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Healthskills at the NAPC Best Practice Show, Birmingham 20 October – Federation development support

Dawn Scott presenting at NAPC

We were delighted to be asked recently by the organisers of this year’s NAPC Best Practice Show at the NEC on 19 and 20 October to facilitate a workshop on “Developing your federation: connecting people to performance”. Dawn Scott, Partner at Healthskills joined Dr Kirk Moore, Co-Chair and Melanie Arnold, Federation Manager at North West Leicestershire GP Federation to share our experiences and learning from delivering an outcomes focused federation development programme for GPs and other leaders at the Federation over the last year. Dr Kirk Moore said about Healthskills support:

“With a federation of 15 practices working in silos for many years we felt we needed some help with some skills to try to bring those people together. Healthskills taught us to begin with the end in mind - so agree a vision and the achievements we wanted to make. As a result we have really good engagement, full attendance at Federation meetings, agreed a shared vision and very vocal members which has supported us as a management team going through. There is now a collective commitment which means now all of our practices are on a single clinical system which has positioned us to run schemes to help patients. We have a weekend service for complicated patients that see a senior GP in the Federation and this helps to keep them out of hospital and reduce the pressure in urgent care locally, and we are now partners in a bid for a £5m scheme for urgent care services in Leicestershire. We certainly wouldn’t have got this far this fast without Healthskills.”

For further information about Healthskills support for primary care transformation and Federation development support, please contact Dawn Scott, Partner at [email protected]

Developing Leadership at Kettering NHS FT

Healthskills has been asked to deliver new phase of leadership development programmes at Kettering NHS FT, building on our successful work with two leadership cohorts at the trust that ran from 2015 through to earlier this year. We will be working with 16 leaders from bands 8b and upwards in a programme that involves accelerated learning approaches; masterclasses, action learning linked to service improvement projects and 360° feedback linked to coaching conversations.

There is an expectation that participants on the programme will work on live projects within the organisation and that are targeted to have a real impact on improvement and innovation. The projects will be presented at the final conference of the programme in 2017.

Postgraduate Certificate in Coaching for Leadership

Healthskills, in partnership with Canterbury Christ Church University, are delighted to announce the launch of our new Postgraduate Certificate in Coaching for Leadership.

This innovative programme is built around the concept of continuing professional development to meet leaders’ responsibilities through coaching. It is designed for senior managers who want to develop their expertise and credibility in the field of coaching as part of increasing their abilities as a leader. It may also appeal to those seeking to establish internal coaching at an organisational level. The content is individually focused and is progressive, linking subject matter, theory and practice. Assessment is carried out through assignments, critical reflection and an e-portfolio. The first cohort will commence their programme in December 2017.

Read more details in the flyer and on the Canterbury Christ Church University website.

Healthskills supporting Talent Management at Newham CCG

Healthskills are delighted to be collaborating with Newham CCG to support their talent management programme from May 2016. During the summer, our facilitators will be working with staff from bands 4 through to 8 from across the CCG facilitating Development Centres, allowing individuals to exhibit their strengths and reflect on what development they may need moving into the future.

Chetan Vyas, Director of Quality and Development at the CCG, noted that the recruitment panel for the Development Centres were unanimous in identifying Healthskills as the preferred supplier to proceed with to work with them. Mark Greenfield, Managing Director of Healthskills, remarked that he was delighted to be working with the CCG and very much looked forward to this most innovative of programmes facilitating the development of CCG staff.

Currently both Healthskills and the CCG are co-creating the initial design phase for the centres and will publish appropriate case study material at the conclusion of the work.

Congratulations Leicester City FC!

As a proud Leicester-based company for the last nine years, Healthskills is delighted to send our warm congratulations to all the players and staff at Leicester City FC on winning the Premiership yesterday. The team have shown tremendous leadership, outstanding teamwork and exemplary organisation this season despite not having the resources or experience of many of the bigger clubs, and are a testament to how a positive attitude and resilience can deliver results.

Leadership Development for Transformation Programme at Chelsea & Westminster Hospital NHS Foundation Trust

Healthskills are delighted to have successfully bid to deliver a Leadership Development for Transformation Programme at Chelsea & Westminster Hospital NHS Foundation Trust. Our team very much look forward to launching the programme in Spring 2016 and working with the Executive team, divisional leads, clinical leads, managers, lead nurses and AHPs. Our collective aims are to develop and empower visible, approachable leaders at every level across the organisation to become inspiring, enthusiastic and motivated role models who consistently deliver excellent outcomes for patients.

Primary Care Federation Development Programme at Lambeth and Southwark CCGs

Healthskills are delighted to have successfully bid to deliver a Primary Care Federation Development Programme at Lambeth and Southwark CCGs. We have been close partners with the two organisations in recent years, facilitating Governing Body development, directorate team development programmes and delivering a highly successful primary care leadership programme in 2014. This new programme aims to increase leadership and organisational capability to drive new models of primary care at scale and pace – thereby progressing a more integrated, effective and efficient health and care system for the population of Lambeth and Southwark.

Strengthening the Frailty Pathway

Barking, Havering and Redbridge (BHR) CCGs are committed to developing a strong “frailty” pathway in the BHR economy, as part of their Integrated Care Coalition Strategic Plan. It is critical that staff are equipped with the right skills and knowledge to improve delivery of care to frail patients in the community.

Healthskills has developed an innovative training programme at the end of which, participants:

  • Will have increased knowledge of frailty and its effects;
  • Are more confident and able to distinguish frail people;
  • Are able to perform (and understand the results of) the timed up and go assessments to support detection of frailty;
  • Are able to recognise early stages of Long Term Conditions, e.g.: dementia and sign post patients to the right services within the Integrated Care System;
  • Recognise the complexity of the pathway, and appreciate the roles of other professionals who will form the frontline of the “frailty pathway” including: GPs, primary and secondary care nurses, social workers, pharmacists, specialist staff such as physiotherapists, occupational therapists, mental health and LD professionals, community matrons and others directly involved in the care of the individual;
  • Will have a clear understanding of what makes a good care plan, what quantifies an “excellent” versus “inadequate” care plan;
  • Will have identified communication methods of sharing “best practice” and good care planning with colleagues as a way of fostering wider improvements;
  • Will have an understanding of how to bring health and social care professionals and voluntary organisations together to work in an integrated way to improve the customer/patient/service user journey.

The training programme consists of workshops that use a traditional training techniques plus audio visual material stored on our own learning platform.

We have been piloting this approach across the health economy and changing the design based on feedback. Typical examples of attendee feedback has been:

‘As GP’s we need to influence the CCG to develop a more integrated service by sharing what works well and where we need further support, when caring for people with frailty.’

‘We need to take ownership of how things are done to keep frail patients out of hospital.’

‘I didn’t realise what frailty meant and this session has helped me to understand this concept and made me think about how we identify this group of patients.’

‘I enjoyed the session and found it very informative. The facilitator was knowledgeable and I enjoyed thinking through how we could be improving services for our patients.’

‘What I liked was the facilitator used local information to help us understand what is happening with our patients and how we could improve services. Now the hard work is down to us.’

‘I found the session useful and how recognise the need to build on this workshop, by working with colleagues across other organisations to improve the frailty pathway.’

‘As a member of the practice team I found the session useful as it helped me think much wider about my role and how I treat patients and carers who are having difficulty coping at home.’

Healthskills are now planning a large scale rollout of the workshops in the next 6 months working with our partner Kirsty Boettcher Programme Director Frailty, Barking, Havering and Redbridge CCGs.

Healthskills named on new NHS Lead Provider Framework (LPF) for commissioning support

We are pleased to announce that, as part of Optum's supply chain, we have been named on the NHS' Lead Provider Framework (LPF) Agreement.

The LPF was developed in order to enable CCGs, NHS England and other customers to source some or all of their commissioning support needs. It is the only Framework that provides the full range of health and social care commissioning support services and, over the next four years, it is anticipated that between £3bn - £5bn worth of services will be procured through it.

You can find out more about the framework, which is now open for CCGS to use, from the NHS England website:


We look forward to working with Optum to support the NHS.

London Leadership Academy masterclass

Anne Tofts will be facilitating a masterclass on the evening of 23 February on the governance challenges of “The Forward View Into Action: Planning for 2015/16”.  This is part of the London Leadership Academy series of ‘Capital Leader’ seminars.  The processes, systems and behaviours of Integrated Governance should be enablers of local transformation. However, local integrated governance must evolve at the same time if it is to help rather than hinder local transformation.  The aims of this masterclass include helping London Commissioning and Provider organisation Board and Governing Body members to improve their understanding of the future health and care landscape, and gain insight into what is expected of individual Board and Governing Body members as we progress the “Forward View into Action”.  More details can be found on this promotion flyer, or by emailing the London Leadership Academy [email protected]

NHS Recognition Awards

We are delighted to congratulate the following recent winners of NHS Recognition Awards from across the East Midlands:

  • NHS Mentor / Coach of the Year:  Adrian Piggott, Derby Hospitals NHS Foundation Trust;
  • NHS Patient Champion of the Year:  Paul Brooks, Derby Hospitals NHS Foundation Trust;
  • NHS Inspirational Leader of the Year:  Anne-Marie Olphert, Erewash CCG

Healthskills are working with both of the host organisations and recognise the fabulous work carried out by these talented individuals.

West Leicestershire CCG in the Top Ten Best Places to Work in the NHS.

West Leicestershire CCG has been named as one of the Top Ten Best Places to Work in the NHS, in a new survey from the HSJ, in association with NHS Employers.

HSJ’s Best Places to Work is an annual celebration of the UK’s elite public sector healthcare employers. These organisations have proven that they know what it takes to create environments where people love to come to work.  The survey applauds those great NHS organisations where there is 100 per cent commitment from its leaders. They engage their staff, listen to innovative ideas and involve their people in the challenges and improvements that the organisation faces. Staff engagement, talent, culture change and vision are all words that are being used more and more when we talk about being a good employer.

“Our ‘one team’ culture is about openness,” says CCG managing director Toby Sanders. He adds that “involvement is actively encouraged and helps to drive dynamism and energy which helps colleagues across the organisation to feel empowered”. Conversation is key for the CCG and staff are encouraged to do this through informal ways. “We create time to recognise and celebrate success and enjoy some light hearted moments alongside the serious work that we do, which really helps our team to develop and grow together,” explains Mr Sanders.

Healthskills is proud to have been supporting West Leicestershire CCG since 2011, facilitating effective leadership at all levels including the Governing Body, senior management team and with practices.

Current clients nominated for HSJ Awards 2014.

Healthskills are delighted to announce that many of our current clients have been nominated in the shortlist for the HSJ Awards 2014:



Chief Executive of the Year

Dr Linda Harris, Spectrum Community Health

Samantha Jones, West Herts Hospital Trust

Primary Care Innovation

West Leicestershire CCG

Acute Sector Innovation

Derby Hospitals FT

Primary Care and Community Services Redesign

North West London CSU

Central London Community Healthcare

Leicestershire Partnership Trust

Spectrum Community Health


Leicestershire Partnership Trust

Improved Partnerships between Health and Local Government

Brent CCG

Managing Long Term Conditions

West Leicestershire CCG

Lewisham CCG

Congratulations to all and we look forward to hearing of their successes at the Award Ceremony later this year.

Congratulations to Ash Soni

Congratulations go to Healthskills client, Ashok ‘Ash’ Soni, OBE FRPharmS who was recently elected President of the Royal Pharmaceutical Society by members of the RPS Assembly. Commenting on his election, Ash Soni said:  “This is a hugely exciting time for the profession with many changes and innovations underway.  The RPS is the champion of the whole profession and I feel immensely privileged to be leading the organisation at this time.”

Healthskills is looking forward to the fruition of leadership development initiatives that we have been working on with Ash in recent months.

Aspiring Senior Leaders – achieving collective leadership.

Healthskills has been commissioned by the LETC Derbyshire, to provide a unique system wide leadership programme across entire health and social care network within the county. The Derbyshire Talent Management Group consists of a number of health & social care organisations within Derbyshire who have identified a gap in the talent pipe line to take up future GM/Heads of Service Posts. Due to an ageing profile of the current workforce and organisational change taking place across the region, there is a risk of not being able to fill roles in the future. Also the jump from current assistant roles is quite big in terms skill set and role requirements.

These are business critical roles needing the post-holder to be able to take on Service Line Management & financial responsibilities, understand the wider agenda and future delivery needs, engage and lead their people through transformation. The development and delivery of a bespoke cross-organisational programme is required to address this workforce gap. The programme we have developed aims to achieve a mix of external and internal provision giving individuals the skills needed to take up these posts and provide them with exposure to these roles via short-term work placements within participating organisations.

The programme is a result of a truly collaborative approach between Healthskills and the various agencies represented by the talent management group and will be jointly delivered throughout. In this respect the programme will achieve a significant milestone of genuine collaboration and will reflect an approach of truly collective leadership in its approach and content.

Developing Patient Leaders

Healthskills have recently been commissioned by Macmillan Cancer Support to develop a pilot programme for prospective patient leaders in an innovative approach to ensuring the patient voice is heard within the system.

Why? Macmillan is encouraging people affected by cancer to join their local Healthwatch with an ambition of having two representatives on each of the 152 local Healthwatch bodies, representing the views and concerns of people affected by cancer in their locality and ensuring that the cancer agenda has a strong profile alongside other long term conditions. Macmillan wants to support people affected by cancer to be a powerful, confident voice using relevant aspects of their experience of treatment, care and support to inform priority areas and champion excellence in cancer services. The pilot leadership programme has been designed specifically for those who wish to enhance their skills as patient leaders and effectively represent the views of people affected by cancer in their community.  

What? The patient leadership programme will consist of a series of half day workshops/master classes with an opportunity to access leadership profiling tools, action learning and coaching sessions, supported by learning technology and a community of practice. Key learning themes will focus on understanding self and utilising leadership profiles, managing strategic relationships and shaping vision, direction and strategy.   There will also be an opportunity to take part in a simulation set up to allow delegates to work on a current “live” challenge with a range of relevant organisations.

Who? We have invited people affected by cancer who are already in a senior or influential position in a local Healthwatch or user forum or who would like to take on a leadership role within their local Healthwatch. 

When? The programme was launched on  23rd May and  will run until 18th December 2014.

Where? The pilot events will take place in Derby to support the work of Healthwatch in Derbyshire/Nottinghamshire with a planned roll out to support Healthwatch across England and similar models which may develop in the Celtic nations in the future.

NHS Leadership Academy Executive Fast-Track Programme 2014: Congratulations!

Healthskills are delighted that three of our clients: David Ainsworth, General Manager in Acute Medicine at Derby Hospitals NHS Foundation Trust, and John Martin, Interim Director of Clinical Quality at East of England Ambulance Service NHS Trust and Jonathan Mason, Clinical Adviser (Medicines), NHS England London Region have all achieved places on the new NHS Leadership Academy Executive Fast-Track Programme. Healthskills have been actively supporting David, John and Jonathan with leadership and team development for a number of years.

David, John and Jonathan join a cohort of only 50 senior leaders who have been selected from more than 1600 applicants for this prestigious programme, which starts on 2 June 2014. It is designed to bring together the expertise of senior clinicians, high-calibre NHS executives and new talent from outside the NHS to build a diverse and highly skilled leadership team who can create positive change within the NHS: overcoming high-profile challenges, driving-forward exceptional care, and engineering the organisation into a bright, successful future.

Healthskills are now licensed Business Practitioners for Motivational Maps®

Performance depends on the right direction, the appropriate skills and massive amounts of motivation. Motivational Maps® provide the solution to what is probably the most difficult of these to manage and sustain - motivation. Motivational Maps® determine core motivations and drivers in your working environment and are based on the theory that your happiness and success at work is partly determined by whether or not your core 'motivations' are being met.

Your Motivational Map® is established first by an online questionnaire completed by the individual, who then receives a clear and easy to understand report that will be fed back during a coaching session or workshop. 95% of Maps users said their Motivational Map® accurately described their personal motivators, and 97% found the information in their personalised report useful. Each report provides actionable advice on how to increase motivation where it matters, helping individuals and teams improve their level of motivation and develop greater resilience.

For more information about how to support your leadership and team development with Motivational Maps®, contact Mark Greenfield, Healthskills Director on 07771 655382 or [email protected]

Ann Hepworth is moving on

Healthskills Director Ann Hepworth is moving on to new challenges. Ann has been appointed Strategic Account Executive for UnitedHealth UK, responsible for shaping and driving all strategic activity related to client delivery plans and building and maintaining relationships with their senior teams and stakeholders.

"I am excited about this opportunity with UnitedHealth UK but it has been a difficult decision to leave Healthskills, as I have been associated with them as a customer, client and then Director for over ten years. It's a great company to work for and I am sure Healthskills will continue to go from strength to strength. I now look forward to working together as a partner."

We wish Ann good luck and many thanks for her insight, networking and work ethic over the years.

This is a great opportunity for Healthskills to refocus on our core strengths and the remaining three Directors, Mark Greenfield, Anne Tofts and Charles Marshall are looking forward to more growth, even more satisfied customers and new challenges in 2014.

Happy Christmas from Healthskills

Adoption is a way of providing a permanent home and family to a child who can't be brought up by their own family. Today, the majority of adoptions in the UK involve older children, sibling groups and children with disabilities, who have been taken into care. Adoption transforms the lives of some of the most vulnerable children in society.

It is a big commitment and to be successful, adoptive families require ongoing support for a number of years.

Adoption UK is a charity that provides support and give voice to adoptive families. Their vision is a world where all children and young people unable to live with their birth parents can find security and happiness with permanent families who have the right support to build brighter futures. Healthskills is delighted to support Adoption UK as our chosen charity this Christmas. To find out more about adoption please contact Adoption UK or contact Healthskills Director Ann Hepworth at [email protected]

Leadership Development for Healthwatch Board members

We are proud to announce that we have been successful in a recent bid to provide leadership development for a pilot group of Board members from Healthwatch in a joint partnership project with Macmillan Cancer Support. The programme is scheduled to start in quarter 1 of 2014. We see this important project as an opportunity to place patient care at the very centre of the agenda and to develop some interesting approaches around integrated care from the patient’s perspective, tying in closely to other work we have ongoing in this area.

East Midlands Leadership Academy Recognition Awards Ceremony – 28 November 2013

Healthskills were delighted to be invited to the EMLA Recognition Awards Ceremony which took place on 28 November in Nottingham. This prestigious event was attended by over 200 guests and celebrated the best of healthcare leadership in the East Midlands during 2013.

Congratulations go to all nominees and winners, and especially to Jackie Pendleton, Chief Operating Officer at North Derbyshire CCG who was presented with the NHS Partnership / System Leader of the Year by Mark, and to Natasha McVey, Student Nurse at the University of Nottingham who was named NHS Emerging Leader of the Year.

Healthskills are strong supporters of leadership in action, and hearing stories of colleagues celebrating successes, recognising achievement and encouraging peers from organisations with whom we work was inspirational.

HSJ Awards 2013 – Congratulations to Derby Hospitals FT

Huge congratulations to Derby Hospitals Foundation Trust on winning the inaugural HSJ Award 2013 award for Compassionate Patient Care, for its integrated partnership working over elderly patient care. The award was presented to the Trust by Health Secretary Jeremy Hunt at a ceremony in London on 19 November. Healthskills have been supporting the Trust since 2012 in facilitating leadership development to over 100 senior clinicians and managers to date, working with the Executive team, and helping to support cultural change in the organisation

The Power of Action Learning to enable change - using influence to drive high quality primary care

Practice Managers are often the forgotten force when it comes to instigating change. West Leicester CCG decided to focus on this group to drive the CCG agenda out into the membership practices in their 4 localities by developing leadership capability in a core group of 7 practice managers. Read the pdf full evaluation of this highly successful programme.

NHS Leadership Recognition Awards

Three of the CCG Governing Bodies that we have been working with during the last 18 months have reached the shortlist for the 2013 Leadership Recognition Awards in London as Board/Governing Body of the Year.  Our congratulations to the Governing Bodies of Kingston, Lambeth and Lewisham CCGs – you are competing against Provider Boards that are well established, so to have reached the shortlist after only 6 months of fully authorised operation is a phenomenal success.  We wish you all luck for the Awards Ceremony on 14 November.

West Leicestershire Practice Managers

Healthskills have been working for the last 12 months with a core group of 7 Practice Managers from practices throughout West Leicestershire. The programme which focussed on developing individual leadership capabilities, successfully concluded last month. The title of the programme was “ Change Agents” and the group have undertaken to promote the agenda of the CCGs within Primary Care and ensure that Practice Managers are both represented and influential when it comes to developing Primary Care Services in West Leicestershire. The importance of the role which Practice Managers play in this respect cannot be emphasised enough and the commitment and enthusiasm each participant has shown during the programme has been exemplary.

A full evaluation will follow but in the meantime – congratulations to all participants – Keleigh Atkin, Jo Merchant, Kathy Wright, Paul Hanlon, Becky Bowler, Sharon Clay and Alison Ellis.

Congratulations to West Leicester CCG

West Leicestershire CCG, the 13th clients of ours to have been nominated for the forthcoming 2013 HSJ Awards, have been short listed for Commissioner of the year.

Healthskills are delighted to have been working with the Board, corporate management team and the practices within the CCG over the last two years, supporting the development of the organisation towards authorisation and beyond.  We wish all the members of the CCG good luck and hope their nomination is successful!

For more information contact Mark Greenfield, Healthskills Director on 07771 655382 or [email protected]

Three Peaks Challenge Success

Melanie Warner successfully completed the Three Peaks Challenge on 26th July. They had great weather for Ben Nevis, completing this climb in 5.5 hours; nice weather for the ascent of Scafell Pike but dark and torrential rain for the descent meaning it took 6.5 hours instead of the planned 5.5. Their final climb was Snowdon - the miners route - so some tough climbing but the weather was dry and they did it within the required time period! Unfortunately, they didn't manage to complete the challenge within the 25.5 hours time frame - 30 minutes over (26 hours in total) BUT it was still a great achievement and we've since been told that if you do not have perfect weather conditions it's almost impossible to complete the challenge in 25.5 hours.

As a team they raised over £10K for Mind so they are delighted.

Healthskills are chairing a key quality conference

Healthskills is delighted to be Chairing a key quality conference organised by the government training specialists Understanding Modern Government (www.moderngov.com). Ann Hepworth will be chairing two conferences in April and May and facilitating a practical workshop entitled "Integrating Good Governance for Better Outcomes" at each event. For full conference details please go to the Understanding Modern Government website.

Ann will also be facilitating a workshop entitled "Creating a Performance Management Culture" at their Effective Performance Management and Monitoring Conference on 25th June 2013.

HSJ article: Developing a patient-centred culture through strong leadership

At the end of 2012, we completed a two year, double cohort, leadership programme with over 100 of the senior clinical and non-clinical leaders at Surrey and Sussex Hospitals, Redhill (SASH).

The HSJ has today published an article on what we achieved there and how we went about it. In the light of current adverse publicity for the NHS in general and particularly the Acute sector, this stands out like a beacon and reflects how one Trust invested in “getting the point rather hitting the target.”

We would love to receive your comments on the article.

For more information contact Charles Marshall, Healthskills Director on 07775 902452 or [email protected]

Mind the Gap

When it comes to patient care, it’s culture not process that counts

The Francis report shines a bright light into the culture and working practices of the NHS and highlights gaps between intentions to deliver excellent care and the reality of what can be delivered.

Many of us know that the NHS is full of people who day in and day out go to work to do the best they can for the patients they serve. This report provides a much needed catalyst for NHS organisations to pause and reflect not just on what they are doing BUT how they are doing it, and to both identify and take appropriate action where things aren’t right, but also to recognise and promote some of the great practice that is going on for others to learn from.

Working in collaboration with specialist culture change and communication agency WARL-health, Healthskills has developed a concise yet highly insightful tool to support organisations in reflecting upon their current culture and working practices and, in so doing, reassure both service users and staff alike that the organisation is actively responding to the issues raised by Francis.

Entitled “Mind the Gap”, the programme enables organisations to identify gaps between intention and delivery by painting a vivid picture of attitudes and perceptions towards patient care from: service users, staff, leadership and other partners, from which an organisation can take measured action to affect change where necessary and begin a process that actively promotes excellence in the delivery of patient care.

Completed in a matter of weeks and to a fixed budget, the “Mind the Gap” programme provides a structure for leadership teams to bring objective focus to the debates that will inevitably follow on from the publication of the Francis report.

For more information contact Ann Hepworth, Healthskills Director on 07867 538165 or [email protected]

Kingston CCG

Kingston clinicians have been given the green light

Kingston clinicians have been given the green light to take control of the local NHS budget, following an announcement by the NHS Commissioning Board on 11 December 2012.

A summary document released by the Board shows that Kingston Clinical Commissioning Group (Kingston CCG) is one of just eight CCGs nationally - and the only one in London - to be authorised without any conditions in the ‘first wave’ of authorisations. Read more in this HSJ article.

We are very proud to have supported Kingston throughout their journey to authorisation. You can read the stories of Kingston and some of the other successful CCGs that we have supported in our booklet "Clinical Commissioning Groups - to Authorisation and Beyond" The challenge now is to continue to help these CCGs deliver transformational change in collaboration with the public and local stakeholders. Transformation which will improve local health outcomes and ensure a sustainable local health and care economy.

Leadership development at Derby Hospitals NHS FT

Healthskills are delighted to have launched a leadership development programme at Derby Hospitals NHS FT with the Chief Executive, Sue James. The programme was introduced to the first of three cohorts from professions across the Trust, and will run until October 2013. Sue James is currently helping to look after patients once a month as a healthcare assistant, to understand the needs of staff and patients, and to find out what changes are needed on the shop floor. See www.bbc.co.uk/news/uk-england-derbyshire-20226784

CCG stories booklet

CCG stories booklet

The authorisation process is a significant first milestone for all Clinical Commissioning Groups on the journey to becoming a successful clinician led organisation. However, it isn’t the ‘end itself’; it is only the beginning of an exciting journey to transforming commissioning processes and collaborations to improve health outcomes for the local population.

We have been working with over 40 aspirant CCGs since 2010, helping them to reach this first important milestone, and to plan their development beyond authorisation. This booklet captures some of those stories to illustrate the range of external support that aspirant CCGs find helpful to extend their internal organisation and leadership capability.

All CCGs are using the 6 domains of authorisation as their roadmap for development. We have used the same roadmap to capture the stories.

Congratulations to our Client and Business Partner

We’re really pleased to see the success that our client and business alliance partners have achieved in the 2012 HealthInvestor Awards. Bridgewater Community Healthcare NHS Trust won the Telehealth/Telecare award (in partnership with Tunstall Healthcare) for their Telehealth pilot project in Halton and St Helens. We work with the Board and senior team of Bridgewater to help to build the leadership capability required as an FT. KPMG won the ‘Consultants of the Year – transactional’ award; as a member of KPMG’s Commissioning Partnership we provide OD and leadership development support to new commissioning organisations, complementing KPMG’s excellent transactional capability.

Can healthcare organisations learn from the G4S debacle?

Healthskills director Anne Tofts has written an article entitled "G4S debacle deals Olympic-sized blow to company's global reputation" Cock-up or Conspiracy? Read more in the articles and papers section.

Reflection for High Performance

As we build new style NHS organisations – CCGs and CSSs – wouldn’t it be novel to ensure that we build in time for learning and reflection? This article, written by Healthskills Associate Dr Mary Holmes and to be published the Journal of Training this month, provides a really helpful and practical model leadership teams can use to build reflective time into their daily work.

Outstanding Leadership at East Surrey Hospital

Healthskills successfully concluded phase 2 of an ongoing programme for 'Developing Leaders', with a Leadership Conference at Surrey and Sussex Healthcare Trust on Wednesday 18th July.

The programme participants demonstrated multi-professional engagement, a forensic focus on outcomes, and the ability to have fun at work when they delivered eight short presentations to showcase their innovation project work over the course of the programme, in front of an invited audience of the executive management team, Trust Board directors, colleagues and previous programme participants.

Over the course of five months, 54 participants engaged in 360° feedback on their leadership behaviours, 3 leadership insight workshops reviewing exemplary leadership behaviours, and 3 action learning sets focusing on developing projects to challenge ways of working in six key priority areas for the Trust.

A focus group will now develop plans to ensure that all projects are implemented and leadership behaviours are embedded and sustained.

Find out more about our approach to leadership development in the context of organisational improvement, or email [email protected]

Successful CCG appointments

Congratulations to our colleagues in Derbyshire CCGs who have been appointed to roles as AOs and CFOs.  Healthskills provided coaching support to a number of applicants supporting them through the application and assessment process.  We wish them luck as they provide excellent leadership in their new organisations.  To find out more about our coaching practice please email [email protected]

Supporting Croydon Healthcare’s integrated health approach

Healthskills is proud to have been appointed to support Croydon Healthcare as they work towards Foundation Trust status.  We will be providing development support to the Board and the newly shaped Executive Management Group.  Croydon Healthcare has an ambitious programme to develop fully integrated care across acute and community services and recognises the need not only to develop excellent strategies and systems but also to invest in their leadership and develop their culture to drive improvement.  Find out more about our approach with aspirant FTs from [email protected]

Kick starting our CSS staff engagement work

Healthskills has been appointed as part of the KPMG Partnership for Commissioning to provide a range of organisational development support to North West London CSS.  This is an exciting opportunity to create a completely different type of organisation supporting clinical commissionioners and we are delighted to be at the cutting edge with one of the leading Commissioning Support Services in the country.  We are undertaking a range of interrelated activities and this week have agreed our staff engagement approach with the CSS leadership team.  This stream of work is essential to the success of the organisation and we will be happily reporting progress over the next few months as we build the organisation with the wider staff group.  To find out more, please contact [email protected]

London to Southend in 4 Hours!!

Congratulations to Healthskills Director Ann Hepworth who completed the London to Southend Bike Challenge in 4 hours. Ann cycled nearly 60 miles (15 miles an hour!!) thanks to an unexpected diversion due to flooded roads. She has raised £210 to date for the British Heart Foundation and hopes to increase this to nearer £300 – if you wish to recognise Ann’s efforts and donate to this worthy charity then please go to http://www.justgiving.com/Hepworth

Reframing leadership development for critical change

Healthskills Director Charles Marshall features in this week’s HSJ, describing our approach to leadership development that takes the context of leadership into account and enables leaders to apply their insight in a practical way – creating a critical link between organisational change and the leadership required to make it happen. The article is also available in our articles section.

A Shift in NHS Leadership - a 'must read' HSJ article for leaders in CCG and CSOs...

Healthskills is proud that our Academy member Jane Keep has just published a relevant and timely resource for the HSJ outlining the requirements of peer leadership in the new NHS landscape. Jane has been working with us to provide excellent support CCGs as they develop their engagement strategies with the public and this resource showcases Jane’s depth of knowledge and understanding in leadership development too. Like many of us at Healthskills, Jane has been working with NHS leaders for many years. In this article she describes the shift required from more traditional leadership styles to one of peer leadership requiring influence rather than position power.

Healthskills is now a member of NUSHO Time Bank

Healthskills has become the newest organisational member of NUSHO Time Bank based in Stratford, East London. NUSHO (or NU Social Health Organisation) is a Not-For-Profit company that sets up and supports time banks in communities that show a need for social help which is not offered by any other agency.

  • A time bank is set up at a focal point in the community, usually a GP surgery, community centre or school.
  • People donate some of their time and skills to local volunteering projects, either as an individual or through their employer.
  • For every hour of work they receive one credit into their time bank.
  • They can use points to buy services from other members or for rewards from companies who are part of the scheme.

The NUSHO Time Bank has individual members, local businesses and local community / voluntary groups as time bank members. This dynamic mix helps to build networks and relationships that would not have existed without the Time Bank initiative. These networks and relationships provide s opportunity to share skills and resources, develop partnerships and achieve the most unexpected aims. To encourage young people into the habit of volunteering, organisations like Healthskills aim to offer incentives that appeal to them through the NUSHO Time Bank. Work experience placements, mentoring and tangible rewards are made available in exchange for the credits earned for volunteering.

Cynthia spent 2 hours helping William prepare an article for his local newspapers. Two months later when Cynthia needed a lift to the airport for her two week holiday, Carol’s daughter drove her to Gatwick (this gave Carol’s 19 year old daughter some additional practice after passing her driving test two weeks previously).

Another time bank participant, Pauline Russell-Recently was recently offered post at RBS Insurance:

“Unemployment is difficult. Too much time on your hands! I provided training and support to someone suffering with depression and made a difference to their life. Thanks to NUSHO, I have been able to broker some of my time in a way that has enabled me to support someone with Mental Health problems to gain meaningful employment, improve my networking skills and confidence and withdraw time from the bank and receive support from others.”

Healthskills start work with their 33rd Clinical Commissioning Group (CCG)

Healthskills has recently been commissioned to work with Sheffield CCG, making this the 33rd CCG that we have either worked with over the last twelve months or are about to commence working with. CCGs are benefiting from a range of focused organisational and leadership development support from Healthskills and our Academy of Specialists, to build systems, processes and capability towards authorisation in a wide range of aspects. These include PPE, clinician and stakeholder engagement, governance and constitution, leadership development, effective collaboration and partnership working, working effectively with Health and Wellbeing Boards and CSS organisations.

  1. Barnet GP Commissioning Consortium
  2. Baywide GPCC
  3. Bexley Clinical Cabinet
  4. Bromley
  5. Central London Healthcare
  6. Dudley GP Commissioning Consortium
  7. Eastbourne Hailsham and Seaford
  8. Greenwich Health
  9. Harrogate & Rural District
  10. Havens and Lewes
  11. High Weald
  12. Kingston Consortium
  13. Lambeth Clinical Commissioning Collaborative
  14. Leicester City
  15. Lewisham Primary Care Confederation
  16. Manchester (North, Central & South)
  17. MK Commissioning
  18. Newbury and District
  19. Newham Health Partnership
  20. Nottingham City
  21. Nottingham North and East (NNEC)
  22. Preston, Chorley & South Ribble
  23. Sheffield
  24. Skegness and Coast Clinical Commissioning Group
  25. Solihull
  26. South Worcester
  27. Southwark Health Commissioning (SHC)
  28. Sutton Consortium
  29. The Multiconsortium Commissioning Group
  30. Wakefield Alliance
  31. Walsall GP
  32. West Leicestershire
  33. Wylde Consortium

We would be pleased to share our experience of working with CCGs with you, please feel free to email us or contact us with your enquiry.

PPE - A synthesis of perspectives for CCGs towards and beyond authorisation

Healthskills has been working with a number of CCGs supporting them to take their PPE approach to a new level. One of our Academy members, Jane Keep has been central to this. Jane is recognised nationally as an expert in PPE and is passionate about this challenge. Her latest summary paper outlines current good practise and identifies opportunities for commissioners to develop their approach. If you would like to discuss your own approach to PPE in more detail, then please contact us.

Leadership Development at Surrey and Sussex Healthcare Trust

Healthskills completed a unique 6 month programme at SASH last week tailored to meet the exact requirements of the Trust’s Chief Executive Michael Wilson.
This was characterised by a number of well defined elements

  • 110 delegates went through the programme selected to form a guiding coalition to lead the Trust towards its immediate future.
  • Every participant received 360 degree feedback on their leadership potential via the Kouzes and Posner Leadership Practices Inventory
  • Each aspect of the 5 practices of Exemplary leadership was explored in depth with practical case studies and live examples of current best leadership practice.
  • 6 work streams were identified, built around the Trusts key strategic objectives
  • Each work stream produced a set of recommendations which will now be adopted by the Trusts transformation team.
  • The programme culminated in a Leadership Conference where all work streams were able to exhibit their work and was attended by all Non executive and Executive directors.
  • A second cohort is now planned to commence in February 2012

The Healthskills team:- Charles Marshall , Mark Greenfield , Paul King , Lucie Lee, Miranda Coates and Melanie Warner would like to thank everyone at the Trust who helped to make this programme such a success.

Anne Tofts contributes to most recent edition of 'outstanding book'

Anne Tofts has contributed a chapter to the new edition of ‘Healthcare Management’ which was published last month. 
This popular book is amongst the most comprehensive textbooks on healthcare management available. Written with healthcare managers, professionals and students in mind, it provides an accessible guide to healthcare systems, services, organisations and management. Key areas include:

  • Allocating resources for healthcare: setting and managing priorities
  • Health technologies, research and innovation
  • Internationalisation of health systems and policies
  • Healthcare services: structure and delivery
  • Chronic disease and integrated care
  • Healthcare leadership and networks: incentives, governance and performance

"This book covers the main areas of knowledge which managers need, and gives tools for thinking and empirical examples relevant to current challenges. Evidence based management might not always be possible, but this book gives a way for a manager to become research-informed and therefore more effective."

Professor John Øvretveit, Director of Research, The Karolinska Institute, Sweden

"This is an outstanding book that provides the concepts and tools necessary to enable healthcare managers and policy makers to build better health care systems. The book maintains the strengths of the first edition ' and adds new chapters and updated content throughout to make the book more international and comprehensive in its coverage of topics."

Tom Rundall, Professor of Organised Health Systems, University of California at Berkeley, USA

Follow this link to access more information on the book: http://mcgraw-hill.co.uk/html/0335243819.html

Healthskills: supporting the development of Richmond CCG

Healthskills organised Richmond Clinical Commissioning Group board’s first informal session (time out) since launching in April. Read more in the articles and papers section

Leadership at Surrey and Sussex Healthcare Trust

We recently presented an interim standardisation feedback report to the Trust and they are delighted with the way the large scale leadership programme has progressed so far.

The feedback we were able to provide reflected positive outcomes across the board and a high level of satisfaction and engagement throughout the 100 strong cohort.

Clinical Leadership in Newham

Healthskills has successfully completed a 9 month leadership programme in what was formerly NHS Newham. The programme was set up to enable a wide and varied group of clinicians and Allied Health Professionals to lead and drive change in the Borough’s COPD service.

Delegates included GPs, Consultants, Psychologists, Nurse Consultants and Pharmacists and included members of the current clinical commissioning Group.

Delegates subsequently evaluated the programme and 100% rated the experience as being above or well above their expectations in respect of delivery style, practical use, and content.

Some of the comments:

“A truly wonderful experience, great tutors, relaxed atmosphere with lifelong tips to put into practice”
“Thoroughly enjoyed it, learnt a lot and it does have patient benefits indirectly”
“Excellent for self reflection as well as development as a leader for yourself and those you work with”
“Fantastic – skills which you pick up on this leadership course you won’t pick up anywhere else.”

Large Scale Leadership Development at NHS Acute Trust

1st April saw the launch of a large scale leadership programme at Surrey and Sussex Healthcare Trust.
The approach is unique as this programme will be aimed at a “leadership coalition” of 150 staff from every part of the Trust and is designed to drive the Trust forward towards FT status by focusing leadership on the Trust’s 6 key priorities.

The programme will be completed in September and as such will provide an intense input into the leadership capability within the organisation.

A unique design approach by Healthskills will achieve 3 key outcomes:

  • Individual leadership development for 150 delegates in a 6 month time scale
  • The delivery of 18 work stream initiatives set against Trust priorities
  • The development of a number of solid interdisciplinary networks within the trust forming a guiding coalition for future growth and performance.

As an aspirant Foundation Trust, the organisation sees this programme as providing a major step towards this goal.

South East Coast Ambulance Service achieve FT Licence

Congratulations to South East Coast Ambulance Service for being one of the first ambulance services to achieve their licence as a Foundation Trust. We have supported SECAmb with Board and Leadership Development on their journey over the last couple of years; they have an ambitious vision that will enable radical change in the way that unscheduled care is delivered in the future, both improving services for patients and achieving cost savings. We have admired their tenacity and ability to make brave decisions over the last year to enable them to achieve their licence and put in place the foundations for radical organisational change. Read about our support programme with SECAmb.

WISMS Wellbeing Nurse team recognised in national RCN Innovation award

Congratulations to the Wellbeing Nurse team at Wakefield Integrated Substance Misuse Service (WISMS) who have recently been awarded Third Place in the RCN Frontline First Innovation Award, from over 300 entries nationally. Mark worked with Karen Jordan, Sheila Hayward and the team in 2009-10 on leadership and team development, focusing particularly on auditing performance, challenging the status quo and innovation.

Sheila (first left) and Karen (second left) are pictured with all the finalists in the RCN Innovation Award with Chair of Council Sandra James, Chief Executive & General Secretary Dr Peter Carter and RCN President Andrea Spyropoulos.

Empowering Clinical Leaders Programme launched in Tower Hamlets - Stepney and Whitechapel (Network 3)

At the recent Primary Care Live conference a seminar was fronted by Charles Marshall (from Healthskills) and Caroline Gillett (Network Manager from Stepney and Whitechapel) to discuss the setting up of clinical networks within Tower Hamlets and the recently launched clinical leadership programme designed to drive the project forward.

Healthskills successfully kicked off the 12 month programme for clinical leaders in Stepney and Whitechapel in the summer. Against the backdrop of the White paper and the drive to organise PBC consortia there will inevitably be a heightened need for effective leadership within General Practice.

The programme covers a wide range of topics which will flex and develop over the year as the details of coalition’s policies become clearer. The main objective will be to equip this group of GPs and senior practice staff with the skills and leadership they will need to succeed in this new environment.

Threaded through the programme will be clinical projects which will provide measurable outcomes at the end of the programme. Support will be provided through action learning, personal coaching, 360 degree feedback and a range of highly interactive and practical business skills workshops.

The network identified effective clinical leadership as one of the key drivers for Practice Based Commissioning and felt it was important that they hit the ground running as the consortia emerge over the coming months.

Healthskills client shortlisted for HSJ Award

Congratulations to NHS Tower Hamlets who have been shortlisted in the Quality and Productivity category of the HSJ Awards for the development of their Quality Assurance Framework. Healthskills Director, Ann Hepworth, facilitated work earlier this year to help to develop the framework. You can obtain your own copy by accessing the web link.

Healthskills published in Action Learning: Research and Practice

Dr Mary Holmes has had an article published in the July special issue of “Action Learning: Research and Practice” (Holmes M. 2010 Team Challenge and action learning. Action Learning: Research and Practice 7, no 2: 221-226). The article describes how action learning can be accompanied by a project to encourage shared learning about organisation culture. It draws on Healthskills experience of integrating action learning into its leadership development programmes to deliver tangible benefits to the local community.

You will soon be able to access further articles by Mary through the Healthskills website including “How can action learning liberate the NHS”. If you would like us to alert you when these become available please email [email protected]

Healthskills join debate with Stephen Dorrell

Healthskills joined the debate at the Broadcast seminar and breakfast reception held at Policy Review Westminster Studio on 15 September. Ann Hepworth and Paul King were invited to join a small audience who debated the challenges of reforming the health service with Stephen Dorrell, chaired by Roy Lilley. You can view the full debate through this link www.policyreview.tv/video/481/2207

Healthskills invited to Health Policy live TV debate

Healthskills are delighted to have been invited to participate at a morning reception and live broadcast discussion on the outlook for the Health sector including the Autumn announcements, legislation and reform.  The debate will be held at the Policy Review Westminster Studio

Discussions will be led by a distinguished panel of leading health policy makers and commentators, including: 

  • Rt Hon Stephen Dorrell MP, Chair, Health Select Committee
  • Professor Alan Maryon-Davis, Honorary Professor of Public Health, King's College London
  • Nick Bosanquet, Professor of Health Policy, Imperial College and Special Advisor on public expenditure to the Commons Health Committee

The next three months will reveal the detail and extent of the biggest changes in UK public policy and public service delivery for 3 decades.  This programme and reception will set the scene and explore how managers, policy makers and organizations are preparing for these changes.

Healthskills at ‘Primary Care Live’ conference, London, 30 Sept

Primary Care Live image

We are very proud to have been asked by the organisers of this year’s ‘Primary Care Live’ conference to facilitate a workshop on “Developing Leadership in New Primary Care Networks”. Charles Marshall from Healthskills will join colleagues from NHS Tower Hamlets in sharing our experience and learning from delivering an outcomes focused leadership development programme for GPs and other clinical leaders who are spearheading their new primary care networks.

The programme is based on the successes of working with clinical and commissioning leaders in Tower Hamlets for the last 3 years. Over 90 people have benefitted from the Healthskills ‘Leading Service Improvement’ programme, implementing improvements to service provision as a direct outcome of the programme.

Access to the ‘Primary Care Live’ conference is free to all NHS health and care professionals and managers – it will be held at the Excel Conference Centre in London on 29 and 30 September, and at Manchester Central on 25 and 26 November 2010. It looks like an exciting event with over 200 speakers and 100 exhibitors, delivered through 12 different conference streams; so there is definitely something to suit everybody’s interests.

You can book your place by accessing their website www.primarycarelive.com

Healthskills will be running the workshop at 11.00am and 3.00pm in the ‘Practical Skills Workshops’ conference stream at London on 30 September – we would love to see you there!

Transforming Providers

The move of Community Provider organisations to new homes is a complex organisational change with both transactional and transformational considerations.  Busy leaders already coping with major change may require additional capacity or capabilities to effectively manage this change by 1 April.

The partnership of Ararna Limited and Healthskills offers organisations a unique proposition that offers quality and expertise during large scale organisational change. Transformation in mergers can be extremely challenging and can often impact on service delivery and more importantly, the workforce. Our organisations have come together to assist organisations through every stage of the integration process not only focusing on the strategic elements but helping to ensure that operationally, services continue to run smoothly with minimal interruptions. The workforce planning elements underpin the change process and the combination of skills between both organisations will inevitably provide something that is unique and different.

The information attached provides a full outline of the services we offer including:

  • Capacity and skills assessments
  • Organisational development planning
  • Staff engagement sessions
  • Agreeing evaluation frameworks
  • Workforce modelling
  • Career and performance coaching
  • Impact assessments

We would be happy to discuss your needs for support.  To arrange a meeting with a Director from Healthskills or Ararna, please contact Tess Knight on 0800 652 3322 or at [email protected]

WISMS Project Evaluation – 7 June 2010

Healthskills have been supporting WISMS (Wakefield Integrated Substance Misuse Service) with a programme of leadership development and service user engagement to achieve a radical change in care for substance misusers through positive and effective change in culture and leadership since 2007, in conjunction with a commercial partner, Schering Plough.

The aims of the project were:

  • To develop competence and confidence across the WISMS partnership to initiate and lead service change
  • To engage service users, clinicians and managers across all disciplines within the broad substance misuse arena to improve networks and partnership working
  • To develop a set of markers that will measure impact on outcomes, and provide a ‘dashboard’ that will meet the expectations of commissioners, the needs of the service users and the ambitions of the service providers

At the recent meeting to evaluate the project:

  • Commissioners reported that “(WISMS) think more innovatively about the way they provide services”
  • Service user engagement was reported as “I get the impression that its done here in Wakefield at a level above that I’ve seen elsewhere. Its not tokenistic…” and “SU’s have become partners in care”
  • Leadership development feedback was reported as “I don’t think I would be where I am now without the leadership training course. It gave me the confidence to do things I didn’t know I could”

WISMS become one of only 16 Department of Health Integrated Care Organisation (ICO) pilots during 2009 and Healthskills are now supporting Dr Linda Harris (Clinical Director) and her team in the move to a social enterprise organisation. If you would like to find out more about work supporting WISMS, Mark Greenfield would be pleased to help you; [email protected]

SHA North West Leadership Awards – 26 May 2010

Ann and Mark from Healthskills were delighted to be invited to present an award at NHS North West Leadership Academy’s Annual Conference and Awards, held at the Palace Hotel, Manchester on 26 May. Here is Mark presenting the award for Service Improvement through Leadership to Suzanne Lomax, Matron-Stroke at Royal Bolton Hospital NHS FT, together with John Humphrys from the BBC Radio 4’s ‘Today’ programme who chaired the conference.

The award recognised a leader who has transformed services through fundamental change, and Suzanne has demonstrated outstanding leadership in improving the patient end to end stroke pathway using the Bolton Improving Care System.

Our congratulations go to Suzanne and to all the other leaders we work with who use their skills to deliver better quality outcomes and experiences for patients.

Work with NHS South East Coast

Healthskills are delighted to be working with NHS South East Coast.  We will be developing a learning hub to support the development of personal health budgets for long term conditions.  This will involve creating a virtual learning environment using state of the art intranet technology, coupled with high quality and energised action learning.  The work will start over the summer and Healthskills very much looks forward to working with Alison Lorimer and her team.

Changing Their View of the World

Healthskills are working with an Ambulance Trust with a remit to facilitate the rapid development of their Assistant Directors (ADs). There is a requirement to alter their behaviour. Obviously we could have done this in a variety of ways; workshops, action learning with reflection and one to one coaching all of which have their place. We wanted to do something differently though, something that made them alter the view that they had on their world in an authentic a way as possible. In short we wanted them to perform as different people within their own organisation. So we created a challenge for them to engage with using a “leadership relay” so no-one quite knows who will get the baton at different times; all are engaged and engrossed.

Picture the scene; there has been an outbreak of Norovirus and the system is in chaos. "Meat and drink" you would think to an Ambulance Trust but in this scenario the whole Executive team are off site and the ADs are now running the place and suddenly they are really running the organisation as the entire Executive team is hospitalised. The team are now engrossed in sorting out who is doing what and when; emergency scenario plans are being invoked at pace when suddenly they are summoned to the control room to watch a breaking "Health News" story. The whole system is in chaos it proclaims; a local celebrity has contacted them as she cannot raise an ambulance to a sick child. Health News want an interview and “need to know what’s going on” but the new management team haven’t the time for this until one member of the team suggests it maybe an opportunity for them to reassure people during the interview and to get a professional message across. A truly amazing moment as the Health News interview takes place and a leader’s outlook is changed forever. The final briefing note to the Strategic Health Authority Chief Executive who is about to meet with Andy Burnham is a breeze.

Changing their view on the world really worked and inspired them and generated a very exciting and insightful three hours.

Congratulations Mary

Mary Okoth is a participant on our "Leading for Better Outcomes" programme at NHS Hammersmith and Fulham. She has been selected to join the "Breaking Through: NHS Top Talent" programme by the NHS Institute for Innovation and Improvement. 21 people were selected from 200 applications. She puts her success down to her learning from our programme.

Leadership Programme photos

Participants from the South East Coast NHS Ambulance Trust enjoying a recent leadership programme workshop:

Wishes 4 Kids

Rather than sending out Christmas cards to our clients, colleagues and the wider team last Christmas, we sent an e-card, and gave a donation to www.wishes4kids.co.uk, a Leicester-based charity that makes dreams come true for terminally ill children. The charity sent us a lovely letter of thanks, and told us details of who the money went to help.

HSJ Awards 2009

The HSJ Awards for 2009 were announced at the Grosvenor House Hotel, London on Monday 30th November. In the Primary Care Organisation of the Year category, NHS Tower Hamlets were Highly Commended, and were Finalists in the Good Corporate Citizenship Category. In the World Class Commissioning Category, NHS Wakefield District were Finalists.

Healthskills would like to congratulate both healthcare organisations for these excellent achievements and look forward to continuing our work with them in 2010.

Team Healthskills Skydive

Healthskills skydive Team photo. Click to enlarge.
The Team Mascot  Waiting to jump  Tess and Adi gear up
Lucie and Fiona gear up  Tess coming down  Adi coming down
Fiona coming down  Lucie coming down  Cheers!
Click to enlarge

The Fantastic Four, aka the Healthskills Business Support team set off on an intrepid mission to Wiltshire on 12th September. Their mission: to leap out of an aircraft freefalling from 10,000 feet and land safely at Redlands Airfield five minutes later. And remembering to bring a parachute and tandem instructor.

After a thorough training session lasting, oh all of 30 minutes the team assembled, supremely confident and ready for action. They didn't realise that there was to be a considerable wait whilst all the nervous fliers were selected before them. But the sun shone, there was lots of family support and a giant picnic courtesy of Tess 'Delia' Knight plus baby Evan (eight months - Team Mascot) to keep us all amused, ensured that the time would whizz past.

Soon the moment arrived and Tess and Adi were asked to go first, followed thirty minutes later by Lucie and Fiona. Lucie said she didn't mind waiting as although her instructor did not in the end turn out to be George Clooney, he did say he would cancel the jump and take her out on a date!

Soon the assembled supporters were craning their necks and checking the sky to see who we could spot first. Then the team landed one by one, packed up their parachute with their instructors and made their way back to to the applause of family and friends and some well earned champagne. "Exhilarated", "Fantastic" and "Speechless" were some of the comments, the last by Tess who then couldn't stop telling us all about the experience!

Well done on a brave and enthusiastic team effort, and for the generosity of our sponsors which means that Cancer Research UK has benefitted by well over £1,000. Go to www.justgiving.com/fionahumphreys2 if you would like to contribute.

The Directors have a tough challenge to beat in 2010!!!

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Healthskills Joins Forces with Humana

We are delighted to announce that Healthskills will be working with Humana at Leicester City PCT from October this year. Our work will revolve around facilitating the organisational development of the PCT Commissioning Executive and Clinical Cabinet. Anne Tofts, Healthskills Managing Director noted “this is an exciting piece of work to be involved in and we are delighted to be working with Humana in taking the PCT forward.”

National recognition for Barbara Hakin and Alwen Williams

We are very pleased to be able to congratulate two of our valued clients on their recognition in the Queen’s Birthday Honours. Chief executive of NHS East Midlands, Barbara Hakin, was made a dame for services to healthcare, and Alwen Williams, chief executive of Tower Hamlets PCT was awarded a CBE for her contribution to the health service.

Both have made incredible contributions to the NHS including leading two of the best performing NHS trusts in the country. We have worked with both Barbara and Alwen supporting service transformation and organisational development since the inception of Healthskills in 1996; its very well deserved recognition for two women who embody great NHS leadership.

London Nurse Network – Homelessness Supervision Group

Healthskills work with this group was established on the basis of a grant from the London Network to set up a series of learning sets for healthcare professionals working with homeless people or people living in temporary insecure accommodation.

An initial launch meeting took place in July 08 and a set of needs were identified which set the course and direction for the learning set (supervision group)

Purpose and aims of the group
  1. Dealing with the isolation of working in homelessness healthcare and providing tangible support
  2. Setting up a key project for the supervision group with a clear and tangible outcome
  3. Widening the interest and influence of the group to other healthcare professionals
  4. Establishing a source of knowledge and information for that wider group
  5. Providing an effective lobby for the group to influence senior policy makers
  6. Establishing and connecting with existing networks
  1. The establishment of a core supervision group dealing with current issues in health for the homeless
  2. Production of a comprehensive knowledge and skills framework
  3. Regular network events throughout 08 / 09 with presentations around current issues
  4. Wider connections with active working groups in this discipline

The initial project has now been completed but it is hoped that the good start that this group has made will continue into 2010.

Medical Leadership Development

We are sure that you are all aware of the innovative and exciting work that has recently been completed by the NHS Institute for Innovation and Improvement and the Academy of Medical Royal College to develop a medical leadership competency framework.

The intention is that the framework will eventually be integrated into all undergraduate medical teaching, providing junior doctors with an understanding and introductory competence into their leadership roles within the clinical team.

We are working closely with members of the project team to create an integrated suite of leadership development programmes and learning opportunities that will help doctors in post to acquire and demonstrate leadership qualities and behaviours appropriate to their seniority and experience.

We will be launching these new programmes during 2009. If you would like an early insight into our thinking then please contact Charles Marshall  [email protected]

Healthskills Team Skydive

In a rash moment last January the support team all decided to do a sponsored skydive. The jump date of 16th May was postponed due to bad weather. The new date of 11th July is fast approaching, and if you want to sponsor us, it's really easy through www.justgiving.com We're raising funds for Cancer Research UK

Clinical commissioning: DH vision for practice-based commissioning

The Department of Health’s recently published report “Clinical Commissioning, our vision for PBC” is part of a renewed drive to put clinicians at the centre of commissioning.

The report restated DH’s view of PBC and concluded with some interesting views about the future......

“PBC consortia are a key element in many of the proposed integrated care pilots due to be launched shortly. Successful PBC consortia or federations of practices are potentially well placed to develop into integrated care organisations (ICOs). A PCT could commission an ICO to take on direct responsibility for an extended budget, as well as providing primary care for a registered population, effectively becoming the ‘primary care home’ for the wider health and healthcare needs of this population. PCTs would hold the ICO to account for quality of care, health outcomes and financial stewardship, leaving the ICO to take ‘make or buy’ decisions about how these outcomes are achieved.”

Healthskills is enabling clients in their journey to achieving ICO status and each of these clients has PBC at its centre or as a key partner. One client is a successful PBC consortia in London, now developing a joint venture with an American based provider of medical management services for managed care organisations. They have an ambitious vision of how an ICO can continue the trajectory of improved health and wellbeing for their deprived population. We are supporting them by facilitating their strategy development, undertaking a fitness for purpose assessment of the practices to deliver this strategy and then providing development to support improved delivery. Their ambitions echo the DH’s vision of clinically led local providers who use their knowledge of the local population to commission and deliver quality outcomes and we are proud to be working with them.

If you would like to find out more, please contact Ann Hepworth on 07867 538165 or [email protected]

Tower Hamlets Alumni to be Launched

Tower Hamlets Alumni graphic

We are very pleased to be able to support Tower Hamlets PCT in their new venture establishing an Alumni of all staff who have benefited from leadership and management development programmes.

Tower Hamlets PCT has supported leadership development for clinicians and middle managers for more than 3 years.  75 people have now completed or in the process of completing the leadership programme that Healthskills have run in partnership with Tower Hamlets – the Leadership for Service Transformation programme.

Tower Hamlets are now seeking to help individuals further their skills by joining the THPCT Leadership Alumni.  This is an opportunity to shape the future of leadership within Tower Hamlets and network with colleagues from across the trust.

The Trust has delegated the design and initiation of the Alumni programme to 2 of the Trust’s Stepping Out" Leadership Secondees.  These are graduates from the Leadership for Service Transformation programme who want to further develop their leadership qualities and seek advancement within the Trust.

If you would like to find about more about either the Leadership for Service Transformation programme or the THPCT Alumni then Charles would be happy to help  [email protected]

Transforming Organisational & Team Culture

We read with considerable interest the article in the Health Service Journal “The managers who saved Maidstone – transformation from Board to ward” (9th October 2008 Alison Moore).  The article describes the journey that the Maidstone & Tunbridge Wells NHS Trust has been on since sensational headlines brought them into the glare of the national media over serious superbug outbreaks.  The article begins the story by describing the changes in infection control measures that were made but then moves on quickly to illustrate how the new management team had to try and change the overriding culture of the Trust.  The challenge was a daunting one and first impressions indicated:

  • An organisational malaise and lack of clarity about responsibilities
  • Low staff morale
  • Lack of effective communications from Board to ward

 This Trust is now well on its transformation journey and the article really resonated with so much of the work that we do.  Although there were clear problems with infection control processes the powerful message that came through was that safety requires dynamic leadership and high performing teams and that organisational culture can significantly affect ultimate success or failure.

In the last 12 months we have worked with teams the length and breadth of the NHS.  Some of that work has involved delivering leadership programmes to both clinicians and non clinicians but we have also worked with teams for shorter time periods and helped them facilitate team improvements, regain organisational energy and focus and challenge a “team culture” that maybe hampering ultimate team success.  This short “burst” work has included:

  • A review of the North West Maternity Screening Team. The team had gone through several reconfigurations but problems still existed and so we were tasked with a function review, staff interviews to understand the issues and developed solutions for moving forward. The work was very well received by the client and all of the recommendations were accepted.
  • “The report made very interesting, if slightly uncomfortable reading!  Your recommendations seem eminently sensible to me. Thank you for all your efforts - you made a very difficult exercise almost enjoyable.  It would be good to work with you again.”

    Dr Alison Rylands, Director of Public Health, North West Specialised Commissioning Team

  • Working with Consultant Obstetricians at the Worcestershire Acute Hospitals NHS Trust helping to bridge the communication gap between clinicians and senior managers.  The Trust faced a challenge in relation to the future of maternity services that were currently split across 2 sites and the Chief Executive was keen to get an objective view from the consultants.  We were tasked with interviewing the consultants allowing them to air their views and potential frustrations and then work with them to produce a consensus view which we achieved.
  • Facilitating potential service improvement by understanding team issues within a theatre team at City Hospitals Sunderland NHS Foundation Trust. This particular team had been through a financial turnaround process and morale was low so we were tasked to engage with them to facilitate service improvements ideas and to refocus team energies.
  • Focusing on improvements to the Elderly Care Team at Darent Valley Hospital.  We worked with the team over a 4 week time period helping them develop a new sense of direction.

 Please contact our programme manager Lucie Lee to discuss how we could help you.

Healthskills start work with NHS London

Healthskills have been successful in tendering against stiff competition to work with NHS London to develop a plan that will build organisational capability to reflect its future role and needs.

We will reflect on where the organisation sees itself against these capabilities, where stakeholders view current strengths and challenges and design a plan with the whole organisation to fill the gaps and develop an organisation fit for the future.

The key elements of the programme are:

NHS London key elements diagram (click to enlarge)
NHS Board Development roadmap

Developing Leaders for World Class Commissioning

Healthskills successfully competed against in excess of 100 other organisations who tendered for the Hammersmith and Fulham PCT management development programme.  2 organisations have been awarded the contract, ourselves and OPM.

We will collaborate with OPM and the PCT to co-design and deliver an innovative, work based learning programme that builds internal management and leadership capability to deliver World Class Commissioning and the creation of a successful Independent Provider Organisation (IPO).

Our strength in World Class Commissioning and vast experience of delivering empowering leadership development programmes and engaging clinical leaders will help the PCT to meet its WCC Assurance Standards.

Healthskills quotes and tesimonials

Healthskills is a member of EMCCHealthskills is a member of EMCC and can guarantee that any employee, associate or anyone else acting on their behalf as a coach or mentor is subject to and has agreed to abide by the EMCC Code of Ethics