Developing Excellence in Leadership within Urgent Care

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Developing Excellence in Leadership within Urgent
Care

• Action Learning
• for Safety and Leadership
• Phil Higton and Sue Nash

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The Programme

• Sponsor
• National Programme for Department of Health
• Faculty
• Terema and Sue Nash Consuling plus 4 other
  providers
• Delegates
• 100 Senior Staff in Urgent and Emergency Care
• Geographic and workplace variety

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Safety as a focus for learning

• NHS Agenda
• Thinking widely / thinking differently
• Clinical / Non Clinical
• System-Process / People-Culture
• Terema origins
• Transferable learning

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Powerful process that achieves learning at the
following levels-
Patients
Action Learning Sets Action Learning Sets
Action Learning Sets Action Learning Sets
Action Learning Sets Action Learning Sets
Action Learning Sets
The Individual
The Team
Task
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Why Support?

• The Health and Safety Executive (2005) reports
  that nursing in the public sector has one of the
  highest prevalence rates of work-related stress
• Nurses score more poorly than the HSE average,
  showing that they are exposed to higher levels of
  stressors in their jobs, particularly in terms of
  demands and change

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A survey of the wellbeing and working lives of
nurses in 2005

• Nurses levels of psychological wellbeing have
  lowered between the 2000 and 2005 surveys
• It is lower than the general population
• It varies according to employer setting. Those
  working in the NHS, particularly A E have
  poorer psychological wellbeing. This effect is
  not due to the different age profiles in
  different sectors
• At breaking point? RCN 2005

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Why Challenge?

• Themes that came out of Action Learning-
• Giving and receiving effective feedback
• Managing staff performance
• Managing effective working relationships
• Holding to account
• Assumption busting
• Clarity in order to problem solve
• Focus

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Team Resource Management TRM
Situation Awareness
Leadership Followership and Motivation
Risk Management
Safety
Communication
Feedback
Choosing Behaviour
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The Bucket
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Developing Excellence in Leadership in Urgent
Care

• The Participants Reaction

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Outcomes 1

• Judith
• Challenge and Changing the Training Plan
• Move to new PFI Hospital
• High stress and workload
• New surroundings
• New equipment
• New risks

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Outcomes 2

• Kay
• Challenge and changing the culture
• Risks as a fact of life
• Reporting risks of no value
• Reporting risks as a sign of failure
• Reporting risks as an opportunity to blame or be
  blamed

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Developing Excellence in Leadership in Urgent
Care

• Action Learning The Participants Experience

14
Thank You

• Phil Higton, Terema Ltd
• philhigton_at_terema.co.uk
• 01428 641 456
• 07940 530 514
• www.terema.co.uk
• Sue Nash, Sue Nash Consulting
• info_at_actionlearningteams.co.uk
• 01243 839 258
• 07742 532 970
• www.actionlearningteams.co.uk