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London Care and Support Forum:Leadership Event
Part 2: Leading in the Local System – leading beyond your organisation
Debbie SorkinNational Director of Systems Leadership, the Leadership CentreEdward Woods Community Centre, Shepherd’s Bush, London4th December 2014
Introduction: Clenton’s story
A response: integration of health, social care and other services • The Care Act 2014 – emphasis on prevention, re-
ablement and the person at the centre – i.e. joined-up services
• The Better Care Fund
• National Reviews: Barker, Oldham, Kingsmill
• Health and Social Care Pioneers
• Systems Leadership – Local Vision projects
New structural support for integration
• New responsibilities for Local Authorities: market- shaping; prevention; assessment; information provision; and funding of self-funders
• Clinical Commissioning Groups
• Health and Wellbeing Boards
• The Role of Public Health
What this might mean for you in terms of leadership
• You are looking to lead in an external environment characterised by
increasing complexity and difficulty
• Everyone is struggling to match growing demand with smaller resource pot: e.g. £3.53bn taken out of social care budgets 2010-14; (ADASS survey 2014)
• At the same time, you are having to build new working relationships
with different commissioners, or with people who see the issue as one of procurement rather than commissioning
• And you are having to navigate changes to the system and a mass
of new organisations whose function is not always clear
• So the kinds of issues with which you, as leaders in social care, have to contend with are WICKED issues, not tame ones...
Tame and Wicked issues
Tame Issues: can be managed
o Relatively straightforward
o Known, familiar
o Use established methods already proven to work
o Can be solved
Wicked Issues: need leadership
o Complex
o Not familiar – no ‘right’ answer
o No tried and tested methods
o Can‘t be solved, only progressed
The basis of leadership: behaviours
Not just about authority at the top of organisations
It’s a practical understanding – and awareness – about how you do what you do, and the impact on others
So it’s about behaviours, and taking responsibility for them
And it’s everyone’s business – people working at all levels in all sectors
“People do not experience our values, they experience our behaviours”Bill Mumford, CEO, MacIntyre
The model extends beyond social care – it’s the basis of a culture that works across systems
Social Work
PublicHealth
Social Care
Health
Hence Systems Leadership – cross-sector,shared, ceded, partial, transformational
About leading: when you’re not in charge when you need to ask when it’s complex when you have no money
Systemic – i.e. not piecemeal or divided into silos - and based on shared ambition
Participative – i.e. involving many people’s energies, ideas, talent and expertise
Emergent – i.e. allows for partial/clumsy solutions, able to work with uncertainty...and based on trust/relationships – So back to behaviours
The Systems Leadership Programme: research, leadership development, practice
Research:Systems Leadership: Exceptional leadership for exceptional times
Leadership Development:Leadership for Change;Future Directors
Practice:Systems Leadership – Local VisionSupport for Pioneers/BCF
Progress and learning from Local Vision programmes and Pioneers
LB Islington:‘Test and learn’ sites focused around primary care but also aligned with other providers. Strong collaborative relationships built with HEE and making progress in mapping workforce development needs.
Lambeth and Southwark:Developing multi-disciplinary locality teams; joint resource planning and commissioning; particular focus on community resilience and citizen leadership.
LB Merton: Co-production approach to Integration pilots: aim is for rapid response and good links with Service Users/Carers/Vol Sector.
So: get connected, go direct if necessary, and think about data/measuring
Getting connected: Cheshire West and Chester – supporting care providers/housing associations/others to strengthen community resilience; Calderdale training school pupils to conduct research
Going direct: Shropshire Council and Shropshire Partners in Care Development Days – joint planning for winter pressures
Thinking about data:Think about using data for predictive value Systems Thinking Units in local authoritiesPHE as data source – Older People’s AtlasCentre of Excellence for Information SharingAcademic Health Science Networks
Summary: be a Systems Leader, and build your leadership beyond your organisation
• Base ideas of leadership on behaviours and honesty
• Use leadership frameworks and Systems Leadership approaches
• Start small and use what you have – often more than you think; develop your people
• Use influence – you don’t always need formal power
• Make connections; build relationships; think beyond traditional roles
• Think beyond your organisation or service – focus on outcomes for the person using services, and aim for collective ambition across a place
• Just look to make progress; allow for time; keep going; no crouching!
So….who is in your local System?
Starting point: what a System is, and isn’t
So….who is in your local System?
On your tables and then on the outline map:
Which bodies, organisations or initiatives do you know of that might be involved in your local System?
E.g.Clinical Commissioning Groups
Health and Wellbeing Boards
System Resilience Groups
Pioneers
Trying it out: Systems Leadership in your own System
On the basis of what you’ve heard:
Think of one way in which you’ve already been practising Systems Leadership, in your local System.
Then think of one additional way you’re going to extend it, or try something new.
Systems Leadership – more information
www.localleadership.gov.uk
The Future will be Improvised - http://www.localleadership.gov.uk/docs/Revolution%20will%20be%20improvised%20publication%20v3.pdf