Maximising the Leadership Role of the DPH

Jim McManus

Joint Director of Public Health

Defining the Problem…Defining the Problem…

• Leadership conceptualised as a (i) series of influencing tools and processes to (ii) improve the health of the population in an economy of (iii) distributed (iv)political and (iv) officer (vi) stakeholders

© Birmingham City Council, 2011

Joint Director of Public Health 2

The DPH – Holding the Ring of Porcupine?The DPH – Holding the Ring of Porcupine?

Elected Members

HWBB

SoS / CMO / DH / A-Z

LA CMT

PH England

Staff Team ?

GP Consortia

PROVIDERS

"Holding the Ring or being the pin-cushion?""Holding the Ring or being the pin-cushion?"

• Conceptualising this as “holding the ring” is problematic:– Ill defined– Difficult to operationalise– Difficult to judge success– Easy to fail– Psychologically impoverished

© Birmingham City Council, 2011

Joint Director of Public Health 4

NHS Leadership Framework - ProblematicNHS Leadership Framework - Problematic

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Joint Director of Public Health 5

SoSo• Strengthening leadership becomes an issue

of how the problem plays out in terms of person-role fit and organisation-role fit

• Insights from psychology and behavioural sciences

© Birmingham City Council, 2011

Joint Director of Public Health 6

Domains of this,,,Domains of this,,,

© Birmingham City Council, 2011

Joint Director of Public Health 7

Domains of this…Domains of this…

© Birmingham City Council, 2011

Joint Director of Public Health 8

Distributed Leadership DomainsDistributed Leadership Domains9

Areas of InterventionAreas of Intervention

System• Clarity of governance• Role-Organisation Locus• Boundaries & Deliverables• Outcomes• Systems Working, Matrix

Working• Pressure Valves• Complexity• Officer yet Member• Accountability Framework

Person• Capacity v DASS/DCS• Partnership Oriented• Integrative Capabilities • Strengths• Support• Boundaries• Working with elected members• Working with GPs• Resilience