HEYH School of Psychiatry Conference

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HEYH School of Psychiatry Conference

• Paul Rowlands
• Head of School

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Introduction

• welcome
• Fire alarms

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Objectives

• leadership
• quality
• qualities of leadership
• a practical approach

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Who leads?

• .

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Who leads?
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All of us, everyone at every level, must lead

• There is a window right now and I dont know
  whether it is three months long, three years
  long, its not ten years long and that is for the
  people who give the care to change the care.
• Don Berwick 2013

Leading Change
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• one fundamental QUALITY

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and What is leadership?

• developing a vision?
• and implementing?
• creating quality?
• maintaining quality?
• keeping a focus?
• using what you have to best effect?
• innovating and continually improving?

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• W. Edwards Deeming
• Kauro Ishikawa

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Build quality into the system

• http//www.aronline.co.uk/blogs/videos/video-the-q
  uality-connection/
• Do not rely on inspection
• Do not rely on command and control
• Empower
• Take pride
• Do not tolerate things that are not right
• we work in human systems
• we can improve them, all of us

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Quality in Healthcare

• How do we create quality in healthcare?
• and how do we know it?

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UNDERSTANDING ROOT CAUSES

• Ishikawa diagrams and root cause analysis
• Continuous Quality Improvement as the basis of
  improving
• Ownership

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SYSTEMS
PEOPLE
PROCEDURES
EFFECT
EFFECT
ENVIRONMENT And Equipment
PATIENTS
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Determine goals and targets. Determine methods
of reaching goals. Engage in education and
training. Implement work. Check the effects of
implementation. Take appropriate action.
Edward Deeming
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Characteristics of Good leaders?

• kindness
• courage
• credibility
• discipline
• wisdom/knowledge

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Kindness

• Compassion is central
• Demonstrated through behaviour
• US surveys show that kindness is more valued than
  choice, distance to travel and cost

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Courage

• Sometimes more data will take you nowhere - you
  just need to drive the drill through the
  mountainside
• but action needs a moral framework
• the right thing to do
• and sometimes moral courage to lead the right
  thing

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Credibility
You must be on the pitch

• "Yes, Roger Hunt misses a few but he gets in
  the right place to miss them.
• Bill Shankley

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Discipline

• structure and procedure
• culture
• initiative
• integrity
• decision making

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Wisdom

• Wisdom comes with time and experience
• Hegels Owl The Owl of Minerva spreads her
  wings only with the gathering of the dusk

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• Today is a chance to reflect,
• Feel supported
• network,
• and enjoy the privilege of being involved in
  training

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with wisdom and with courage judge us by our
actions
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Today

• Enjoy yourselves - as you should every day you
  come to work
• Link up, take pride on what you do and what you
  do well
• Problem solve
• Build an idea you can take back to develop your
  idea of yourself as a leader

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• Yorkshire wise owls