colette cowna, group director of nursing, west north west hospitals group
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Nurse Leaders ForumTRANSCRIPT
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National Health Care ConferenceNurse Leaders Forum
2nd April 2014Colette Cowan Group Director of Nursing
& Midwifery
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Leaders Forum The Changing & Challenging Role of The Nursing & Midwifery Professional & The Importance of Succession Management
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Overview
Welcome and IntroductionThe Legislative Framework- Future Health.A Changing EnvironmentThe West North West storyChallenges we face Leadership Succession Plans
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Four Pillars of Future Health
Changing the Model of Care
Free GP Care Integrated Care
Financial Reform
MFTP Purchaser Provider Split
Structural Reform
Reform DOHHSE abolished
Reform of Insurance
Market
Health and Wellbeing
Keeping People Well
Whole of Govt Approach
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Timeline for Future Health
2011 SDU
2012Directorate
Structure in HSE
2013Hospital
Groups & ISA Review
2014Healthcare
Commissioning Agency
2015 Free GP
Care
2016UHI
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After the HSE: The Three Ps
HSE
POLICYDepartment of Health
PROVIDERS(Hospital Trusts, ISAs, etc.)
PURCHASERHEALTHCARE COMMISSIONING AGENCY
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Context of a changing environment• Group to Foundation TRUST.• Clinicians in Management.• Directorates to Business Units.• Licensing.• Learning, Innovation, Research• Strategy• Regulation and Reports
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Galway University Hospitals&NUI Galway
Mayo General*
Sligo Regional* Letterkenny General*
Roscommon
Portiuncula*
* NUI Galway Medical Academy co-located
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Challenges We Face Governance & Leadership Implementation of Clinical Director Structures Group Integration Establishing the Board Development of Performance Management Culture Human Resource Challenges (Retirements, Ceiling, Absenteeism) Financial Challenge Access Targets (Trolley Waits, Waiting Lists) Implementation of National Clinical Programmes
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Succession Planning to Survival!• Skills sets to drive the change of multiple organisations• Assurance system to define and drive quality• Future leaders• Progressive ONMSD National Leadership Programmes • Lifelong learning- Group centres for learning & innovation
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Enhancing Learning for the future• Develop skills in teamwork, communication and critical thinking.• Clinical transformation.• Human factors• Emotional intelligence• Scenario Re-enactment• Linking the learning to research & Innovation
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Leadership drives Possibilities
Leadership Toolkit – West/North West Hospitals Group Framework
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Leadership Framework in WNWHG
Agreed the Mission for the Group Translated Mission into Objectives for Directorates/Hospitals Established Personal Objectives for Executive Council Members – 10+5 Facilitated progress through POAs Developed KPIs to track progress Underpinned through the Communications Strategy Created/Developed Teams through Leadership Programmes
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Leadership Framework in WNWHG
Leadership is important & gets resultsMany leadership models exist – pick one that works for youResilience is important Staff are our greatest asset – really and never forget it.My personal view - Leaders are developed, not bornPsychological Contract – an important toolRecruit the best / spot the talentTrain them and grow themCreate FollowersGive them the tools to do the jobKeep out of their way as far as possible
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Senior Nurse/Midwife Leaders
• The lonely Road• Onus on us to develop a strong forum• Broader view • Input into future legislation• Define the future for our next generation• Sustainability, Safety & Staff with skill set
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AUTHORITY
Formally Delegated Power- Right to command- Commit resources- Give orders- Expect them to be obeyed
RESPONSIBILITY
Duty/Obligation to satisfactorilyPerform/complete a task
ACCOUNTABILITY- Obligation to account for ones actions, money or
entrusted property and accept responsibility
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A leader is a dealer in Hope
I’ve missed more than 9000 shots in my career. I’ve lost almost 300 games. 26 times I’ve been trusted to take the game winning shot and missed. I’ve failed over and over and over again in my life. And that is why I succeed. –Michael Jordan
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Food for Thought
IF NOT YOU-WHO?IF NOT NOW- WHEN?
Thank You