NHS
National Institute for Health Research
Helen Dickinson,1 Chris Ham,2 Iain Snelling,3 and Peter Spurgeon4
1 Health Services Management Centre, University of Birmingham
2 The King's Fund
3 Health Services Management Centre, University of Birmingham
4 Institute for Clinical Leadership Warwick Medical School
It is clear that the answer to the question that forms the title of this report is 'no, not yet'. The NHS has undoubtedly made considerable progress in involving doctors in leadership roles but the evidence presented here suggests that there is some way to go before the journey is complete.
The findings from our research shed light on why this is the case. The nature of health care organisations as professional bureaucracies, the persistence of tribal relationships between doctors, nurses and managers, and the still fragile nature of leaders occupying hybrid roles present formidable obstacles to the further development of medical leadership. Making progress hinges on overcoming these obstacles and requires a step change in action at all levels.
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