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21st May 2014

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That book    
News and Comment from Roy Lilley

A networker, a listener, warm, thoughtful, a finisher, a booster rocket for enthusiasm, a builder, professional, partner, risk taker... what is it?

 

Want some more clues; they bridge the gap between practice and theory, modest, what they don't know they find out and what they do know, they share. 

 

Add listener; properly like WarrenBennis's, 'deep listening' to the hopes, dreams, aspirations and needs of others.  They give a voice to those who have no voice but have so much worth saying.

 

Got it?  I can add; good judgement, self-control, social skills and politeness.  Still in the dark?  I'm talking about a Leader. 

 

I've found a really neat book; Betsy Myers 'Take the Lead'; if you were thinking about holiday reading, slip it into your bag or track down a Kindle.  Myers takes us from her kids school (teachers as leaders) to the White House.  Why some Secretaries of State attract a cult following and others are ignored.

 

In my experience almost everything that is written and said about 'leadership' deserves to be ignored.  Academic books about leadership miss a credibility; they assume the boss is the leader, however, there is much in Myers book that has resonance for the NHS. 

 

From what I've seen the boss is seldom a leader.  If they are it's a bit of luck.  Or, as Chris Ham points out; they're product of stability.  You are more likely to find a leader on the factory floor than in the boardroom.  In the NHS the real leaders are on the wards, in the practices and out on the road.  With exceptions the so-called leaders in the NHS find themselves in a position that owes as much to history as to talent.  Grey, middle aged blokes surrounding themselves with other grey, middle aged blokes.

 

The absence of black, senior managers or those from minority ethnic backgrounds, bears witness.  Are no BME managers leaders?  Are middle aged white blokes the only leaders or are they just the fag-end of an all-white legacy, hanging on to power?

 

Women in senior roles are much more visible than they used to be.  Strikingly, almost every one of them I've met could be spoken of in the terms I write about in the opening paragraphs.

 

Some say the NHS is in managed decline.  Let's think about that in the context of leadership. 

 

Either; the NHS is popular, achieves miracles, really short of cash but is the one service that the public and political leaders could rally around in a mutually agreed pact to support and develop.
 

Or; the NHS is swamped with unmanageable demand, is set artificial standards of performance without the resource to deliver them.  The consequence; a cycle of decline that the political 'leader' delights in describing as failure.

 

I'm pretty sure we are dealing with the second scenario.  Why?  Because the central cadre of NHS senior management are not leaders.  They manage up to camouflage reality and manage down to bury it.  They are followers; in the boat but afraid to rock it by speaking the truth to power.  In an attempt to deliver the undeliverable regulators and very senior managers create rules, un-evidenced targets and markers to create the impression they can improve performance by highlighting more failure. 

 

Real leaders know productivity and success is magnified where people feel appreciated and valued.

 

True leaders create the time and space for good people to achieve great things.  Colleagues will develop a deep sense of connection and commitment to where they work.  Leaders become entwined with their organisations and create a feeling of communion in the workplace.  It's nice to be nice, success is a good feeling, doing good things is a good thing to do.

 

There is an election coming.  LaLite's job is to deliver a trouble free NHS.  That looks like trouble for you!  He knows what you know about the NHS and has to cover it up.  Expect more bungs and bullying. 

 

LaLite overlooks Betsy Meyers three key beliefs:

 

First; you can't learn to lead others unless you learn to manage yourself.

Second, collaboration; together the NHS could be bright-side-out by next May, but not without the cooperation of 1.4million of what he denounces as 'coasting' staff.   

Third; bringing out the best in others can't be done by calling them names, like failure.

 

I suggest someone slips LaLite a copy of 'that book'.

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Dr Paul Lambden
Diverticular Disease
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News and Stuff
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Latest from the IHM
Over half of managers express doubts about integrated care. 
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Diary Date.
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27th May 11am and
2 June 9pm, then the iPlayer.  Must listen!

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