heyh school of psychiatry conference paul rowlands head of school

HEYH School of HEYH School of Psychiatry ConferencePsychiatry Conference

Paul RowlandsPaul RowlandsHead of SchoolHead of School

IntroductionIntroduction

• welcomewelcome

• Fire alarmsFire alarms

ObjectivesObjectives

• leadershipleadership

• qualityquality

• qualities of leadershipqualities of leadership

• a practical approacha practical approach

Who leads?Who leads?..

Who leads?Who leads?

All of us, everyone at All of us, everyone at every level, must leadevery level, must lead

There is a window right now and There is a window right now and I don’t know whether it is three I don’t know whether it is three months long, three years long, months long, three years long, it’s not ten years long and that it’s not ten years long and that is for the people who give the is for the people who give the

care to change the care.care to change the care.

Don Berwick 2013Don Berwick 2013

Leading ChangeLeading Change

•one fundamental: one fundamental: QUALITYQUALITY

… … and What is and What is ‘leadership’?‘leadership’?

• developing a vision? developing a vision?

• ……and implementing?and implementing?

• creating quality?creating quality?

• maintaining quality?maintaining quality?

• keeping a focus?keeping a focus?

• using what you have to best effect?using what you have to best effect?

• innovating and continually improving?innovating and continually improving?

• W. Edwards Deeming

• Kauro Ishikawa

Build quality into the system

• http://www.aronline.co.uk/blogs/videos/video-the-quality-connection/

• Do not rely on inspection

• Do not rely on command and control

• Empower

• Take pride

• Do not tolerate things that are not right

• we work in human systems

• we can improve them, all of us

Quality in Healthcare

• How do we create ‘quality’ in healthcare?

• and how do we know it?

UNDERSTANDING ROOT CAUSES

• Ishikawa diagrams and root cause analysis

• Continuous Quality Improvement as the basis of improving

• Ownership

EFFECTEFFECTEFFECTEFFECT

SYSTEMSSYSTEMSSYSTEMSSYSTEMS

ENVIRONMENTENVIRONMENTAnd EquipmentAnd EquipmentENVIRONMENTENVIRONMENTAnd EquipmentAnd EquipmentPATIENTSPATIENTSPATIENTSPATIENTS

PEOPLEPEOPLEPEOPLEPEOPLE PROCEDURESPROCEDURESPROCEDURESPROCEDURES

EFFECTEFFECTEFFECTEFFECT

Determine goals and targets.

Determine methods of reaching goals.

Engage in education and training.

Implement work.

Check the effects of implementation.

Take appropriate action.

Edward DeemingEdward Deeming

Characteristics of ‘Good Characteristics of ‘Good leaders’?leaders’?

• kindnesskindness

• courage courage

• credibilitycredibility

• disciplinediscipline

• wisdom/knowledgewisdom/knowledge

KindnessKindness

• Compassion is centralCompassion is central

• Demonstrated through Demonstrated through behaviourbehaviour

• US surveys show that US surveys show that kindness is more valued kindness is more valued than choice, distance to than choice, distance to travel and costtravel and cost

CourageCourage• Sometimes more data will Sometimes more data will

take you nowhere - you just take you nowhere - you just need to drive the drill need to drive the drill through the mountainsidethrough the mountainside

• but action needs a moral but action needs a moral frameworkframework

• the ‘right’ thing to dothe ‘right’ thing to do

• and sometimes moral and sometimes moral courage to lead the right courage to lead the right thingthing

CredibilityCredibility

"Yes, Roger Hunt misses a few … but he gets in the right place to miss them.”

Bill Shankley

You must be on the pitchYou must be on the pitch

DisciplineDiscipline

• structure and procedurestructure and procedure

• cultureculture

• initiativeinitiative

• integrityintegrity

• decision makingdecision making

WisdomWisdom• Wisdom comes with time Wisdom comes with time

and experienceand experience

• Hegel’s Owl: “The Owl of Hegel’s Owl: “The Owl of Minerva spreads her wings Minerva spreads her wings only with the gathering of only with the gathering of the dusk”the dusk”

• Today is a chance to reflect,

• Feel supported

• network,

• and enjoy the privilege of being involved in training

with wisdom and with with wisdom and with courage: judge us by our courage: judge us by our

actionsactions

TodayToday

• Enjoy yourselves - as you should every day you Enjoy yourselves - as you should every day you come to workcome to work

• Link up, take pride on what you do and what you Link up, take pride on what you do and what you do welldo well

• Problem solveProblem solve

• Build an idea you can take back to develop your Build an idea you can take back to develop your idea of yourself as a leaderidea of yourself as a leader

Yorkshire wise owls