour Identify their own emotions and prejudices and understand how these can affect their judgment and behaviour Obtain, analyse and act on feedback from a variety of sources.

13 Supporting infrastructure and resources For Individuals Online 360 diagnostic (812 registered to date) Self Assessment tools (17,000 downloads to date) Leadership Development Module LeAD (e-learning modules) Case studies For Organisations Organisational Toolkit For 360 Facilitators E-learning training & materials For further information, please visit

Embedding Usage NHS CCGs Private practice & High street Private hospitals Management Training

Vocational and work place training Organisational development Inclusion, Emerging leaders,

NCF Education sector Undergraduate, postgraduate curricula, and continuing professional

14 Embedding Usage NHS CCGs Private practice & High street Private hospitals Management Training scheme KSF HR National Framework Nursing careers framework LeAD Workplace NHS LF (CLCF & MLCF) Vocational and work place training Organisational development Inclusion, Emerging leaders, Board development Specialist frameworks e.g. NCF Education sector Undergraduate, postgraduate curricula, and continuing professional development E-learning Regulation Standards of practice & for education and training Professions Societies, Colleges SIGs, Standards, curricula CPD, revalidation

15 Embedding the LF Higher Education early adopters Pre-reg nursing at Chester, Bedford and Southbank Pre-reg speech and language therapy, Birmingham Pre-reg Healthcare Scientists, Kings College Professions early adopters British Psychological Society (BPS) and Royal Pharmaceutical Society (RPS) have published their own leadership frameworks based on the CLCF contextualised for the profession. Royal College of Nursing (RCN) is due to publish a document in The Chief Scientist is supporting the development of a national programme which uses the CLCF as a basis for structuring healthcare science leadership and integrating it into other professions and across healthcare organisations.

16 Embedding the LF Component of Toolkit Commissioning Leadership Programmes Recruitment and selection Organisations NHS East of England NHS North West NHS Bradford and Airedale NHS Graduate Management Scheme Assessment of Skills Stages 1 and 2 Stages 3 and 4 Leadership Development Programmes Organisational Wide Strategy Talent Management Strategy National Initiative South Staffordshire Locality Group NHS East of England Buckinghamshire Healthcare Trust NHS East of England York Hospitals Foundation Trust NHS Blood and Transplant Central and North West London FT Royal Derby Foundation Trust NHS London NHS Preceptorship Programme

17 Update on yesterday s colloquium on leadership and education

18 Questions and further information For more information, please visit us on Follow progress or tell us what you are doing by joining the NHS Leadership Framework Linkedin Group Updates on twitter : #leadershipframework

Advanced Nursing Practice & Credentialing

Advanced Nursing Practice & Credentialing Making it Happen Ollie Phipps Acute Care Nurse Consultant, Hon. Senior Lecturer Advanced Practice, & RCN ANP Forum Committee Chair @ocphipps Aims i. Define what