Leadership

Evidence-Based Summary

Reflective practice, health and social care
Carried out by Andrew Hughes from Sussex Health on 18/8/2022
https://www.knowledgeshare.nhs.uk/index.php?PageID=literature_search_request_download&RequestID=35738
[This Evidence Search has found reflective practice is recognised as one of the determining factors in health and social care professionals' skills development and maintenance, as well as in the establishment of good collaboration practices. Regular reflective practice within a large group setting has also been shown to reduce levels of burnout in healthcare professionals and enable staff to improve the skills they need to provide patients with psychological support.]
Available with an NHS OpenAthens password

Unacceptable behaviours between healthcare workers: just the tip of the patient safety iceberg.
Bamberger E. BMJ Quality & Safety 2022;31(9):638-641.
[Since the publication of the 1999 ‘To Err is Human’ report by the Institute of Medicine, healthcare researchers have been attentive to factors potentially associated with iatrogenic risk, or in other words medical care that exacerbates or complicates an existing patient condition. While studies have explored a variety of patient factors and situational constraints, the risks posed by negative interpersonal interactions in healthcare contexts remain understudied and poorly understood...]

Why diversity in the general workforce matters: reading list (August 2022)
South London and Maudsley Trust Library; 2022.
https://slamonline-my.sharepoint.com/:w:/g/personal/plee1_slam_nhs_uk/Ef5N7CSP-ERBsr5qsHrQo8wBsYqCbqOHK2McK0ZrPmjS_A?e=cYRyoF
[This list of key reports, books, literature reviews and other articles has been put together by South London and Maudsley Trust Library. Please contact the library to request documents or to request a different literature search to support your work in the trust: library@slam.nhs.uk]
Freely available online

Guideline / Policy

Equality Delivery System 2022: guidance and resources.
NHS England; 2022.
https://www.england.nhs.uk/publication/equality-delivery-system-2022-guidance-and-resources/
[Equality Delivery System 2022 documents and supporting guidance. The EDS is an improvement tool for patients, staff and leaders of the NHS. It supports NHS organisations in England - in active conversations with patients, public, staff, staff networks, community groups and trade unions - to review and develop their approach in addressing health inequalities through three domains: Services, Workforce and Leadership. It is driven by data, evidence, engagement and insight.]
Freely available online

News

Daily Insight: A four to be reckoned with.
HSJ: Health Service Journal (Daily Insight) 2022;:7033004.
[In the spirit of collaborative working and shared leadership, north west London’s four acute trusts will establish their own committees of board directors, who will meet publicly four times a year. Also: Some of the starkest examples of the pressure on NHS emergency care have been seen in Cornwall this summer. 17 August.]
Freely available online

Daily Insight: Confidence trick.
HSJ: Health Service Journal (Daily Insight) 2022;:7032997.
[NHS England is advertising for a new deputy chief operating officer and national director of urgent and emergency care (UEC). Also: Responsibility for intervening against providers which fail to deliver against key targets during winter will lie with integrated care systems in the first instance, NHS England has said. 16 August.]
Freely available online

Health Services Transformation Bulletin
Shrewsbury and Telford Hospital; 2022.
https://www.library.sath.nhs.uk/health-services-transformation/
[We've just published the latest issue of our Health Services Transformation Bulletin.

This bulletin supports the recovery of health services and their future development, covering topics such as digital medicine, organisational development, patient flow, virtual wards, and workforce issues.

Containing research, articles, reports and case studies, the bulletin provides the evidence to support change and innovation.]
Freely available online

Opinion

Beyond black and white: an inclusive reciprocal mentoring model to promote diversity, engagement and understanding.
Sarsah H. British Journal of Healthcare Management 2022;28(8):1-5.
[The NHS is the largest employer of Black, Asian and minority ethnic staff in the UK. However, 15% of staff from these ethnic backgrounds have reported experiencing discrimination at work. This article explores how a programme based on reciprocal mentoring could be an effective means of creating a more inclusive NHS culture, with discussion of a pilot reciprocal mentoring programme that was implemented at Chelsea and Westminster Hospitals NHS Foundation Trust from September 2020 to May 2021.]
Available with an NHS OpenAthens password for eligible users

Poor leaders feed on illusory insecurity.
Foster S. British Journal of Nursing 2022;31(14):761.
[Although I believe that it is important to consider the evidence base of what great leadership looks like, I think that it is equally important to learn from the negative impact of poor leadership. A powerful quote that made me reflect on workplace culture recently came from Robson (2017). She cited US author Tim Ferriss, who stated that, as a teenager, he was advised: ‘You are the average of the five people you most associate with.’]

From white coat to grey suit: should more clinicians manage the NHS? with Dr Stephen Swensen and Dr Dominique Allwood.
The Health Foundation; 2022.
http://health.org.uk/news-and-comment/podcast/episode%2023-from-white-coat-to-grey-suit-should-more-clinicians-manage-the-nhs-with-dr-stephen-swensen-and-dr-dominique-allwood
[Over the years numerous reports have called for more clinicians to manage the NHS, highlighting their deep knowledge of clinical care, insight and credibility to make effective change. How can we support more clinicians to manage the NHS, and learn from those who already do it well? Dr Jennifer Dixon is joined by Dr Stephen Swensen, Senior Fellow at the Institute for Healthcare Improvement and Dr Dominique Allwood, Chief Medical Officer and Academic Health Science Network Deputy at UCLPartners]
Freely available online

Original Research

Drivers of professional fulfillment and burnout among emergency medicine faculty: a national wellness survey by the Society for Academic Emergency Medicine.
Lu DW. Academic Emergency Medicine 2022;29(8):987-998.
[Individual and workplace factors that contributed to professional fulfillment and burnout were identified, with meaningfulness of clinical work demonstrating the strongest association with both occupational phenomena. Knowledge of which factors are most impactful in promoting professional fulfillment and mitigating burnout may be useful in guiding efforts to enhance clinician well-being.]

Examining organisational responses to performance-based financial incentive systems: a case study using NHS staff influenza vaccination rates from 2012/2013 to 2019/2020.
Liaqat A. BMJ Quality & Safety 2022;31(9):642-651.
[Conclusions: We provide compelling evidence that performance-based financial incentives produced threshold effects. Policymakers who set such incentives are encouraged to track threshold effects since they contain information on how organisations are responding to an incentive, what enquiries they may wish to make, how the incentive may be improved and what unintended effects it may be having.]

Healthcare Leadership with Political Astuteness and its role in the implementation of major system change: the HeLPA qualitative study.
Waring J. Health Services and Delivery Research 2022;10(11):https://doi.org/10.3310/FFCI3260.
[Health and care leaders can develop and use a range of skills, strategies and actions to understand and navigate the diverse interests that complicate change. This study concludes with a set of co-designed learning resources and materials to support future leaders to develop similar skills and strategies. Further evidence is needed on the contribution of the learning resources on leadership activities and to understand the contribution of political skills to other areas of service governance.]
Freely available online

Professional Development

'Finding Information' Literature Searching Webinar
[Join NHS Wales Library Services and NHS Wales e-Library for a series of hour-long "Finding Information" webinars introducing effective methods for literature searching.

Whether you’re a student undertaking a course or a health professional simply wanting to keep up with evidence to support your professional development, these webinars are for you.]
Teams
From: 20th September, 2022 2:00pm https://tocyn.cymru/en/event/a5d458b4-2989-454b-9d62-98e46fadbe76


Seven Surprises for New Managers: Common Management Misconceptions to Avoid.
Mind Tools; 2022.
https://www.mindtools.com/pages/article/seven-surprises.htm
[Michael Porter, Jay Lorsch, and Nitin Nohria explored common misconceptions about management in a 2004 Harvard Business Review article titled, "Seven Surprises for New CEOs." Although their observations were of people in senior roles, you can also apply their findings to other management positions. This article takes a closer look at each of the seven surprises, and helps you to be more prepared for them in your role, whether you're managing an organization, a department, or a small team.]
Freely available online

Report

Ambitious for change: Research into NMC processes and people's diversity characteristics.
Nursing and Midwifery Council (NMC); 2022.
https://www.nmc.org.uk/about-us/equality-diversity-and-inclusion/edi-research/ambitious-for-change-research-into-nmc-processes-and-peoples-protected-characteristics/
[This report outlines the findings from research into why some professionals have different experiences of NMC's processes. The report aims to understand why these differences exist and the impact they have on the workforce. The findings highlight opportunities to improve regulatory activities and ensure processes are fair. They also draw attention to how inequalities that cut across the health and social care sector and exist in wider society are contributing to the disparities.]
Freely available online

Employer focus on working parents: Parental leave and pay and childcare policies.
Chartered Institute of Personnel and Development (CIPD); 2022.
https://www.cipd.co.uk/knowledge/fundamentals/emp-law/maternity-paternity-rights/working-parents
[This report explores current practice in relation to supporting working parents, and what provisions organisations provide around parental leave. Recent findings show that not much has changed or progressed since 2016. CIPD is calling on the UK Government to enhance the statutory paternity/partner provision to six weeks at or near the full rate of pay. The report also suggests that affordable childcare should be provided from the end of maternity leave.]
Freely available online

Systematic Review / Meta-Analysis

Impact of unacceptable behaviour between healthcare workers on clinical performance and patient outcomes: a systematic review.
Guo L. BMJ Quality & Safety 2022;31(9):679-687.
[Conclusions: Despite the mixed quality of evidence and some inconsistencies in the strengths of associations reported, the overall weight of evidence shows that unacceptable behaviour negatively affects the clinical performance of HCWs, quality of care, workplace productivity and patient outcomes. Future research should focus on the evaluation and implementation of interventions that reduce the frequency of these behaviours.]

Toolkit

Supporting employees through the cost-of-living crisis.
Chartered Institute of Personnel and Development (CIPD); 2022.
https://www.cipd.co.uk/knowledge/culture/well-being/cost-living-crisis
[Resources and guidance for employers to support employee financial wellbeing.]
Freely available online