Dickinson, Helen, Ham, Chris, Snelling, Iain and Spurgeon, Peter (2013) Are we there yet? Models of medical leadership and their effectiveness : an exploratory study. University of Birmingham: HMSO. (National Institute for Health Research Service Delivery and Organisation Programme).

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Abstract

Aims
The main aims of the study are to provide an up to date picture of the
nature and range of medical leadership structures in NHS trusts in England; to analyse how different structures operate in practice and the processes at work within these structures, for example between doctors, nurses and managers; and to relate evidence on structures and processes to available data on organisational performance.
Methods
The study uses a mixed method approach involving a questionnaire survey of NHS trusts in England; case studies of nine NHS trusts that responded to the survey; and the use of the Medical Engagement Scale in these case studies to establish the extent to which doctors feel engaged in the work of their organisations. The results of the Medical Engagement Scale are related to available data on organisational performance.
Results
A wide variety of structures are identified including divisions, directorates and service line approaches, sometimes in combination. Most of the case study sites report themselves to be medically or clinically led with doctors holding leadership roles at three or four levels. Triumvirates exist on paper in most sites but in reality the duality of medical leader and general manager is perceived to be more important. An engagement gap between medical leaders and their colleagues is commonly reported, though this is seen to be part of the journey trusts are on. There are variations both between and within trusts in the extent to which doctors feel engaged in the work of their organisations. Trusts with high levels of engagement perform better on available measures of organisational performance than trusts with
low levels of engagement.

Item Type:	Report
Alternative Title:
Divisions:	Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences > Social Science & Systems in Health (SSSH) Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School
Series Name:	National Institute for Health Research Service Delivery and Organisation Programme
Publisher:	HMSO
Place of Publication:	University of Birmingham
Official Date:	April 2013
Dates:	Date Event April 2013 Published
Number of Pages:	230
Status:	Not Peer Reviewed
Publication Status:	Published
Access rights to Published version:	Open Access (Creative Commons)
Open Access Version:	Publisher

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