leadership and ds ph update oct 2014
DESCRIPTION
An update of the work I have been doing on developing a leadership and competence model for Directors of Public Health in the new systemTRANSCRIPT
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Jim McManus, OCDS, CPsychol, CSci, AFBPsS ,FFPH, FCIEH, FRSPH
Director of Public Health, Hertfordshire County Council
Learning set update October 2014
Leadership domains and competencies and the role of the DPH – an update
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Distributed Leadership – leading systems not services is the new challenge for the DPH
Environmental Health& Regulatory Services NHS
Police, Fire, Community Safety Third Sector and
Community Bodies
Public Health England
Specialist Public Health Agencies with Major Public Health Impacts
Council Public HealthTeam
County Council
Parish Councils
District Councils
Business Sector
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• Leadership can be 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
The Basics
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The public health task in local areas now means working across different dimensions of time and responsibility
•Which agency, which responsibility?
•Which set of leaders?
•Think through what we can do short term
•Start work on the medium term
•Set the policy framework for the long term
•Build this understanding among partners
•County, District, Parish, NHS, Business and Community Sector working together
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There are four big leadership tasks
1. Analyse the system and identify problems
2. Build a system wide approach to deal with it
3. Be clear on roles, responsibilities and outcomes
4. Articulate public health contribution across the system
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• 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
Some key tasks I mentioned in 2011
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Three key concepts from occupational psychology
1. Person – role fit
2. Person – organisation fit
3. Person – system fit
These now seem to be becoming more salient both in areas with problems and areas with success.
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The PersonTechnical, Professional, Transactional Skill Setsespecially now for local government
Interpersonal Domains of
Competence
Intrapersonal Domains of
Competence
The Person – Role Fit
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The Organisations
Local Authority
Partnerships, Stakeholders, NHS forms
Person Organisation Fit
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Person – System Fit
• The system is complex, see the next slide. This is a crucial aspect of distributed leadership in the new system
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HWBB Strategic Commissioning Groups Quarterly meetings between commissioners, GP leads,
service users, carers, key stakeholders, providers to discuss key commissioning decisions.
Safeguarding Children Board
A quarterly meeting which brings together
the Leader of HCC, chair of Herts Leader’s
Group, chair of the Local Enterprise Partnership, chair of the Health and Wellbeing Board and the Hertfordshire Police and Crime
Commissioner.Responsible for commissioning mosthealth services in West Herts. The CCG
represents 70 GP practices and is governed by a Board that is mainly made up of local GPs, patient reps
and other health professionals.
NHS Health Provider Organisations
Joint Health and Social Care Commissioning Pooled Budgets
Responsible for commissioning mosthealth services in E&N Herts. The CCG
represents 60 GP practices and is governed by a Board that is mainly made up of local GPs, patient reps
and other health professionals.
Adult Mental Health SCG
Children’s ServicesManagement BoardChair: Jenny Coles
Contact: Zoe Whateley
Health & Community Services Board
Chair: Sarah PickupContact: Barbara Freestone
HertfordshireCounty Council MeetingChairman: Cllr Richard SmithLead officer: David Roberts
Health Scrutiny CommitteeChair: Cllr Seamus Quilty
Lead officer: Natalie RotherhamScrutinises the planning, provision and operation of Health Servicesaffecting residents of the County.
Healthwatch Hertfordshire
Chair: Sarah WrenCEO: Geoff Brown
Overview and Scrutiny CommitteeChair: Cllr Alan Searing
Lead officer: Tom HawkyardScrutinises the planning,
Policies and operations of HCC.
HCC CabinetLeader: Robert Gordon, CBE
Lead officer: Kathryn PettitExecutive decision making body ofHCC made up of elected members
Adult Care & HealthCabinet Panel
Chair: Cllr Colette Wyatt-LoweLead officer: Iain MacBeath
Children’s ServicesCabinet Panel
Chair: Cllr Richard RobertsLead officer: Jenny Coles
Public Health & Localism Cabinet Panel
Chair: Cllr Teresa HeritageLead officer: Jim McManus
Early Intervention & Prevention
SCG
Children Living Away from Home SCG
Drug & Alcohol
Services SCG
Herts EquipmentServices Board
Carers SCG
Older People & Dementia
SCG
Children, Maternity & Young People
Lead GP: Rami EliadProg Lead: Sarbjit Purewal
Primary & Planned CareLead GP: Phil Griffin
Prog Lead: Marcelle Olson
Older People & Complex CareLead GP: Marie Ann Essam
Prog Lead: Tim Anfilogoff
Urgent CareLead GP: Keith HodgeProg Lead: Jane Ansell
Mental HealthLead GP: Mark Allan
Prog Lead: David Evans
Public Health Management BoardChair: Jim McManus
Contact: Marion Mansfield
HertfordshireLeader’s Group
Chair: Cllr Julian DaleyContact: Rebecca Davey
Adult Social Care Private, Independent and Voluntary Sector Providers
HPfT is committed to providing excellent health and social care for both people with mental ill health and those with a
learning disability. The Trust is an integratedhealth and social care trust delivering on
behalf of the NHS and local authority.
CEO: Tom CahillBoard Chair: Hattie Llewellyn- Davies
Responsible for delivering a wide range of community health services including health
visitors, nurses (general and specialist), physiotherapists, OTs, speech and language
therapists, psychologists, audiologistsand a range of other health professionals.
CEO: David LawBoard Chair: Declan O’Farrell
West Hertfordshire Hospitals NHS Trust provides acute healthcare services to a core catchment population of
approximately half a million people living in West Herts and the surrounding area – along with other more specialist provision.
CEO: Samantha JonesBoard Chair: Mahdi Hassan
East and North Hertfordshire NHS Trust provides acute healthcare services to a core catchment population of
approximately half a million people living in E&N Herts and the surrounding area – along with other more specialist provision.
CEO: Nick CarverBoard Chair: Ian Morfett
Hertfordshire’s District and Borough Councils
Children with Complex Care & Additional Needs SCG
DRAFT Hertfordshire
Health & Wellbeing
Board Map
Version 1.6 - July 2013
Contact: H&WB Board Manager [email protected]
Unscheduled CareLead GPs: Mark Andrews,
Nabeil ShukurProg Lead: Dee Boardman
Out of Hospital CareLead GPs: Deborah Kearns,
Alison Jackson, John ConstableProg Lead: Jacqui Bunce
Planned CareLead GPs: Rob Graham,
Robin Christie , Hari PathmanathanProg Lead: Nicky Poulain
Joint Commissioning & Partnerships
GPs: Prag Moodley / Stephen KiteProg Lead: Helen Edmondson
Younger Physically
Disabled SCG
Adult ExecutiveCommissioning Group
Chair: Iain MacBeathSenior managers signing off strategic joint
commissioning SCG decisions for adult’s services
Children’s ExecutiveCommissioning Group
Chair: Jenny ColesSenior managers signing off strategic joint
commissioning SCG decisions for children’s services
Joint Commissioning
ExecutiveChair: John Wood
Contact: Maggie Burns
HWBB ProviderEvents
Contact: Wendy Tooke
Public Health Board(District Partners)Chair: Jim McManusContact: Peter Wright
Safeguarding Adults Board
E&N Herts CCG Executive Team
Chair: Lesley WattsContact: Cathy Jackson
Herts Valleys CCGBusiness MeetingChair: Nicola Bell
Contact: Anna Richards HertfordshireHealth and Wellbeing Board
Chair: Cllr Colette Wyatt-LoweLead officer: Iain MacBeath
Board Manager: Wendy Tooke
East and North Hertfordshire CCG Board
Chair: Dr Tony KostickAccountable Officer: Lesley Watts
Herts Valleys CCG Board
Chair: Dr Nicolas SmallAccountable Officer: Nicola Bell
Local Strategic Partnerships
Health and Wellbeing Groups
Policy Network Groups
Hertfordshire and the SouthMidlands Local Area Team
Responsible for commissioning General Practice and some specialist
services at a sub regional level.Director: Dr Jane Halpin
14 members
Child & Adolescent
Mental Health SCG
Learning Disabilities
SCG
Multi Agency TobaccoControl Alliance (Tobacco Free Hertfordshire)
Healthy WeightStrategic
Commissioning Programme Board
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Technical KnowledgePH Science and competencies
Distributed Leadership Domains
Domain specific knowledge
(eg local govt law)
• Managing service?• Corporate roles?• Context specific
knowledge
• Art and Science• Technical Domains
of Skill• Personal Resilience
• Influencing, Negotiation, Persuasion, Orchestration,
• Style• Emotional Intelligence
• Strategic Vision and Prioritising
• JSNA into reality• Challenges nested
across system
Shaping and Sense-Making
Relational and Interpersonal
Transactional
(different people doing this different
ways)
Integrational and
Systematisation
Domains of competence (revised)
Outcomes focus
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What might be useful?
• Recent research in business/management and organisational psychology suggests “adaptive leadership” and “strategic leadership” useful here
• See other presentation for work on this