Directors Report

Date: January 2018 Caroline Chipperfield

The report provides a high level summary of the NHS Thames Valley and Wessex Leadership Academy activity for October 2017 to December 2017.

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1.0 Introduction

Dear Colleagues

Happy New Year to everyone. Many of you will know that this is my final directors update written for the 12th January TVWLA Board meeting, before I officially move completely into my new role as Deputy Managing Director, NHS Leadership Academy. I would like to take this opportunity to thank you as members and the TVWLA team for making my time in the region a truly amazing one. I have had the privilege of working in this region for over 10 years, and I have seen many changes. I am hugely proud to have led the TVWLA and work with so many wonderful health and care colleagues. As ever I hope this update demonstrates how the team are working with you to develop people to improve care across our health and care system.

2.0 Talent and Inclusion

2.1 Inclusion

Nationally all academies are now in agreement over the deliverables of Building Leadership for Inclusion and

working together to understand how we will approach and adapt using an integrated business plan.

Inclusion network meeting

Our November meeting included some fantastic presentations on the benefits of equality champions, their role

and executive buy in. The next meeting is planned for 21st February 2018.

Compassionate Inclusive Leadership Programme

Our new five-day programme, designed to support the work of people in Equality, Diversity and Inclusion roles,

commenced in November. We received a total of 12 applications for the 14 places with 10 people being offered

places. Initial feedback is that the programme content is quite stretching as it is a new concept. The two ‘taster’

days for the programme ran in October in both regions with 18 people in total attending, including members of the

team.

The action learning set (ALS) for the programme was held in December. The facilitator will be speaking to each

participant to find out how the programme content is landing with them, what could be improved and what

additional support they may require to get the most from the programme in late December and early January. The

themes will be collated to understand what further participant support is required.

Ahead Group

Our inclusion lead is part of the Ahead group, a regional inclusion group for HEE which advises HEE on the ED

and I strategy, mobilises the strategy, act as change agents and a sounding board. The group is looking at the

potential work and analysing the equality data available.

2.2 Talent Management

National work stream A system and organisational talent toolkit blueprint is being designed. Work has started with marketing to produce line manager packs, update conversation tools, develop case studies and organise webinars/videos. We are working collaboratively with Kent, Surrey and Sussex and South West Leadership Academies in designing a joint TM System Event and a Conversation Lift and Shift training event for organisations to use.

TAG (Talent Advisory Group) The group agreed the activity for the next six months considering recent leads feedback regarding the support which will enable positive movement with the Talent agenda and include a strategy workshop and a career pathway workshop.

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Capacity Development Programme

Our second programme commenced in December, with subsequent workshops running in January, February and

March 2018.

Self-discovery days

As a regional development opportunity to those individuals who applied for /showed interest in the national NHS Leadership Academy Stepping Up Programme earlier this year we are offering an interactive and informative workshop to explore self and career journeys, to formulate a personal development plan. We have two cohorts planned - 23rd January 2018 and 1st February 2018. This workshop recognises and aligns to the Developing

People – Improving Care framework and creating a culture of continuous development. We have had some challenges filling the workshops as people’s circumstances have changed during the year. However, we have had several conversations with leadership and ED leads and subsequently opened the programme to BAME staff across the region. We now have thirteen people booked on the January workshop and nine for February.

3.0 The Professionalisation of Leadership

3.1 Core Programmes

TVWLA continue to promote the national core programmes such as Mary Seacole.

Future Clinical Commissioning Leaders Cohort 6 remains open for applications. The cohort is for clinicians who are looking to step into the Clinical Commissioning Governing Body within the next 12–18 months. Those wishing to apply can do so online at www.leadershipacademy.nhs.uk/fccl Leadership Development Endorsement Project - Quality Framework for the NHS (accreditation)

The NHS Leadership Academy has held engagement and consultation events with Local Leadership Academies and NHS organisations to seek to develop a national NHS wide leadership development quality framework. The final report has been presented.

3.2 NHS Management Training Scheme (MTS) The NHS Leadership Academy has agreed to fund this scheme in the same way as previously. There was good attendance at the network meeting in October. Four participants are already planning/have run part of the session in their own organisations to develop collaborative team working.

More placement applications were received than in previous years (c. 10 more) with new organisations engaged. The Virtual scoring takes place in December and January. An accreditation panel is booked for January 2018. There is a new accreditation process due in January for the next intake. A feedback survey went out to trainees in early November and will be closed for collation in January. This has been taken early due to the accreditation schedule changing.

Our lead had a general check-in with trainees in October and also with five trainees in December to address various issues - final placements, changes in managers, health issues etc.

4.0 Alumni

After engagement with TVWLA alumni (local and national) our decision has been to provide two offers for alumni - a large Community Event (biannual) to be introduced in April 2018, with invitations to our key networks and communities, including alumni and STP/ACS leads with operational implementers, and a Stretch Opportunities Programme to be developed to provide new short-term opportunities to develop.

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5.0 System Leadership

5.1 Transformational Leadership

Sustainability and Transformation Plans:

In Place’ Leadership Innovation Fund

A fund to support local systems to develop innovative, inclusive and compassionate leadership and organisation/ system development to support achievement of the ambitions of the Five Year Forward View – in place.

Further to writing to all our STPs and ACSs in September 2017 to invite bids for the ‘In Place’ Leadership Innovation Fund, TVWLA received bids totalling £558,632. TVWLA is able to support the following bids, via funding provided by both the National Leadership Academy and HEE, to a total of amount £474,382:

‘Designing & implementing a 1st phase OD plan for Berks West ACS’

‘Implementing a Quality Improvement Methodology for the Accountable Care System (ACS) in Buckinghamshire’

‘Applied Leadership and team development to embed an engaged culture across BHT and the ACS’

‘Developing the ACS Dorset Talent Management Strategy’

‘Establishing a collaborative improvement faculty for the Frimley Health and Care STP/ACS’

‘Phase one of the OD Development Plan for Hampshire & IOW STP’

‘System wide leads in Dementia Care & Support’ IOW

‘Learning together to build a great health & care system on the IOW’

‘Local community Leadership Through Patient-Practice Collaboration’ North Hants

‘Increasing the capacity of the leadership development programme’ Oxford Health

‘Developing an electronic talent management system to support wide recruitment and retention’ Portsmouth Hospital NHS Trust

‘OD Plan for the ACS Leadership Team within Portsmouth and SE Hampshire ACS’ Solent NHS Trust

‘Cultural awareness training for Managers - including unconscious bias and being and inclusive, compassionate leader’ Royal Berkshire NHS Foundation Trust

‘To develop mindful & resilient champions to accelerate the delivery of change in Southampton’ Southampton City CCG

The funding was released by the national academy and TVWLA have managed a rigorous process and allocated funding according to set criteria. This flexible grant offers support to organisations and systems working in new ways to develop leadership across their local health and care system to equip themselves to lead, to have the confidence when needed to relinquish power and unlock it in others, to have the knowledge to help shape new ways of working and to have behaviours that engage, empower, and excite staff and activate communities. TVWLA is working closely with the successful organisations. Systems Talent Management A system TM Blueprint is being developed with our local Talent management provider, Silver maple, which we are sharing nationally but more importantly we will use locally in each STP to support joint working on TM. We continue to work closely with partner providers such as the Leadership Centre, Kings Fund to be able to support flexibly our STP with organisational development support. TVWLA is supporting leaders and leadership / organisational development in the four STPs within our region by:

• Participation the Local Workforce Action Boards • Providing OD advice and consultancy • Observation/facilitation of senior leadership groups; member of STP Steering Group/Boards • Commissioner of bespoke system leadership interventions and programmes such as the 2020

programme, facilitation of Hothouse events and the master class series • Funding

Each of the four STP footprints have an assigned TVWLA Lead. Headline activity is noted below:

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BOB (Buckinghamshire, Oxfordshire, Berkshire West):

Needs analysis conversations with BOB SROs for STP Work streams have taken place, via telephone calls and face to face meetings. We have developed a plan of flexible support offered to work stream leads and their teams using the Leadership Centre and their team of enablers as a partner. Enablers from the Leadership Centre have been tasked to support the Digital Work stream and Support Workforce project from BOB STP commencing in December, which follows needs analysis conversations with those project leads.

TVWLA is considering commissioning a shared Leadership programme to support the nurse retention work stream and determining whether the apprenticeship levy will be accessible. Fiona Rodden is working to support the leadership and OD aspects of several projects within the Workforce work stream in BOB – the Nursing retention work stream decided not to jointly commission/plan a leadership intervention and have asked TVWLA to focus on place-based working. A member of the team has attended each BOB LWAB subsystem workforce group (Buckinghamshire, Oxfordshire

and Berkshire West). A paper proposing a second phase of leadership and OD using named leadership and OD

SROs in each subsystem went to the STP Executive Group at the beginning of December. A decision has been

deferred until February when the new BOB STP Lead takes up the post.

We have been asked to support the BOB STP HRDs to form a subgroup to ensure focus on shared objectives

within the Workforce work-stream.

The co-designed multi-disciplinary General Practice Leadership Programme with TV Community Education

Providers Network (CEPN) started in November with 11 participants, four of which have since withdrawn.

Frimley

TVWLA has supported the development of the senior systems leaders for Frimley STP. The senior leaders’ development programme has commenced.

We continue to attend the LWAB meetings and have planned a workshop for the Frimley system STP OD leads

in January 2018.

We have continued to support the 2020 Leadership Programme with the final day of cohort 1 in December. The

procurement and recruitment for cohort 2 has finished and this programme commences in January 2018.

TVWLA is providing consultancy on the OD plan for the GP transformation work stream. We are providing consultancy support to the digital work stream lead about a bespoke leadership programme for IT staff. We are exploring supporting the commissioning of Coaching Skills for Care Home Managers programme.

Dorset

Dorset Workforce Action Board (DWAB)

We remain a DWAB partner, contributing to DWAB meetings when invited for a specific context. Our lead attended a meeting with nine organisational OD leads to review leadership development stocktake in Dorset. The Talent management report commissioned by TVWLA has been presented. There was broad agreement to submit a system TM bid for approval by SLT plus agreement to share programmes when the opportunity was right. We are collaborating with DWAB to develop the coaching capacity within the STP footprint, working with a provider designing an event to support the development of existing coaches to an EMCC Practitioner level. Hampshire and the Isle of Wight (HIOW): We have developed and gained senior level agreement for Phase One of the HIOW STP OD plan and we are working with the HIOW OD leads to develop Phase Two.

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We are working closely with the STP lead and STP programme director to implement the STP OD plan which will be aligned to the system reform work. Portsmouth and South-East Hampshire ACS were successful in securing in place leadership funding. TVWLA are developing two bespoke programmes for Hampshire Hospitals and the Hampshire Local delivery system. In October we supported the STP Executive Delivery Group on the HIOW STP away day. The first meeting of the system OD leads took place in December and explored how we can work jointly together on OD activity. We planned and co-facilitated an OD half day for Portsmouth and South East Hampshire ACS leadership team in November and we have planned a further event for PSEH in December. We have attended various meetings, representing workforce and OD including: Southampton system chiefs meeting, HIOW HRD forum, Portsmouth ACS Leadership meetings, STP business meetings, STP ODG, Mental Health workforce group, Primary and Community care workforce group, HIOW Regional Staff Side forum, STP OD Steering Group, McKinsey’s demand and capacity modelling event, Southampton and South West Integration Board meeting, HIOW LWAB Terms of Reference review meeting, HIOW Communications and Engagement workshop, Workforce Transformation Team meetings and West Hampshire System chiefs meeting.

5.2 Organisational Development (OD)

DoOD National LLA OD Leads agreed to run ‘Claiming Practice’ workshops. Our local lead has supported this programme and facilitated on one of three national reflective workshops. Each workshop has been designed to provide time and space for OD practitioners to reflect on experience and learning that will enable participants to make a competency claim with evidence.

Our lead participated in the Local Leadership Academies’ OD Leads two-day 'lock in' in Leeds to plan a national

OD strategy for 2018/19.

OD practitioner programmes

The OD Practitioner Claiming Capability Programme, jointly funded partnership between NHS Leadership

Academy, Local Leadership Academies and DoOD, has six suitable applicants from the TVWLA region.

Our local OD Essentials Programme, an experiential programme, run in partnership with Roffey Park, completed in November with 12 practitioners.

We are working with the Local Maternity Academy to develop a leadership strategy across Wessex. However, resource and capacity are issues to progressing the work. We are, therefore, looking at how TVWLA can support this.

6.0 Building Capacity and Capability

6.1 Healthcare Leadership Model (HLM)

The National Collaborative group met to discuss business planning for 2018/2019, which included engagement

and communication.

We are arranging for our regional HLM Trainers to meet as a group to share good practice and review organisational take up. We are reviewing register of facilitators with a view to inform and support leadership leads in HLM engagement and communication.

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6.2 Building Coaching Capability

Coaching and Mentoring

We continue to explore ways in which coaching and mentoring can support the Inclusion agenda, our new

Compassionate Inclusive Leadership Programme and Talent Management. We also continue to explore with

individual organisations how they can maximise their local Coaching and mentoring provision.

The national Coaching and Mentoring Strategy is still with the national team for consideration and linkage to the TM strategy and review with the Inclusion Lead. A further review in January is planned before it goes to the National Board. Supervision and CPD We have been developing a collaborative approach with other Leadership Academies (South West and London) to further develop and strengthen the supervision service for coaches and mentors within the system. We are planning an ILM level 7 Supervision training programme to start in May 2018. Individual Supervision continues to be a provided by the TVW Supervisor faculty. A Coaching and Mentoring Supervision and CPD day ran on 11th October with 32 participants and a 98% overall satisfaction with the day. The CPD topic was ‘Coaching for Emotional Intelligence’, facilitated by Rosemary Cooper-Clark from the EMCC. Feedback from the day included “Enthusiastic, engaging & clear. Directive and very content focused.” We are repeating this day in January as it was so over-subscribed.

Programmes

Another cohort of our Mentoring for Leadership Programme completed in December with 13 successful participants added to our Mentoring register. The total number of mentors on our register is now 358.

Registers (online platform) We have introduced a process to enable organisations to have access to Coachnet Data which will support organisation Leadership Development Leads in managing and evaluating coaching and mentoring in their organisations. We have also designed and commissioned changes to the Coachnet System to capture data on team coaching activity.

7.0 Patient Leadership

Our work with South Bucks for the Dementia Awareness production, which we co-funded, ran with excellent

feedback from the public:

"I just wanted to thank you for organizing such a powerful moving and true to life piece of Drama Theatre Play raising awareness of the struggles both the individual with Alzheimers and the frustrating effects it has on the family. I found the play both educational and moving a good tool for raising awareness well done and for giving me the opportunity to come along yesterday at Wycombe Library of which I thank you very much"

“really powerful.”

As a result of the work in South Buckinghamshire, the Council and CCG are now funding some more community participation work:

the film will be available to all and will be funded by the council.

the workshops are funded via HEE discretionary monies

Masters students will be involved in both of the above. Outputs We are connecting care givers (through the workshops), care commissioners and leaders.

We continue to support and facilitate the Leading Empowered and Health Communities programme, which is a

co produced cross system leadership programme. Uniquely facilitated by service users / citizens.

Cohort 6 is in progress and we are beginning to plan cohort 7.

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8.0 Evaluation

The sixth Collaboratory was held in October (co-sponsored initiative with South West Leadership Academy and the University of West of England) with the next one planned for 10th January 2018. Our Evaluation lead, Dr Richard Mann, continues to facilitate an action learning set for the Collaboratory.

We continue to attend the national LeaDER meetings in Leeds and work with the framework. The framework is being increasingly referenced in our work and at the start of intervention investigation to ensure we have a robust process.

9.0 Local Interventions

Health Education England South With our colleagues in the South West, we facilitated a south region OD workshop on 30th November for HEE senior leaders and teams.

Transformational/Challenging Conversations

In December we were delighted to support a workshop for Freedom to Speak up Guardians across the region.

The workshop focused on skills needed to hold challenging conversations.

Learning Disabilities Transforming Care Programme

The second cohort of this programme continues through to January 2018.

Leading in Challenging Times: Directors of Nursing Network

TVWLA continue to support local Directors of Nursing in Wessex, with bi-monthly workshops being facilitated and focused on topics pertinent to the challenging role of a senior nurse. Discussions are being held regarding joining TV and Wessex networks. We have supported the formation of a Deputy Directors of Nursing Community of Practice with an event in October which was well received.

Thames Valley Strategic Clinical Network

TVWLA has supported Action Learning Set/ Whole Group Facilitation support for the Thames Valley Strategic

Clinical Network. This intervention is now being evaluated for impact.

Leadership Development for Medical Trainees We are working with the Post Graduate Deans, from Health Education England Thames Valley and HEE Wessex to take forward recommendations in the ‘Leadership Development for Post Graduate Medical Training’ report. This involves the engagement with key stakeholders and trainees and the development of a local action plan. General Practice Nurses Wessex – the second cohort of the 6-day General Practice Nurse Leadership Development Programme commenced in October. The programme is in collaboration with Fareham and Gosport and South Eastern

Hampshire CCG, Health Education England (Wessex) and LMC Wessex. The programme has been developed

to help General Practice Nurses who have been identified as emerging leaders or who are in a formal leadership

position. TVWLA are supporting the third cohort which starts in spring 2018.

Developing Leaders in General Practice programme

TVWLA are working with the Thames valley community education provider network (CEPN) to facilitate this

programme for staff in general practice, including nurses and practice managers. Cohort one commenced in the

autumn of 2017.

Care Home Managers (CHM) programme

Commissioned by Hampshire County Council (HCC) - TVWLA continue to deliver 14 CHM programmes, a version

for First Line Leaders and one for Registered Managers.

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Thames Valley – the evaluation output and narrative are being undertaken for the Oxford CCG programme, which

completed in September. The Wokingham cohort continues, completing in January 2018.

Southampton GP liaison scheme

With the transformation of the delivery of healthcare and increased collaborative working in the community, Southampton City CCG is working with the Clinical Directorate at UHS towards promoting greater integration of primary and secondary care. GP volunteers have hosted a consultant for half a day in the GP surgery and subsequently have attended a reciprocal half day visit in the hospital. TVWLA are supporting the scheme primarily to ensure the sustainability of collaborations post visit and, also, with sponsoring input from Michael West at a reflective learning event to emphasise the importance of compassionate leadership in all collaboration. Evidence to date is showing small simple changes with considerable impact have been enabled through better understanding of shared service delivery. Feedback to date includes these verbatim comments:

I was amazed to see how effective their history taking was. It seemed really difficult to get all the information in such short space of time. I was also surprised to hear about the volume of letters the practice receives each day and the system they have to deal with them. It is often the non-medical staff who decide on urgency of the letters. I also didn’t realise how the GP partners were involved in shaping primary care in their area.

The complex machinery and IT needed to manage the sick neonatal child. The number of handovers/relaying of information. Understaffing of Nurses. The ratios to very poorly children. People still working in silos – so neonatology is part of paeds but not really!

I think I was surprised how similar our work is; guiding our patients (often feeling our way) through their health problems, as part of an ongoing relationship with the patient and their family.

Consider sending every SpR out to primary care for a week before they become a consultant – would be really good for them especially if they have not done primary care.

I think there is considerable room to reduce outpatient referrals from GPs to hospital with a more robust system of writing back to GPs with advice or reassurance. The current system for doing so is time-consuming and often counter-productive.

One other thing I think we should be exploring is hospital specialists developing relationships with specific GP hubs, with perhaps 1 session per month spent doing a clinic and/or dealing with relevant GP queries face-to-face in the GP surgery. This may provide useful opportunities for mutually beneficial CPD/learning.

MBTI

Our work has continued with Kent Surrey and Sussex

in jointly running MBTI® webinars, with the third one in November focused on ‘Confident decision making using

MBTI’.

N Hants CCG Primary Care Strategy 'Leadership in Action (LiA)':

The focus is on Integrated Health, Social and Community Support & Care, and must be inclusive of Voluntary and Third Sector. They are considering leadership development initially at two levels - Collaborative and System. Collaborative level to be delivered through individual and team coaching:

Individual coaching will be optional.

Team coaching and support required as condition of funding and support to the Collaborative – could also be a condition of support for PCH applications if agreement reached to pursue that model.

Team OD support through: o Initial workshop [half-day minimum]

Team coaching support as Collaboratives form and storm. System level options:

Individual coaching offer

Collaboration Circles

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2020 Programme with Mid Hampshire

Other TVWLA Interventions

Improving Global Health Programme (IGH)

The Improving Global Health (IGH) through Leadership Development programme, run by Thames Valley and Wessex Leadership Academy, is an innovative programme which supports NHS volunteers to undertake an overseas placement in a resource-poor setting. IGH was shortlisted in the ‘International Partnerships’ category at The HSJ Awards in November; a new category this year which was sponsored by NHS Employers and the Tropical Health and Education Trust (THET). It was a very strong field - the category being awarded to the Butabika-East London Link - and we are delighted the programme was shortlisted. Knowledge Services Senior Managers The second cohort of the national programme for Knowledge Services Senior Managers, which TVWLA facilitates, is in the planning phase. Bespoke Teaching Richard Man has taught buddying at UHS and the John Radcliffe Oxford, as well as facilitating a Sustainability Ambassadors Action Learning Set Webex and providing supervision to the Improving Global Health (IGH) mentors. We are working in a consultancy capacity with West Hampshire CCG and the Wheelchair Services in relation to team dynamics and performance. Several members of the team are part of various Steering Groups, are coaches, coach supervisors, mentors, HLM 360 feedback facilitators and MBTI practitioners and continue to regularly provide support in this capacity. We continue to attend and support many conferences and summits in our region as well as the South region and nationally. Several members of the team attended the latest all academies day in lead focused on Strategic Objective One - Inclusive, Compassionate and Collaborative at all levels. The System, OD and inclusion objectives were woven into this as well. See appendix one. Website/ Branding We have updated our website and now have our new branding in place which aligns to and national guidelines. Please see appendix two for a summary of our activity in quarter three.

10.0 TVWLA Team Update

We have successfully recruited to the role of Corporate Governance (Business) Manager – Peter Loughborough joins us on 2nd January 2018 - and OD and Leadership Project Manager which Alastair Boothroyd takes up formally on 16th January. We continue in our efforts to recruit a Programme Co-ordinator.

We would like to thank Anna Jaggers for covering the Corporate Governance (Business) Manager since July and

wish her every success for the future.

11.0 Business Planning 2018-9

TVWLA are currently undertaking the planning of our future activity. Version 1 of our business plan has been

submitted to the national academy. The activity will be focused around the requirements of our SLA with the

national academy and the feedback from our member organisations.

Caroline Chipperfield

December 2017

Appendix

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Appendix One – National Strategic Objectives

Strategic Objective one:

Inclusive, Compassionate and Collaborative at all levels

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Strategic Objective three:

Appendix two – Quarter three activity

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Activity Month of activity/programme

completion

Numbers completing

Coach to Lead programme - Rowans October 10

Coaching & Mentoring Supervision & CPD October 32

Compassionate Inclusive Leadership 1/2 Day Taster October 18

Deputy Director of Nursing Network (Wessex & TV) October 10

Dorset STP OD Leads Meeting October 14

GMTS Network Meeting October 31

Local Maternity Academy developing a leadership strategy across Wessex

October 6

N Hants - 'Getting Together - Ready or not' facilitated Primary Care End of Phase one session, feedback on key projects

October 60

Care Home Managers - Hampshire County Council October November December

22 18 8

Fundamentals of Team Coaching November 11

HIOW Practice Managers Leadership programme November 14

Inclusion Network meeting November 12

Kings Fund Advanced Practitioner Event November 5

OD Claiming Practice November 6

OD Essentials November 10

OD Workshop HEE South November 34

Oxford Buddy Scheme Seminar "Be a Buddy" November 12

Leading in Challenging Times - Wessex December 13

Mentoring for Leadership December 13

Talent Management Capacity Development -Workshop 1 Laying the Foundations

December 7

As at Numbers

Coaching register December 261

Mentoring register December 358