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Leadership and management
for all doctors
General Medical Council
[email protected] www.gmc-uk.org/leadership
Overview: Leadership and management for all doctors
Leadership and management for all doctors sets out the wider management and leadership responsibilities of doctors in the workplace, including:
responsibilities relating to employment issues teaching and training planning, using and managing resources raising and acting on concerns helping to develop and improve services.
The guidance applies to all doctors, whether they work directly with patients or in a formal management role.
Background: The GMC’s statutory power to advise
The Medical Act 1983 gives the GMC power to provide, in such manner as the Council think fit, advice for members of the medical profession on – standards of professional conduct; standards of professional performance; or medical ethics
Good Practice inPrescribing
Good Practice inPrescribing
Reporting ConvictionsReporting
Convictions
Personal Beliefs in Medical PracticePersonal Beliefs
in Medical Practice
Acting as anExpert WitnessActing as an
Expert Witness
Good practice inResearch &
Consent to research
Good practice inResearch &
Consent to research
Background: The GMC’s Guidance on good practice
Development of Leadership and management
Last review was 2004/6 – published Management for doctors in 2006
Part of the regular review of all GMC guidance to ensure it is: Up to date Reflects a consensus between doctors and the
public Is relevant to doctors’ practice
This review started in November 2009 New edition published in January 2012
Development: Initial scoping and Consultation
Early scoping of likely issues between Nov 09 and Jan 10; Working group formed April 2010
Consultation launched 7 March; closed 3 June 2011
Two separate questionnaires (long and short)
Also consulted on Raising and acting on concerns about patient safety and Writing references
Publication follows two years of development, Jan 2009 – Jan 2011
Summary of Leadership and management
Leadership and management for all doctors:
Establishes a framework of principles within which doctors can exercise professional judgement
Sets out the wider management and leadership responsibilities of doctors in the workplace
Recognises that the implementation of principles will differ depending on role/responsibilities
Emphasises promoting strong and effective management and leadership for all doctors
• The guidance was published in January and came into effect 12 March 2012
What’s new in Leadership and management?
New guidance on: Duties of a doctor in the workplace Leadership Planning, using and managing resources Induction and mentoring Performance review and revalidation
And the guidance is separated to apply to ‘all doctors’ and ‘doctors with extra responsibilities’
What’s new: Duties of a doctor in the workplace
Doctors must:
Engage with colleagues to maintain and improve the safety and quality of patient care.
Contribute to discussions and decisions about improving the quality of services and outcomes.
Raise and act on concerns about patient safety. Demonstrate effective team working and leadership. Promote a working environment free from unfair
discrimination, bullying and harassment, bearing in mind that colleagues and patients come from diverse backgrounds.
Contribute to teaching and training doctors and other healthcare professionals, including by acting as a positive role model.
Use resources efficiently for the benefit of patients and the public. (para 2)
What’s new: Leadership
Focus on wider management and leadership responsibilities of doctors in the workplace
Concept of ‘Shared leadership’:
‘The formal leader of the team is accountable for the performance of the team, but the responsibility for identifying problems, solving them and implementing the appropriate action is shared by the team as a whole.’ (para 3)
What’s new: Using resources
A new, clearer approach to the skills and competencies that all doctors need to effectively manage resources:
• ‘Whatever your role or level in your organisation, whether you are a junior, non-training grade or other doctor, you should be willing to demonstrate leadership in managing and using resources effectively.’ (para 79)
What’s new: Induction
Emphasis on the importance of access to induction and mentoring for all doctors:
• ‘You must take part in the induction offered by your employer when you join an organisation or move into a new role. You should also contribute to the induction of colleagues when asked.’ (para 54)
And, doctors with ‘extra responsibilities’ must ensure induction is provided.
Learning materials
Case study on raising and acting on concerns about patient safety
Webpage exploring ‘shared leadership’ Online resources to help doctors with difficult
discussions with their patients Good Medical Practice in Action
