Medical leadership in the military and NHS: what transferable lessons can be identified?

BMJ Leader ◽  
2021 ◽  
pp. leader-2020-000439
Author(s):  
Rhys L Davies ◽  
Mayur Murali
Keyword(s):  
National Health Service ◽  
Health Service ◽  
National Health ◽  
Best Practice ◽  
British Army ◽  
Healthcare Practice ◽  
Medical Leadership ◽  
The Military ◽  
Leadership In Healthcare

In this article, I explore the different ways leadership in healthcare is taught and developed by the British Army and National Health Service. What lessons and elements of best practice can be taken from each sector, and does traditional infantry-based leadership advice easily translate to civilian healthcare practice?

Introduzione: Introduction

1995 ◽  
Vol 62 (2) ◽  
pp. 273-274
Author(s):  
S. Guazzieri
Keyword(s):  
National Health Service ◽  
Health Service ◽  
Early Diagnosis ◽  
Secondary Prevention ◽  
National Health ◽  
The Other ◽  
Primary And Secondary Prevention ◽  
Family Doctors ◽  
The Military ◽  
Urological Diseases

The importance of early diagnosis is by now accepted. As urological pathologies predominantly involve men, it is natural for the urologist to seek co-operation regarding primary and secondary prevention with the Medical Corps. Paediatricians and family doctors are the other professional figures who play a fundamental role in this field. The records are given of the congress “Prevention and early diagnosis of urological diseases” between the Military Corps and the National Health Service, held at Belluno in June 1994.

Lessons identified from the 2017 Manchester and London terrorism incidents. Part 3: the postincident and recovery phase

2018 ◽  
Vol 166 (2) ◽  
pp. 120-124 ◽  
Author(s):  
Paul Hunt
Keyword(s):  
National Health Service ◽  
Health Service ◽  
National Health ◽  
Recovery Phase ◽  
Support Network ◽  
Bereavement Support ◽  
Military Application ◽  
The Third ◽  
The Military ◽  
Further Development

This is the third paper in a three-part series detailing the lessons identified during the National Health Service (NHS) England clinical debrief meetings which followed the response to the 2017 Manchester and London terrorist incidents. It covers the postincident and recovery phases including rehabilitation, bereavement support, psychological support, network and regional lessons, NHS communications and supply organisations. It also summarises the military application of these lessons and outlines the next steps for further development.

scholarly journals Maintaining High Professional Standards, morally, ethically and fairly: what doctors need to know right now

2020 ◽  
Vol 96 (1141) ◽  
pp. 711-717
Author(s):  
Ifat Ataullah ◽  
Alexandra Livesey
Keyword(s):  
National Health Service ◽  
Health Service ◽  
Performance Management ◽  
National Health ◽  
Best Practice ◽  
Traumatic Events ◽  
Professional Standards ◽  
Long Term Outcomes ◽  
Management Procedures

Facing an investigation into performance concerns can be one of the most traumatic events in a doctor’s career, and badly handled investigations can lead to severe distress. Yet there is no systematic way for National Health Service (NHS) Trusts to record the frequency of investigations, and extremely little data on the long-term outcomes of such action for the doctors. The document—Maintaining High Professional Standards in the Modern NHS (a framework for the initial investigation of concerns about doctors and dentists in the NHS)—should protect doctors from facing unfair or mismanaged performance management procedures, which include conduct, capability and health. Equally, it provides NHS Trusts with a framework that must be adhered to when managing performance concerns regarding doctors. Yet, very few doctors have even heard of it or know about the provisions it contains for their protection, and the implementation of the framework appears to be very variable across NHS Trusts. By empowering all doctors with the knowledge of what performance management procedures exist and how best practice should be implemented, we aim to ensure that they are informed participants in any investigation should it occur.

scholarly journals Are we nearly there yet? A study of the English National Health Service as professional bureaucracies

2017 ◽  
Vol 31 (4) ◽  
pp. 430-444 ◽  
Author(s):  
Helen Dickinson ◽  
Iain Snelling ◽  
Chris Ham ◽  
Peter C. Spurgeon
Keyword(s):  
National Health Service ◽  
Health Service ◽  
National Health ◽  
Content Type ◽  
High Performing ◽  
General Managers ◽  
Study Sites ◽  
Medical Leadership ◽  
English National Health ◽  
English National Health Service

Purpose The purpose of this paper is to explore issues of medical engagement in the management and leadership of health services in the English National Health Service (NHS). The literature suggests that this is an important component of high performing health systems, although the NHS has traditionally struggled to engage doctors and has been characterised as a professional bureaucracy. This study explored the ways in which health care organisations structure and operate medical leadership processes to assess the degree to which professional bureaucracies still exist in the English NHS. Design/methodology/approach Drawing on the qualitative component of a research into medical leadership in nine case study sites, this paper reports on findings from over 150 interviews with doctors, general managers and nurses. In doing so, the authors focus specifically on the operation of medical leadership in nine different NHS hospitals. Findings Concerted attention has been focussed on medical leadership and this has led to significant changes to organisational structures and the recruitment and training processes of doctors for leadership roles. There is a cadre of doctors that are substantially more engaged in the leadership of their organisations than previous research has found. Yet, this engagement has tended to only involve a small section of the overall medical workforce in practice, raising questions about the nature of medical engagement more broadly. Originality/value There are only a limited number of studies that have sought to explore issues of medical leadership on this scale in the English context. This represents the first significant study of this kind in over a decade.

Advanced Nursing Practice in Großbritannien – eine persönliche Schilderung

Pflege ◽  
2010 ◽  
Vol 23 (6) ◽  
pp. 417-423
Author(s):  
Elke Keinath
Keyword(s):  
National Health Service ◽  
Health Service ◽  
National Health ◽  
Nurse Practitioner ◽  
Nursing Practice ◽  
Advanced Nursing Practice

Im Artikel werden persönliche Erfahrungen als Advanced Nurse Practitioner (ANP) in der Thoraxchirurgie im National Health Service (NHS) in Großbritannien geschildert. Die tägliche Routine wurde von sieben Kompetenzdomänen bestimmt, nämlich: Management des Gesundheits- und Krankheitszustandes des Patienten, Beziehungen zwischen Pflegeperson und Patient, Lehren und Unterrichten, professionelle Rolle, Leitung und Führung innerhalb der Patientenversorgung, Qualitätsmanagement sowie kulturelle und spirituelle Kompetenzen. Diese Elemente wurden durch die Zusatzqualifikation, selbstständig Medikamente verschreiben und verordnen zu dürfen, erweitert, was dazu beitrug, eine nahtlose Erbringung von Pflege- und Serviceleistungen zu gewähren. Die Position wurde zur zentralen Anlaufstelle im multi-professionellen Team und stellte eine kontinuierliche Weiterführung der Pflege von Patienten und ihren Familien sicher – auch über Krankenhausgrenzen hinweg.

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