Collective leadership: key to better care

Following publication of a survey of NHS staff – looking at the current views on leadership, culture and compassionate care – The King’s Fund is calling for the promotion of collective leadership, as opposed to command-and-control structures, to help develop a better culture of care.

A survey undertaken on behalf of The King’s Fund, asked NHS staff for their views on leadership, culture and compassionate care in the NHS. The results revealed a consistent disconnect between the views of executive directors and other NHS staff, especially nurses and doctors. Executive directors tended to be more positive about the working environment and culture within their organisations than other staff, especially nurses. For example, 63% of executive directors believe that there is a pride and optimism among staff, whereas only 20% of nurses and 22% of doctors felt the same.

The survey of over 2,000 NHS clinicians and managers also found that 43% of NHS staff feel that swift and effective action is not taken to deal with inappropriate behaviours and performance in their organisation. Dealing with inappropriate behaviour effectively is an important process to ensure the right cultures are fostered which will deliver high-quality patient-centred care.

The majority of NHS staff (89%) do, however, believe that patient feedback is encouraged in their organisation, with 61% feeling that patient feedback will be acted upon.

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