1st Edition

Effective Leadership
A Cure for the NHS?

ISBN 9781785231599
Published March 8, 2016 by CRC Press
197 Pages

USD $46.95

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Book Description

While the investigations and reports which have followed recent health care scandals in the UK have highlighted the very important issue of addressing organizational culture and the need for more effective leadership at every level, patients and their families have struggled to comprehend how such things can occur in a health service that is supposed to be the envy of the world.

This book has been written to address both the ‘why’ and the ‘how’, in the pursuit of excellence and accountability in health care leadership at all levels and in order to prescribe the most effective treatment for the problems that exist in the leadership of hospitals in the UK and beyond. Based on the principles that underpin ‘good medicine’ in the broadest sense, the text includes detailed assessment, diagnosis, review of the evidence and the application of the experiences shared by a group of senior successful health care leaders.

Table of Contents


Theories on the Common Features of Good and Bad Leadership

Exploring the Relationship of Effective Leadership to Organisational Culture

Understanding the Difference Between Blame and Accountability, and Applying Learning Organisation Principles

The Problem with Nursing and Medicine

Soundings from a Sample of Top Leaders in Health

Confirming the Diagnosis: What Problems Need to Be Addressed?

What Needs to Be Done about Effective Leadership to Help Cure the NHS?


Appendix A: Excellence In Healthcare Team Leadership

Appendix B: Selection For Leadership Roles In Healthcare Organisations: Tool Kit/Framework

Appendix C: Monitoring Of Leadership Teams: Systematic Assessment Of Culture Regarding The Organisation, Safety And Quality

Appendix D: Summary Of Recommendations

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Denise Chaffer is a Registered Nurse who has held a range of director posts in a variety of settings for over 15 years, including Acute Trusts and a London Teaching Hospital. She has held a UK wide role with the Royal College of Nursing (RCN) with direct responsibility for 33,000 members, and has significant experience of working at international, national and regional level within acute and community settings, in nursing, midwifery and education, and on major change and reconfiguration initiatives.


"…can be amply applied to all environments where well-meaning and hard-working nurses and doctors face off with the dilemmas and brutal challenges of caring for the sick … immediate and tremendously useful."
—Peter Finkelstein, Organizational and Leadership Consultant