Healthcare Leadership Challenges for the

Consultant of the future

Peter Homa, Chief ExecutiveNottingham University Hospitals NHS Trust

Agenda:• Today’s NHS: invited guest – King’s Fund

• Hand of history: Francis, Berwick, Keogh

• Context

• The successful Consultant

Today’s NHS: Invited guest - King’s Fund

Hand of History; Francis, Keogh, Berwick

• Francis: http://www.midstaffspublicinquiry.com/report

• Keogh http://www.nhs.uk/NHSEngland/bruce-keogh-review/Documents/outcomes/keogh-review-final-report.pdf

• Berwick: https://www.gov.uk/government/publications/berwick-review-into-patient-safety

Context: Regulation

1. Safe2. Effective3. Caring4. Well-led (Board to Ward visible and

effective leaders)5. Responsive to people’s needs

CQC website: http://www.cqc.org.uk/

Context

• Financial challenge

• “Integrated Transformation Fund”

• The Seven Day Hospital

• Publication of clinical outcomes and patient experience

• Workforce challenges

The successful Consultant• Patient centred high quality care• Published measurement of clinical outcome

and patient experience• Relationships; shared purpose• Clinical and managerial leadership• Addressing clinically unjustified variation in care• Improvement (www.ihi.org) • Involvement

“Now there’s no more money, it’s time to think”