Organisation, Management and Leadership

Workshop Sept 2015

What’s new?

• We have renamed the MRCGP 'Primary care administration and IMT' as 'Organisational management and leadership'.

• This highlights that this area of learning is about the GP's important role as a lead clinician in a multi-disciplinary practice team, as well as the day-to-day business of running a practice.

Why?

• Judicial review– Simplify and standardise language

• ST4 Year• RCGP Leadership Strategy

IMT: Curriculum• This is about the understanding of organisations and systems, the appropriate use of administration systems, effective

record keeping and utilisation of IT for the benefit of patient care. It also includes structured care planning, using new technologies to access and deliver care and developing relevant business and financial management skills.

• This means that as a GP, you should: • Demonstrate an awareness in how changes in the IT structure of the NHS will both reduce and increase the chance of

patient safety incidents • Demonstrate the use of call/recall systems within the practice to the benefit of patient care • Demonstrate an understanding of the connection between good data entry and improved • patient health outcomes • Demonstrate how to use information management and technology (IM&T) to share information and co-ordinate patient

care with other health professionals • Demonstrate an understanding of the need for information recorded in the practice clinical system to be fit for sharing

with different health professionals in different organisations • Demonstrate how to use NHS electronic booking systems to tailor healthcare provision to the needs of the individual

patient • Demonstrate the use of the practice’s computer system to improve the quality and usefulness of the medical record, e.g.

through audit • Demonstrate effective use of interagency systems such as pathology links and GP–GP record transfer • Demonstrate an understanding of information governance, patient consent and privacy issues that relate to the sharing

of electronic health records and the central storage of health information • Demonstrate an understanding of the power of reporting from clinical systems for personal/practice audit and data

analysis; and for comparisons with other practices that assist in setting the agenda for improving quality of care and recording of care

IMT: Curriculum• This is about the understanding of organisations and systems, the appropriate use of administration systems, effective

record keeping and utilisation of IT for the benefit of patient care. It also includes structured care planning, using new technologies to access and deliver care and developing relevant business and financial management skills.

• This means that as a GP, you should: • Demonstrate an awareness in how changes in the IT structure of the NHS will both reduce and increase the chance of

patient safety incidents • Demonstrate the use of call/recall systems within the practice to the benefit of patient care • Demonstrate an understanding of the connection between good data entry and improved • patient health outcomes • Demonstrate how to use information management and technology (IM&T) to share information and co-ordinate patient

care with other health professionals • Demonstrate an understanding of the need for information recorded in the practice clinical system to be fit for sharing

with different health professionals in different organisations • Demonstrate how to use NHS electronic booking systems to tailor healthcare provision to the needs of the individual

patient • Demonstrate the use of the practice’s computer system to improve the quality and usefulness of the medical record, e.g.

through audit • Demonstrate effective use of interagency systems such as pathology links and GP–GP record transfer • Demonstrate an understanding of information governance, patient consent and privacy issues that relate to the sharing

of electronic health records and the central storage of health information • Demonstrate an understanding of the power of reporting from clinical systems for personal/practice audit and data

analysis; and for comparisons with other practices that assist in setting the agenda for improving quality of care and recording of care

IMT: Portfolio

Professional Competence Area

• “This competency is about an understanding of how primary care within the NHS is organised, how a primary care team is managed and the development of clinical leadership skills”.

• Source: Portfolio

Professional Competence Area

• “An understanding of the use of computer systems to augment the GP consultation and primary care at individual and systems levels, the management of change, and the development of organisational and clinical leadership skills

• Source: RCGP Website

Why leadership?

• The GP role

• The need

• They’re already doing it…

Effective clinical leadership

Outcomes:

• Patient care

• Staff satisfaction, retention, sickness rates

• Innovation

Definition: Leadership

• Influence

• Common goal

• Group of people

• Problem solver?

Leader vs manager?

• Is there a difference?

Leader vs manager?

• Vision• What is right• Change• Sets direction• Inspiration• Risk taking• Charismatic• Sets new targets

• Objectives• Being right• Stability• Plans details• Incentives• Risk avoidance• Authoritarian• Meets targets

Distributed leadership

Servant Leadership

NHS Clinical Leadership

Developing leadership

• What can we do?

• Share experience/ideas

• Develop practical suggestions x 5 to share