{"response":{"docs":[{"system_create_dtsi":"2021-10-27T23:28:59Z","system_modified_dtsi":"2021-10-28T15:16:21Z","has_model_ssim":["PublishedWork"],"id":"000095690","accessControl_ssim":["bc02b245-6abe-4bd0-aec6-c0b7931d65fc"],"hasRelatedMediaFragment_ssim":["h702q6403"],"hasRelatedImage_ssim":["h702q6403"],"depositor_ssim":["batchuser@example.com"],"depositor_tesim":["batchuser@example.com"],"title_tesim":["Leadership needs of medical directors and clinical directors."],"date_uploaded_dtsi":"2021-10-27T23:28:59Z","date_modified_dtsi":"2021-10-28T14:23:22Z","isPartOf_ssim":["admin_set/default"],"biblionumber_tesim":["95690"],"abstract_tesim":["The National Health Service (NHS) is facing one of the toughest financial periods of its history during which it will need to maintain the quality of care. Clinical leadership will be critical as the service faces this challenge. The King’s Fund has a wealth of experience in developing the skills of leaders in the NHS, and is constantly adjusting its approach to meet the needs of those leaders. With this in mind, we conducted a survey of clinical and medical directors to find out what skills they believed they need to face these challenging times. “Leadership needs of medical directors and clinical directors” includes the following findings. Both medical and clinical directors embrace the quality agenda articulated by Lord Darzi in High Quality Care for All (Darzi 2008), and are committed to preserving it. Both medical and clinical directors are eager to work with their managerial colleagues as equal partners to maintain clinical quality, ensure patient safety and improve patients’ experience in the face of reduced resources. They see an urgent need for clinicians and managers to share a single mindset on maintaining quality efficiently. Clinical directors believe that they are largely cut off from the decision-making and planning processes, and view this as a critical challenge that must be overcome. 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As leaders of the largest part of the NHS workforce, nurse executives have considerable power to influence the patient experience and the ability to provide an understanding of the standard of clinical care delivered by a trust. Building on the findings of From Ward to Board, the publication produced after the first phase of work in 2009, Putting quality first in the boardroom is based on observations of nurse executives and their boards at six NHS trusts. The report starts by examining what is meant by the term ‘clinical quality’ and why it has the potential to be marginalised in the boardroom. It goes on to consider the dynamics of the boardroom and the role of the nurse executive. \nThe main observations of the report relate to board members’ behaviour and attitudes to the question of discussing and improving clinical quality. To focus effectively on the business of caring, board members need to ensure that they have the time and training to develop their understanding of the issues around quality assurance and improvement. Nurse executives also need to move from their traditional role of ‘doing’ to one of enabling others. Successful nurse executives are skilled facilitators who know when to intervene; they have a key role in engaging frontline clinicians in the boardroom task of measuring and assuring the quality of care. In drawing together the findings, the authors suggest ten action points for boards to ensure that they engage more effectively with the quality agenda."],"date_published_tesim":["2010"],"date_published_ssi":"2010","official_url_tesim":["http://www.kingsfund.org.uk/document.rm?id=8665"],"pagination_tesim":["36p."],"place_of_publication_tesim":["London"],"creator_tesim":["Williams, Sally","Steward, Katy","Nath, Vijaya","The King's Fund","Gough, Pippa","Machell, Sue","Naylor, David"],"date_tesim":["2010"],"date_ssi":"2010","publisher_tesim":["The King's Fund"],"subject_tesim":["leadership","clinical directors","quality of patient care","management boards","boards of directors","clinical effectiveness"],"thumbnail_path_ss":"/downloads/st74cq441?file=thumbnail","suppressed_bsi":false,"actionable_workflow_roles_ssim":["admin_set/default-default-managing","admin_set/default-default-approving","admin_set/default-default-depositing"],"workflow_state_name_ssim":["deposited"],"member_ids_ssim":["st74cq441"],"file_set_ids_ssim":["st74cq441"],"visibility_ssi":"open","admin_set_tesim":["Default Admin Set"],"human_readable_type_tesim":["Published Work"],"read_access_group_ssim":["public"],"edit_access_group_ssim":["admin"],"edit_access_person_ssim":["batchuser@example.com"],"nesting_collection__pathnames_ssim":["000093966"],"nesting_collection__deepest_nested_depth_isi":1,"_version_":1714871770532544512,"timestamp":"2021-10-28T13:52:43.487Z","score":1.0}],"facets":[{"name":"creator_sim","items":[{"value":"The King's Fund","hits":2,"label":"The King's Fund"},{"value":"Giordano, Richard","hits":1,"label":"Giordano, Richard"},{"value":"Gough, Pippa","hits":1,"label":"Gough, Pippa"},{"value":"Machell, Sue","hits":1,"label":"Machell, Sue"},{"value":"Nath, Vijaya","hits":1,"label":"Nath, Vijaya"},{"value":"Naylor, David","hits":1,"label":"Naylor, David"}],"label":"Author"},{"name":"subject_sim","items":[{"value":"clinical directors","hits":2,"label":"clinical directors"},{"value":"leadership","hits":2,"label":"leadership"},{"value":"boards of directors","hits":1,"label":"boards of directors"},{"value":"clinical effectiveness","hits":1,"label":"clinical effectiveness"},{"value":"clinical leadership","hits":1,"label":"clinical leadership"},{"value":"management","hits":1,"label":"management"}],"label":"Subject"},{"name":"resource_type_sim","items":[],"label":"Resource type"},{"name":"date_range_sim","items":[{"value":"2010","hits":2,"label":"2010"}],"label":"Date Range"},{"name":"file_format_sim","items":[],"label":"File format"},{"name":"member_of_collections_ssim","items":[],"label":"Collection"},{"name":"generic_type_sim","items":[{"value":"Work","hits":2,"label":"Work"}],"label":"Generic Type Sim"}],"pages":{"current_page":1,"next_page":null,"prev_page":null,"total_pages":1,"limit_value":10,"offset_value":0,"total_count":2,"first_page?":true,"last_page?":true}}}