Effective Ward Manager

Yvonne BlucherDeputy Chief Nurse

Barts Health NHS Trust

BARTS HEALTH NHS Trust

Barts Health - a Background

• Largest NHS Trust in the UK• Serve a diverse population of 2.5 million across the East

London area• Formed from the merger of 3 legacy Trusts in April 2012• 6 Hospital Sites

– 3 Emergency Departments– 3 Maternity Departments– Community Services

BARTS HEALTH NHS Trust

• Total of 117 Wards plus other Clinical Departments• Over 5,500 Nursing Staff from a total of over 15,000 staff

Different models of care across the various sites, with a wide variation in standard of physical locations.

Some/many areas with good practice - BUT;CQC warning notices one year ago, significant safeguarding concerns,

Leadership variations.......Need to ensure respond to potential issues following Francis Inquiry February

2013

BARTS HEALTH NHS Trust

BARTS HEALTH NHS Trust

Barts Health Approach‘Care Campaign – Because we care’

Harm free care

LeadershipQuality & standards

Shape Culture

Engage across boundaries

BARTS HEALTH NHS Trust

• Band 7 Leadership Care development programme established

– All Band 7 to go through ‘initial leading care modules 1 and 2’

• Module 1 - Needs review- Leadership overview

• Module 2 - Harm Free Care- Leading improvement

• Older People Improvement Programme• 14 Wards• Shadow Team

BARTS HEALTH NHS Trust

Empowering Improvement- how would you define it?

“You must be the change you wish to see in the world” Mahatma Gandhi

BARTS HEALTH NHS Trust

Improvement principles• Simple Ideas that are

meaningful to all

• Everybody matters

• Little things that count

• Visible & supportive leaders

BARTS HEALTH NHS Trust

Clinical leadership9 Dimensions of Leadership Behaviour

• Inspiring shared purpose• Leading with care• Evaluating information• Connecting our service• Sharing the vision• Engaging the team• Holding others to account• Developing capability• Influencing for results

NHS Leadership Academy‘Healthcare leadership model 2013’

BARTS HEALTH NHS Trust

All of us?• So what do we expect?• What inspires us?• What drives us?• What do we value?• What are our

principles?• How do we fit together?

Charisma OR Inspiration

Charismatic• Uses the power of self• Idealised• Focus on the individual

leader “me, me , me”• Obedience of will• Have “The” answer• Emotional attachment “Fall

in love”• One way relationship

Inspirational• Team focus• Sustainable energy• Resilience• Hearts and minds “engage

the spirit”• Exploratory : “what if we...”• Mature relationship• Two-way/multi-way gains

BARTS HEALTH NHS Trust

BARTS HEALTH NHS Trust

6 elements of Inspirational Leadership Stokes & Jolly, (2010) Said Business School University of Oxford

• Being the exemplar• Articulating a future• Sensing the situation• Affirmation• Having the difficult conversations• Being Authentic

BARTS HEALTH NHS Trust

Prerequisites for a supportive culture

• A shared vision and goal• Leadership from the top• Enabling and involving staff at all levels of the

organisation, especially clinical staff• Investing sufficient time, resources, education in staff

development• Empowering people, especially those close to the delivery

of care• Fostering positive relationships• A focus on patient experience Patterson et al, 2011

BARTS HEALTH NHS Trust

High standards and Performance

Impact & deliverables

Who Actions

Exemplary practice

Where WhenExpectations

Thoughts How

BARTS HEALTH NHS Trust

Getting to Gold

BARTS HEALTH NHS Trust

Listening to our patientsImagine it was your Mum

there•Listen to Family and Friends Feedback•See who I am

–Maintaining identity

•Involve me–Sharing decision-making

•Connect with me–Creating community

BARTS HEALTH NHS Trust

To lead you need Supporters not Followers

So what’s in the relationship?

BARTS HEALTH NHS Trust

BARTS HEALTH NHS Trust

Relationship-centred care Tresolini et al, 1994

• Security – to feel safe• Belonging – to feel part of things• Continuity – to experience links and

connections• Purpose – to have a goals to aspire to• Achievement – to make progress

towards these goals• Significance – to feel that you matter

as a person

Positive relationships between patients, relatives and staff

Nolan et al, 2006

BARTS HEALTH NHS Trust

The Way Forward• Creating your own leadership qualities• What’s at the core and heart of us

– What shapes us– What shakes us

• Recognise it within yourselves• Ensure regular 1 to 1 Coaching• PRDP’s – goal setting with support

BARTS HEALTH NHS Trust

Covey says;

Leadership is communicating people’s worth and potential so clearly that they are inspired to

see it in themselves.

It all begins within oneself

BARTS HEALTH NHS Trust

Q&A