1st Edition

Health Care in Crisis? Exploring the Leadership and Cultural Solutions for Sustained Improvement

By Denise Chaffer CBE FRCN Copyright 2027
192 Pages 4 B/W Illustrations
by Productivity Press

192 Pages 4 B/W Illustrations
by Productivity Press

Health care scandals highlighting failure within organisations continue to dominate the news, domestically and abroad. These failures include examples of poor care delivery, lack of openness, transparency and candour and lack of valuing staff leading to significant retention issues. Ensuring the voices of patients and staff are heard is central to addressing some of these current challenges,... Read more

Table of Contents

Foreword

Preface

Acknowledgments

About the Author 

Part 1

Chapter 1 – Introduction: The Current Context of Health Care Leading to Negative Headlines and What is Driving These

Chapter 2 - Context of Health Care and the Emergence of the Concept of Being ‘Well Led’

Chapter 3 - The Well Led Concept Relating to Health Care and Quality Care Delivery

Chapter 4 - Principles of Learning Organizational Theory

Chapter 5 - A Case Study Exploring the Well Led Concept Within Health Care

Part 2

Chapter 6 - Sharing Insights with Practical Examples from Key Thought Leaders

  • Speaking up and Raising Concerns with Roger Kline

Chapter 7 - Leading for Population Health

  • Leading for Population Health: Why Leadership Must Drive Prevention and Equity with Professor Dr Durka Dougall BSc MBBS MSc MPH FFPH PhD (Hon)

Chapter 8 - Focus on Maternity

  • With Sarah Land
  • Addressing the current concerns in Maternity services an interview with Professor Jane O’Hara
  • Addressing the current concerns in Maternity services an interview with Prof Tim Draycott
  • Addressing the current concerns in Maternity services with Annette Anderson
  • Addressing the current concerns in Maternity services with Dr Jyoti Sidhu
  • Improving Leadership and Culture in Maternity Services: A Legal Perspective with Sangit Talati Bodalia

Chapter 9 - Addressing the Emergency Care Department Problem   

  • Focus on Emergency care Departments with Dr Alistair Rennie
  • Unwarranted variation in Urgent and Emergency Care with Professor Chris Moulton
  • Ask and Engage - Improving care in A&E departments with and for people with learning disability and their families through adjusted care, learning disability nursing input and solutions with Ainsworth.V and Blair.J

Chapter 10 - Focus on End-of-Life Care 

  • With Dr Roger Greene
  • Reflections on Palliative and End of Life Care with Soline Jerram
  • End of Life Care and Leadership with Becca Wallis

Chapter 11 - Clinical Leadership Solutions for Sustained Improvement

  • With Dr Anwar Khan
  • Clinical leadership - Medical Revalidation with Ray Field
  • Clinical Leadership – Role of Nursing Consultants with Jackie Green
  • Leading Change in the NHS: A Chief Nurse’s Perspective on Healthcare Leadership with Rabina Tindale
  • Effective Nursing Leadership with Professor Brendan McCormack
  • Pharmacy at the Heart of the NHS’s Next Decade: Challenges and Opportunities from the 10 Year Health Plan with Dr Pritesh Bodalia
  • Leadership in Physiotherapy with Tim Shurlock

Chapter 12 – Conclusion: Leadership and Cultural Solutions for Sustained Improvement

Biography

Denise Chaffer, CBE is a dynamic professional Executive Clinical Nursing/ Maternity Patient Safety leader with over 15 years Executive Director Board level Experience, including providers, commissioning, two Acute Trusts a London Teaching hospital and recent National role for Patient Safety , published a range of learning resources for maternity, just and learning culture and Emergency care. Director lead for Early notification in maternity and CNST maternity incentive scheme. President of Royal College of Nursing (RCN) July 21 – Dec 22. Significant experience at working at international, national and regional level within acute and community settings, nursing, midwifery, education, governance, clinical risk and also on major change and reconfiguration initiatives. Holding a PhD, Master’s degree in Management and Social Care, BA degree, plus a Higher Education Teaching qualification. Published book 2016 ‘Effective Leadership – A Cure for the NHS? (CRC Press)’ Contributed chapter on Patient Safety for ‘Clinical Negligence 6th Edition’ published 2023 (Powers & Barton)

“Learning by & within organisations is hard work, especially when there’s a lot at stake, as there often is in healthcare.  But if you enjoy analysis of why & what to do about it this is the book for you. Evidence and examples provide the gritty reality of learning journeys and storytelling through which accounts come to life. I commend this book as an invaluable guide to finding a path to improvement & understanding along the way.”

 

Baroness Anne Marie Rafferty

Professor of Health and Nursing Policy, DPhil (Oxon) RN FRCN FAAN FMedSci

Past President, Royal College of Nursing

 

“The NHS has no shortage of reports telling us what’s wrong. What it lacks is a clear, practical sense of what to do about it. This book fills that gap. It brings together leading voices, real-world experience and a clear-eyed focus on leadership and culture, the two things we talk about most and understand least. It avoids the usual clichés and instead offers a grounded, readable and, above all, usable guide to improvement. If you want another diagnosis, look elsewhere. If you want to understand how change might actually happen, read this book. Leadership and culture are the NHS’s favourite explanations. This book turns them into practical solutions.”

Roy Lilley

Roy Lilley is an independent health policy analyst, writer, broadcaster and commentator on health and social issues. Previously, a Visiting Fellow at the Management School, Imperial College London, he was also formerly at the Centre for Health Services Management at the University of Nottingham.