A presentation from a national colloquium on the domains of leadership in public health beyond 2012

1. Maximising the Leadership
Role of the DPH
Jim McManus
Joint Director of Public Health

2. Defining the Problem…Defining the Problem…
• Leadership conceptualised as a (i) series
of influencing tools and processes to (ii)
improve the health of the population in an
economy of (iii) distributed (iv)political and
(iv) officer (vi) stakeholders
© Birmingham City
Council, 2011
Joint Director of Public Health 2

3. The DPH – Holding the Ring of Porcupine?The DPH – Holding the Ring of Porcupine?
Elected Members
HWBB
SoS / CMO / DH / A-Z
LA CMT
PH England
Staff Team ?
GP Consortia
PROVIDERS

4. "Holding the Ring or being the pin-cushion?""Holding the Ring or being the pin-cushion?"
• Conceptualising this as “holding the ring” is
problematic:
– Ill defined
– Difficult to operationalise
– Difficult to judge success
– Easy to fail
– Psychologically impoverished
© Birmingham City
Council, 2011
Joint Director of Public Health 4

5. NHS Leadership Framework - ProblematicNHS Leadership Framework - Problematic
© Birmingham City
Council, 2011
Joint Director of Public Health 5

6. SoSo
• Strengthening leadership becomes an issue
of how the problem plays out in terms of
person-role fit and organisation-role fit
• Insights from psychology and behavioural
sciences
© Birmingham City
Council, 2011
Joint Director of Public Health 6

7. Domains of this,,,Domains of this,,,
© Birmingham City
Council, 2011
Joint Director of Public Health 7

8. Domains of this…Domains of this…
© Birmingham City
Council, 2011
Joint Director of Public Health 8

9. Distributed Leadership DomainsDistributed Leadership Domains
9

10. Areas of InterventionAreas of Intervention
System
• Clarity of governance
• Role-Organisation Locus
• Boundaries & Deliverables
• Outcomes
• Systems Working, Matrix
Working
• Pressure Valves
• Complexity
• Officer yet Member
• Accountability Framework
Person
• Capacity v DASS/DCS
• Partnership Oriented
• Integrative Capabilities
• Strengths
• Support
• Boundaries
• Working with elected members
• Working with GPs
• Resilience