National Health Care ConferenceNurse Leaders Forum

2nd April 2014Colette Cowan Group Director of Nursing

& Midwifery

Leaders Forum The Changing & Challenging Role of The Nursing & Midwifery Professional & The Importance of Succession Management

Overview

Welcome and IntroductionThe Legislative Framework- Future Health.A Changing EnvironmentThe West North West storyChallenges we face Leadership Succession Plans

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

Timeline for Future Health

2011 SDU

2012Directorate

Structure in HSE

2013Hospital

Groups & ISA Review

2014Healthcare

Commissioning Agency

2015 Free GP

Care

2016UHI

After the HSE: The Three Ps

HSE

POLICYDepartment of Health

PROVIDERS(Hospital Trusts, ISAs, etc.)

PURCHASERHEALTHCARE COMMISSIONING AGENCY

Context of a changing environment• Group to Foundation TRUST.• Clinicians in Management.• Directorates to Business Units.• Licensing.• Learning, Innovation, Research• Strategy• Regulation and Reports

Galway University Hospitals&NUI Galway

Mayo General*

Sligo Regional* Letterkenny General*

Roscommon

Portiuncula*

* NUI Galway Medical Academy co-located

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

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

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

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

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

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

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

Food for Thought

IF NOT YOU-WHO?IF NOT NOW- WHEN?

Thank You