Leadership and Better Patient Care: Managing in the NHS (original) (raw)
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Papers Leadership and the quality of care
The importance of good leadership is becoming increasingly apparent within health care. This paper reviews evidence which shows that it has eVects, not only on financial management, but on the quality of care provided. Some theories of leadership are discussed, primarily in terms of how diVerent types of leaders might aVect quality in diVerent ways, including the eVects that they might have on the stress or wellbeing of their staV which, in turn, is related to the quality of care produced. Finally, the conflicts shown in terms of leadership within the context of health care are discussed, leading to the conclusion that development programmes must be specially tailored to address the complexities of this arena. (Quality in Health Care 2001;10(Suppl II):ii3-ii7)
Leadership talk: Discourses of management and leadership in healthcare
Academy of Management Proceedings, 2014
Those in charge of the UK's National Health Service (NHS) have been subject to a considerable amount of critical attention and pressure for change in recent years. The appellation 'manager' once conferred status upon its occupational owner. However, managers in the NHS have borne the brunt of wholesale attempts at organisational reform and organisation and the term 'manager' is in danger of falling into disuse and being replaced by aspirations towards improving 'leadership' in healthcare. Against this backdrop, we report on empirical case study research from the UK that examines the challenges facing managers and management and the prospects for a growing culture of 'leaderism' . The research points to the tensions facing managers in shifting the orientation of their role towards 'leadership' in the context of reform and pressure on resources while at the same time highlighting the opportunities this discourse opens up for a bridging of the clinicalmanagerial divide.