Clinical Leadership and Management Fellows Kirsty Forrest Clinical Education Advisor Making change actually happen takes leadership. It is central to our expectations of the healthcare professionals of tomorrow Darzi 2008 Overview • Introduction and overview • The Fellows • Any questions Medical leadership The doctor’s frequent role as head of the healthcare team and commander of considerable clinical resource requires that greater attention is paid to management and leadership skills regardless of specialism Modernising Medical Careers Inquiry: Aspiring to excellence, 2008, p18 A new workforce ‘Tempered radicals’ - willing to act on different external agendas and take risks, yet work successfully within organisations. (Meyerson, 2004) Broker, mediator and negotiator - increasingly being recognised, recruited and trained for these specific cross-boundary roles. (Hartle et al, 2008; Tennyson and Wilde, 2000) Boundary spanners - believe in collaboration, demonstrate an ability to obtain and distribute information strategically, see problems in new ways, craft solutions and develop and support the skills of others. (Bradshaw, 1999) The aims of these posts • gain practical and academic experience in medical leadership from local experts in the field • build a network of expert contacts with medical and NHS management leaders • enhance skills and competencies that are essential for future medical leaders • develop competencies relevant to the domains defined in the MLCF • develop and deliver a specialty or management driven project that is relevant to the specific needs of the NHS • complete an accredited academic leadership qualification The Posts Trust posts • Bradford Teaching Hospitals NHS Foundation Trust • Hull and East Yorkshire Hospitals NHS Trust • Sheffield Teaching Hospitals NHS Foundation Trust Deanery/School Posts • Postgraduate School of Medicine • Postgraduate School of Obstetrics & Gynaecology • Postgraduate School of Surgery. Underpinning assumptions Leader development An investment in human capital to enhance intrapersonal competence for selected individuals Leadership development An investment in social capital to develop interpersonal networks and co-operation within organisations and other social systems (Bolden, 2007, p6) Clinical Leadership & Patient Safety Fellows • • • • • Who? When? Why? Where? What we do. Who we are John Anderson the Wirral Leeds graduate Pierre-Antoine Laloë Brittany Dundee graduate Obstetrics & Gynaecology ST6 Anaesthetic ST5 When are we doing this? • April 2012 to March 2013 • 6 months in post • Out of Programme Experience (OOPE) • Delays CCT by 1 year Where? Bradford Institute for Health Research 2 supervisors (Deputy Medical Director) What we do. Leadership • Trust • PGCert Patient Safety • Risk Management • YQSR Why? Training focussed on clinical skills Registrar  Patient safety interest  Consultant Faiza Chowdhury Clinical Leadership and Simulation Fellow and SpR in Respiratory Medicine Hull Institute of Learning and Simulation Simulation Faculty for School of Medicine Dr. T. Arnold and Dr. M. Purva Respiratory Medicine and Gastroenterology Core Medical Training Renal Medicine Cardiology Dr. J .Kastelik& Dr. Y. Khiyar Dr.Kastelik Professor. Bhandari Dr. J Gunn Faiza Chowdhury Sega Pathmanathan Rebekah Molyneux Jivendra Gosai Simulation Faculty For the School of Paediatrics Dr. S. Clark Dr. M. Purva Helen Moore Asim Ahmed Simulation Faculty for Anaesthetics Dr. M. Purva David Wright Simulation Faculty for Emergency Medicine Dr. G. O’Neill Dr. M. Sundararaj Importance of Simulation • Morality- patients are not training commodities • Increasing the experience of Multi Disciplinary Team Members • Addressing Human Factors • Performance Assessment • Learn from mistakes Simulation Equipment High fidelity Simulators- (Laerdal and Gaumard) Sim man 3G Sim man 2G Newborn, Premie, 1 yr and 5 yr Hal Symbionix Laparoscopy and Angio Mentor Bronchoscopy and Gastroscopy Skills trainers Simulation Environment Educational Courses Current courses Work in Progress Sim Course Human factors Train the Trainers in Simulation Pulmonary Function YHD Bronchoscopy and Chest Drain Simulation Practical and Human Factors Respiratory Thoracic Ultrasound Training Day ST7/8 Pre-Consultant Paediatric Simulation course Yorkshire Immersive Paediatric Simulation (Pre-Registrar course) Neonatal in situ Obstetric Anaesthesia Managing Emergencies Paediatric Anaesthesia Nursing Simulation Paediatric Emergency In-situ Simulation Simulation master class at the annual Paediatric School Meeting Research in Progress • Outpatient Skills in Core Medical Training • Bronchoscopy skill and competence • Validating assessment of simulation using newly designed assessment tools-the development of a scoring tool for the management of anaphylaxis under GA Thank you In at the Deep End Anna Girolami FRCA Fellow in Quality Improvement Sheffield Teaching Hospitals About Sheffield Teaching Hospitals • Royal Hallamshire Hospital, Northern General Hospital, Western Park Hospital, Charles Clifford Dental Hospital • not Sheffield Children’s Hospital • 15000 staff, 1500 inpatient beds, 1 million outpatient appointments, 1 million procedures • long-standing cross-city rivalry. About me • • • • • • • • • Brought up in Kent. Not going back. University of Sheffield 1986 -1991 FRCS - 1996 Slight change of plan - 2002 FRCA - Dec 2006 Pregnant March - 2007 LTFT post-maternity leave CCT - September 2012 A bit more about me • MSc University of Bangor – Risk Management in Health and Social Care • 2 years completed (to diploma level) • Dissertation year underway • Led directly to current post Fellowship in Quality Improvement • • • • • Advertised end of February 2012 Very quick turnaround/closing date In Kilmarnock at the time with only Blackberry access Application in, interview job obtained by end of March 2012. CCT brought forward Quality Improvement Department, STH. • Multi-disciplinary – Medical – Paramedical – Non-medical • Several Fellows • Different sources of funding • More planned Sheffield Microsystem Coaching Academy Microsystems • Clinical microsystems are the front-line units that provide most health care to most people. They are the places where patients, families and care teams meet. • Central to every clinical microsystem is the patient. Microsystems The Dartmouth Institute Microsystem Academy Sheffield Microsystem Coaching Academy • Based on Dartmouth’s internationally successful eCoach the Coach programme - translated • Face to Face and distance learning over 5 sessions • Experiential learning – coach a microsystem, learn from and report on the real work of improvement • Ownership from the team Sheffield Microsystem Coaching Academy Cohort 1 30 February 2013 Cohort 2 60 August 2013 Cohort 3 90 February 2014 Cohort 4 120 August 2014 Cohort 5 150 February 2015 Cohort 6 180 August 2015 Cohort 7 210 February 2016 Microsystem work in STH • • • • Cystic fibrosis out-patients’ – spread to respiratory medicine Renal outpatients’ clinic Frailty unit – spread to community falls programme My microsystem – pressure area care Thank you very much Any questions?