Any attempt to freeze data , describe the shape of the health services and related issues can only ever be correct for a fixed point in time . However , the vast majority of the challenges , dilemmas and concepts covered remain the same . So , although we endeavour to keep the detail and data as fresh as we can , this book is intended to be much more than a factual document . It is intended to encourage you to think , equipping you to participate in the system in whatever way you see fit .
You might find this nautical analogy useful . When we equate the NHS to the biggest ocean cargo ship imaginable then any forward and even the tiniest of changes in direction are slow , requiring massive effort . Any momentum gained can easily become uncontrollable and all but impossible to stop . Alternatively , we can equate the NHS to an armada where each team is a small vessel under its own control . Progress , changes in direction and response to hazards or opportunities in this model are realistic and can be fast . Achieving a common overall direction for the armada becomes the responsibility of multiple engaged leaders and teams . The solutions to problems at national , regional or local level are likely to be found through such engagement and participation , through leadership and teamwork , through identifying issues , defining clear aims , creating realistic plans and putting them into action .
So , we will consider the key drivers of organisational change , the conflicting challenges facing the NHS and the different approaches being taken by each of the four home nations of the UK . We will continually relate the ‘ big ’ topics to everyday leadership behaviours and actions for doctors and clinicians of all disciplines .
If you believe in the moral and professional responsibility to understand the system , then this is an ideal place to start or to refresh your thinking . The next challenge is to apply your knowledge and keep it up to date .
We use this book to support learning at the following courses , which present the opportunity to further develop your ideas and understanding via interaction with your peers :
• Everyday Medical Leadership & The NHS – a one-day course
• Day three of our 3 Day Leadership & Management Course for Doctors
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