The Leadership Framework

The foundation of leadership behaviours for all

health staff in health and care

Jeremy Crabb

Overview of session

• Introduction

• Leadership Framework (LF)

• LF support

• Embedding

• Any questions

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

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

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

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

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

• 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

The Leadership Framework

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

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

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

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.

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 www.nhsleadership.org.uk/framework.asp

Workplace

Education

sector

Professions Societies, Colleges

SIGs, Standards, curricula

CPD, revalidation

Undergraduate,

postgraduate curricula,

and continuing

professional development

E-learning

NHS LF (CLCF & MLCF)

Education

sector

Vocational and work place

training

Organisational development

Inclusion, Emerging leaders,

Board development

Specialist frameworks e.g.

NCF

Regulation Standards of practice &

for education and

training

NHS

CCGs

Private practice & High street

Private hospitals

Management Training

scheme

KSF

HR National Framework

Nursing careers framework

LeAD

Em

beddin

g

U

sage

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

2012.

• 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.

Embedding the LF

Component of Toolkit Organisations

Commissioning Leadership

Programmes

NHS East of England

NHS North West

Recruitment and selection NHS Bradford and Airedale

NHS Graduate Management Scheme

Assessment of Skills

Stages 1 and 2

Stages 3 and 4

South Staffordshire Locality Group

NHS East of England

Leadership Development Programmes Buckinghamshire Healthcare Trust

NHS East of England

York Hospitals Foundation Trust

NHS Blood and Transplant

Central and North West London FT

Organisational Wide Strategy Royal Derby Foundation Trust

Talent Management Strategy NHS London

National Initiative NHS Preceptorship Programme

Update on yesterday’s colloquium on

leadership and education

Questions and further

information

For more information, please visit us on

http://www.nhsleadership.org.uk/framework.asp

Follow progress or tell us what you are doing by joining

the NHS Leadership Framework Linkedin Group

Updates on twitter : #leadershipframework