Sharing leadership: current attitudes, barriers and needs of clinical and non-clinical managers in UK’s integrated care system

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Title: Sharing leadership: current attitudes, barriers and needs of clinical and non-clinical managers in UK’s integrated care system
Authors: Aufegger, L
Alabi, M
Darzi, A
Bicknell, C
Item Type: Journal Article
Abstract: Background As systems become more complex, shared leadership (SL) has been suggested to have a dominant role in improving cross-functional working tailored to organisational needs. Little, however, is known about the benefits of SL in healthcare management, especially for UK’s recently formed integrated care system (ICS). The aim of this study was to understand current attitudes, barriers and needs of clinical and non-clinical managers sharing leadership responsibilities in the ICS. Method Twenty clinical and non-clinical leaders in 15 organisations were interviewed to understand current cross-functional leadership collaborations, and the potential SL may have on the recently established ICS in the National Health Service (NHS). The data were transcribed and analysed thematically. Results Findings showed perceptions and experiences of clinical and non-clinical healthcare management in relation to: (1) motivation to execute a leadership position, including the need to step up and a sense of duty; (2) attitudes towards interdisciplinary working, which is reflected in conflicts due to different values and expertise; (3) SL skills and behaviours, including the need for mutual understanding and cooperative attitudes by means of effective communication and collaboration; and (4) barriers to achieve SL in the ICS, such as bureaucracy, and a lack of time and support. Conclusions SL may help improve current leadership cultures within the NHS; however, for SL to have a tangible impact, it needs to be delivered as part of leadership development for doctors in postgraduate training, and development programmes for aspiring, emerging and established leaders, with clear lines of communication.
Issue Date: 28-Sep-2020
Date of Acceptance: 28-Apr-2020
URI: http://hdl.handle.net/10044/1/85584
DOI: 10.1136/leader-2020-000228
ISSN: 2398-631X
Publisher: BMJ Publishing Group
Start Page: 128
End Page: 134
Journal / Book Title: BMJ Leader
Volume: 4
Issue: 3
Copyright Statement: © Author(s) (or their employer(s)) 2020. No commercial re-use. See rights and permissions. Published by BMJ.
Sponsor/Funder: Imperial College Healthcare NHS Trust- BRC Funding
National Institute of Health Research
National Institute for Health Research
Funder's Grant Number: RDB04
n/a
Publication Status: Published
Online Publication Date: 2020-05-13
Appears in Collections:Department of Surgery and Cancer
Institute of Global Health Innovation