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the nsw health leadership and management framework a framework for excellence in care results and change contents leadership and management foreword for excellence the concepts 3 in care results 5 ...

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     THE NSW 
     HEALTH  
     LEADERSHIP AND 
     MANAGEMENT 
     FRAMEWORK
     A FRAMEWORK FOR 
     EXCELLENCE IN CARE, 
     RESULTS AND CHANGE
                                                                                                                      CONTENTS
                                                                                                                                                                          LEADERSHIP AND 
                                                                                                                                                                            MANAGEMENT 
                                                                                                                                                          FOREWORD        FOR EXCELLENCE      THE CONCEPTS
                                                                                                                                                               3          IN CARE, RESULTS          5
                                                                                                                                                                            AND CHANGE
                                                                                                                                                                                 4
              Acknowledgements
              The NSW Health Leadership and Management Framework is adapted from 
              the Leads in a Caring Environment Framework, with the kind permission of 
              the Canadian LEADS Collaborative.                                                                                                       THE MODEL FRAMES      NSW HEALTH 
              HETI acknowledges the contribution of NSW Health staff in shaping this                                                                    LEADERSHIP AND     LEADERSHIP AND 
              Framework.                                                                                                                                 MANAGEMENT         MANAGEMENT 
              The framing of the leadership–management relationship is based on                                                                           IN TERMS OF       FRAMEWORK
              definitions presented in the book In the Leadership Mode by Don Dunoon                                                                     SIX DOMAINS            6-7
              (Trafford 2008, Ch. 4).
              Health Education and Training Institute (HETI)
              Tel. (02) 9844 6551 
              Fax. (02) 9844 6544
              www.heti.nsw.gov.au 
              heti-info@heti.nsw.gov.au                                                                                                                    DOMAINS,          ACHIEVING       DEVELOPING AND 
                                                                                                                                                         CAPABILITIES        OUTCOMES         LEADING SELF
              National Library of Australia Cataloguing-in-Publication entry                                                                           AND BEHAVIOURAL           9                 10
              Title: The NSW Health Leadership and Management Framework                                                                                  DESCRIPTORS
              ISBN 978-1-74187-820-2
              Subjects: (TBA)
              Other Authors/Contributors: Health Education and Training Institute 
              Dewey Number: (TBA)
              Suggested Citation:                                                                                                                      ENGAGING PEOPLE    PARTNERING AND 
              Health Education and Training Institute 2020, The NSW Health Leadership                                                                    AND BUILDING     COLLABORATING       TRANSFORMING 
              and Management Framework, HETI, Sydney                                                                                                    RELATIONSHIPS         ACROSS           THE SYSTEM
                                                                                                                                                                            BOUNDARIES              12
                                                                                                                                                              10                 11
              This work is copyright. It may be reproduced in whole or in part for study 
              or training purposes subject to the inclusion of an acknowledgement 
              of the source. It may not be reproduced for commercial usage or sale. 
              Reproduction for purposes other than those indicated requires written 
              permission from HETI.
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              © HETI March 2020                                                                                                                                                                                          w
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                                                                                                                                                        MANAGING FOR                                                     m
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                                                                                                                                                           NOW AND                                                       r
              For further copies of this document please contact HETI or download a                                                                       THE FUTURE                                                     t F
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              digital copy from the HETI website: heti.nsw.gov.au                                                                                                                                                        e
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                                                                                                                                                        MAPPING TO THE                                                   a
                                                                                                                                                          NSW PUBLIC        HETI’S VISION                                h Le
                                                                                                                                                                          AND NSW HEALTH       CONTACT US                t
                                                                                                                                                      SECTOR CAPABILITY                                                  l
                                                                                                                                                                            CORE VALUES                                  a
                                                                                                                                                         FRAMEWORK                                 20                    e
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                                                                                                                                                             FOREWORD
                                                                                                                                                             It is with great pleasure that I recommend to you the updated NSW 
                                                                                                                                                             Health Leadership and Management Framework. This Framework, 
                                                                                                                                                             previously known as the NSW Health Leadership Framework, now 
                                                                                                                                                             includes a management domain, with related capabilities and 
                                                                                                                                                             behavioural descriptors. 
                                                                                                                                                                                  The Framework has been developed                  anywhere in a hospital or health service 
                                                                                                                                                                                  by the Health Education and Training              organisation; leadership is not solely the 
                                                                                                                                                                                  Institute (HETI) as part of its remit             responsibility of positional leaders. The 
                                                                                                                                                                                  from the Minister to take the lead                Framework reinforces the centrality of 
                                                                                                                                                                                  on leadership and management                      leadership that requires shared action 
                                                                                                                                                                                  development for NSW Health and to                 by those from different professional 
                                                                                                                                                                                  support the strategic approach of                 disciplines. Collaborative leadership 
                                                                                                                                                                                  the Health Professionals Workforce                is a critical ingredient in fostering the 
                                                                                                                                                                                  Plan 2012 – 2022. The Framework has               interprofessional teamwork between 
                                                                                                                                                                                  been shaped by international evidence             clinicians and non-clinical managers 
                                                                                                                                                                                  and a broad consultation process                  that is so important for ensuring 
                                                                                                                                                                                  within the NSW Health system.                     excellence in delivering care centred 
                                                                                                                                                                                  This means the Framework reflects the             on the patient or health consumer.
                                                                                                                                                                                  critical importance that the literature and       In striving for excellence in patient-
                                                                                                                                                                                  consultations have placed on the need             centred care, it is important we continue 
                                                                                                                                                                                  for collective and innovative approaches          to develop the skills and capabilities 
                                                                                                                                                                                  to leadership and management in order             of NSW Health staff. Adoption and 
                                                                                                                                                                                  that health care organisations can rise to        implementation of the Framework 
                                                                                                                                                                                  the complex challenges they face. The             across NSW Health will allow for a 
                                                                                                                                                                                  Framework has also been developed with            coordinated approach to the ongoing 
                                                                                                                                                                                  reference to other relevant frameworks in         development of the key knowledge, 
                                                                                                                                                                                  the Australian context, including the NSW         skills and abilities required to enhance 
                                                                                                                                                                                  Health Workplace Culture Framework,               the level of leadership and management 
                                                                                                                                                                                  the NSW Public Sector Capability                  capability within the organisation. 
                                                                                                                                                                                  Framework and the Clinical Excellence             HETI looks forward to engaging in 
                                                                                                                                                                                  Commission’s signature programs.                  dialogue with other parts of the NSW 
                                                                                                                                                                                  As the NSW Health system requires                 Health system to promote effective 
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                                                                                                                                                                                  people at all levels to function effectively,     use and adoption of this Framework.                          r
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                                                                                                                                                                                  and for individual executives, managers                                                                        w
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                                                                                                                                                                                  and also increasingly clinicians to be                                                                         m
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                                                                                                                                                                                  proficient in management-oriented work                                                                         r
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                                                                                                                                                                                  as well as leadership, the Framework                                                                           e
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                                                                                                                                                                                  now describes core management                                                                                  e
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                                                                                                                                                                                  capabilities required when providing                                                                           n
                                                                                                                                                                                  services across the system. These                                                                              a
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                                                                                                                                                                                  capabilities have also been designed to                                                                        n
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                                                                                                                                                                                  support health care service managers                                                                           i
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                                                                                                                                                                                  be ‘fit for the future’ and equipped to                                                                        r
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                                                                                                                                                                                  face systemic changes and challenges.                                                                          a
                                                                                                                                                                                                                                    Annette Solman                                               h Le
                                                                                                                                                                                  The leadership domains in the                                                                                  t
                                                                                                                                                                                                                                    Chief Executive                                              l
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                                                                                                                                                                                  Framework continue to emphasise                   Health Education and Training Institute                      e
                                                                                                                                                                                  that leadership can be exercised                  NSW Health                                                   W H
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    2                                                                                                                                                                                                                                                                                           3
                 LEADERSHIP AND MANAGEMENT                                                                                                              THE CONCEPTS UNDERPINNING THE 
                 FOR EXCELLENCE IN CARE,                                                                                                                FRAMEWORK
                 RESULTS AND CHANGE
                 NSW HEALTH LEADERSHIP AND                                                                                                              COLLECTIVE AND INDIVIDUAL                                  Leadership action, on the other hand, is relational; 
                 MANAGEMENT                                                                                                                             LEADERSHIP                                                 the emphasis is on building shared understandings 
                                                                                                                                                                                                                   to enable change with challenging issues. This 
                 The NSW public health system needs effective                                                                                           Leadership development in NSW Health, as                   intentional focus on the quality of interaction 
                 leadership and management to deliver excellence                                                                                        elsewhere, has tended to focus primarily on the            between people is the ingredient that creates the 
                 in patient and user-centred care and results in                                                                                        development of individual leaders. This remains            conditions for better outcome achievement and 
                 line with service and performance agreements.                                                                                          an important challenge. Yet transforming                   change. People at all levels in NSW Health need to 
                 Leadership and management are critical in                                                                                              the system for greater responsiveness and                  be able to exercise both forms of action according 
                 enabling the substantial change required to                                                                                            sustainability requires action to tackle tough             to what is most needed at particular times.
                 create a more responsive, productive and                                                                                               challenges by committed people working 
                 sustainable system. This framework, based                                                                                              together as well as individually. Both collective          The capabilities presented here are designed 
                 on evidence and international best practice,                                                                                           and individual leadership are needed.                      to support and reflect leadership-oriented 
                 is designed to support the development                                                                                                 Accordingly, this framework focuses on the                 action while acknowledging that some of 
                 of such leadership and management.                                                                                                     work and practice of leadership as well as the             them can be viewed from a management-
                                                                                      An evidence-based structure                                       observable behaviours of individual leaders.               oriented perspective as well. 
                 DEVELOPMENT OF THE FRAMEWORK                                         to support leadership and                                                                                                    As part of this framework, HETI has articulated a 
                 This framework is informed by international                          management development for                                        LEADERSHIP IS NEEDED AT ALL                                set of management-oriented capabilities for people 
                 experience and best practice drawn from the                                                                                            LEVELS THROUGHOUT THE SYSTEM                               in NSW Health. These have been developed based 
                 USA, Canada, the UK and Singapore with a six-                        the NSW public health system                                      NSW Health recognises that leadership can                  on a review of the management literature in health, 
                 domain structure based on the Canadian Leads                                                                                           be exercised anywhere in a hospital or health              as well as in consultation with NSW Health staff.
                 in a Caring Environment framework, as well as                                                                                          service organisation. It is not simply a matter of         HOW THE FRAMEWORK WILL BE USED
                 other frameworks. Initial development work in                                                                                          leadership performance in particular positions. 
                 2012 involved a literature review, consideration of                                                                                    What differs in the exercise of leadership                 The framework will provide an underpinning 
                 the UK and Canadian approaches, and interviews                                                                                         between levels in the system is primarily the              for leadership and management development 
                 with six international leadership development                                                                                          context in which leadership is practised, rather           programs in NSW Health, both in reviewing 
                 experts. A draft framework was made available                                                                                          than the nature of the desired capabilities and            existing programs and setting up new ones. 
                 for consultation with Chief Executives of the Local                                                                                    behaviours. Future development of the NSW                  The framework will also provide the basis for 
                 Health Districts and was endorsed by the NSW                                                                                           Health Leadership and Management Framework                 developmental 360-degree feedback and related 
                 Health Senior Executive Forum in late 2012.                                                                                            will take into account differences in the context for      tools. Importantly, the framework will provide 
                 Further consultation and developments have                                                                                             leadership work at different levels in the system.         a common language and set of concepts and                            k
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                                                                                                                                                                                                                   definitions to inform discussions about leadership                   o
                 been undertaken since, including the recent                                                                                                                                                                                                                            w
                                                                                                                                                        LEADERSHIP AND MANAGEMENT                                  and management in the NSW Health system.                             e
                 addition of the management domain. The                                                                                                                                                                                                                                 m
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                 domain was designed based on a review of the                                                                                                                                                                                                                           r
                                                                                                                                                        The NSW Health system requires people at all               The NSW Health Leadership and Management                             t F
                 literature, as well as an analysis of prominent                                                                                                                                                                                                                        n
                                                                                                                                                        levels with both leadership and management                 Framework is designed as a catalyst for                              e
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                 international management frameworks.                                                                                                   capacity to function effectively. In order to create       developmental change in individuals and as                           e
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                                                                                                                                                        that dynamic capacity, NSW Health requires                 a scaffold for the construction of new forms                         n
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                                                                                                                                                        individual executives, managers and clinicians to          of leadership and management in health                               d M
                                                                                                                                                        be proficient in management-oriented work as               care organisations committed to patient                              n
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                                                                                                                                                        well as leadership. Management action focuses              and user-centred high performance.                                   i
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                                                                                                                                                        on explicit, relatively concrete phenomena,                                                                                     r
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                                                                                                                                                        such as structures, processes and measures. It                                                                                  a
                                                                                                                                                        pertains to task-related actions at points in time.                                                                             h Le
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                                                                                                                                                        Management action is based in relevant authority.                                                                               a
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...The nsw health leadership and management framework a for excellence in care results change contents foreword concepts acknowledgements is adapted from leads caring environment with kind permission of canadian collaborative model frames heti acknowledges contribution staff shaping this framing relationship based on terms definitions presented book mode by don dunoon six domains trafford ch education training institute tel fax www gov au info achieving developing capabilities outcomes leading self national library australia cataloguing publication entry behavioural title descriptors isbn subjects tba other authors contributors dewey number suggested citation engaging people partnering building collaborating transforming sydney relationships across system boundaries work copyright it may be reproduced whole or part study purposes subject to inclusion an acknowledgement source not commercial usage sale reproduction than those indicated requires written k r o march w e managing m now furthe...

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