Microsystems - Yorkshire and Humber Deanery

Clinical Leadership and
Management Fellows
Kirsty Forrest
Clinical Education Advisor
Making change actually happen takes
leadership. It is central to our expectations of
the healthcare professionals of tomorrow
Darzi 2008
• Introduction and overview
• The Fellows
• Any questions
Medical leadership
The doctor’s frequent role as head of the
healthcare team and commander of
considerable clinical resource requires
that greater attention is paid to
management and leadership skills
regardless of specialism
Modernising Medical Careers Inquiry: Aspiring to excellence, 2008, p18
A new workforce
‘Tempered radicals’ - willing to act on different external agendas
and take risks, yet work successfully within organisations.
(Meyerson, 2004)
Broker, mediator and negotiator - increasingly being recognised,
recruited and trained for these specific cross-boundary roles.
(Hartle et al, 2008; Tennyson and Wilde, 2000)
Boundary spanners - believe in collaboration, demonstrate an
ability to obtain and distribute information strategically, see
problems in new ways, craft solutions and develop and support
the skills of others.
(Bradshaw, 1999)
The aims of these posts
• gain practical and academic experience in medical
leadership from local experts in the field
• build a network of expert contacts with medical and NHS
management leaders
• enhance skills and competencies that are essential for
future medical leaders
• develop competencies relevant to the domains defined in
the MLCF
• develop and deliver a specialty or management driven
project that is relevant to the specific needs of the NHS
• complete an accredited academic leadership qualification
The Posts
Trust posts
• Bradford Teaching Hospitals NHS Foundation Trust
• Hull and East Yorkshire Hospitals NHS Trust
• Sheffield Teaching Hospitals NHS Foundation Trust
Deanery/School Posts
• Postgraduate School of Medicine
• Postgraduate School of Obstetrics & Gynaecology
• Postgraduate School of Surgery.
Underpinning assumptions
Leader development
An investment in human capital to enhance
intrapersonal competence for selected
Leadership development
An investment in social capital to develop
interpersonal networks and co-operation
within organisations and other social systems
(Bolden, 2007, p6)
Clinical Leadership &
Patient Safety Fellows
What we do.
Who we are
John Anderson
the Wirral
Leeds graduate
Pierre-Antoine Laloë
Dundee graduate
Obstetrics & Gynaecology ST6
Anaesthetic ST5
When are we doing this?
• April 2012 to March 2013
• 6 months in post
• Out of Programme Experience (OOPE)
• Delays CCT by 1 year
Bradford Institute for Health Research
2 supervisors (Deputy Medical Director)
What we do.
• Trust
• PGCert
Patient Safety
• Risk Management
Training focussed on clinical skills
Registrar 
Patient safety interest
 Consultant
Faiza Chowdhury
Clinical Leadership and Simulation Fellow and SpR in
Respiratory Medicine
Hull Institute of Learning and Simulation
Simulation Faculty for School of Medicine
Dr. T. Arnold and Dr. M. Purva
Medicine and
Core Medical
Renal Medicine
Dr. J .Kastelik&
Dr. Y. Khiyar
Dr. J Gunn
Faiza Chowdhury
Simulation Faculty For the School of
Dr. S. Clark
Dr. M. Purva
Helen Moore
Asim Ahmed
Simulation Faculty for Anaesthetics
Dr. M. Purva
David Wright
Simulation Faculty for Emergency Medicine
Dr. G. O’Neill
Dr. M. Sundararaj
Importance of Simulation
• Morality- patients are not training
• Increasing the experience of Multi Disciplinary
Team Members
• Addressing Human Factors
• Performance Assessment
• Learn from mistakes
Simulation Equipment
High fidelity Simulators- (Laerdal and
Sim man 3G
Sim man 2G
Newborn, Premie, 1 yr and 5 yr Hal
Laparoscopy and Angio Mentor
Bronchoscopy and Gastroscopy
Skills trainers
Simulation Environment
Educational Courses
Current courses
Work in Progress
Sim Course
Human factors
Train the Trainers in Simulation
Pulmonary Function
YHD Bronchoscopy and Chest
Drain Simulation
Practical and Human Factors
Thoracic Ultrasound Training Day
ST7/8 Pre-Consultant Paediatric
Simulation course
Yorkshire Immersive Paediatric
Simulation (Pre-Registrar course)
Neonatal in situ
Obstetric Anaesthesia
Managing Emergencies Paediatric
Nursing Simulation
Paediatric Emergency In-situ
Simulation master class at the
annual Paediatric School
Research in Progress
• Outpatient Skills in Core Medical Training
• Bronchoscopy skill and competence
• Validating assessment of simulation using
newly designed assessment tools-the
development of a scoring tool for the
management of anaphylaxis under GA
Thank you
In at the Deep End
Anna Girolami FRCA
Fellow in Quality Improvement
Sheffield Teaching Hospitals
About Sheffield Teaching Hospitals
• Royal Hallamshire Hospital, Northern General Hospital,
Western Park Hospital, Charles Clifford Dental Hospital
• not Sheffield Children’s Hospital
• 15000 staff, 1500 inpatient beds, 1 million outpatient
appointments, 1 million procedures
• long-standing cross-city rivalry.
About me
Brought up in Kent.
Not going back.
University of Sheffield 1986 -1991
FRCS - 1996
Slight change of plan - 2002
FRCA - Dec 2006
Pregnant March - 2007
LTFT post-maternity leave
CCT - September 2012
A bit more about me
• MSc University of Bangor – Risk Management in Health and
Social Care
• 2 years completed (to diploma level)
• Dissertation year underway
• Led directly to current post
Fellowship in Quality Improvement
Advertised end of February 2012
Very quick turnaround/closing date
In Kilmarnock at the time with only Blackberry access
Application in, interview job obtained by end of March 2012.
CCT brought forward
Quality Improvement Department,
• Multi-disciplinary
– Medical
– Paramedical
– Non-medical
• Several Fellows
• Different sources of
• More planned
Sheffield Microsystem Coaching
• Clinical microsystems are
the front-line units that
provide most health care to
most people. They are the
places where patients,
families and care teams
• Central to every clinical
microsystem is the patient.
The Dartmouth Institute Microsystem
Sheffield Microsystem Coaching
• Based on Dartmouth’s internationally successful eCoach
the Coach programme - translated
• Face to Face and distance learning over 5 sessions
• Experiential learning – coach a microsystem, learn from
and report on the real work of improvement
• Ownership from the team
Sheffield Microsystem Coaching
Cohort 1
February 2013
Cohort 2
August 2013
Cohort 3
February 2014
Cohort 4
August 2014
Cohort 5
February 2015
Cohort 6
August 2015
Cohort 7
February 2016
Microsystem work in STH
Cystic fibrosis out-patients’ – spread to respiratory medicine
Renal outpatients’ clinic
Frailty unit – spread to community falls programme
My microsystem – pressure area care
Thank you very much
Any questions?