Leadership to Care Programme
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Category: Leadership development, Specialist development
Transforming multi-disciplinary working and improving patience experience, safety and outcomes following the findings of a recent review.
We were approached to resolve cultural issues in an NHS Maternity Service. Previous approaches had failed and relationships between Consultants and Senior Midwives were especially problematic. Negative behaviours manifesting across the service (e.g. rejecting differing views) showed consistency with humanistic-psychology defensive behaviours driven from a mindset of Survival.
We needed to help transform multi-disciplinary working and improve patience experience, safety and outcomes. Evidence from other interventions highlighted the disconnect between Consultants and Midwives. Our approach to sustaining culture change was a version of our proven Mindset to Lead programme called Leadership to Care. The evidence-based rationale was that leading with compassion flows from a mindset of Growth and creates a climate of psychological safety fundamental to compassionate care and team-working.
Participants completed the Growth Profile psychometric questionnaire before the programme and 3 months after. The questionnaire measured key habits which impact their ability to show up from Growth including their Mindset, Feelings, personal effectiveness and interpersonal effectiveness.
Before the programme, 41% of individuals in the Maternity Services Senior Team (Consultants and Senior Midwives) were showing up from ‘Stuck’ i.e. their prominent mindset when they were showing up was one that was critical of themselves and others. Showing up with a Stuck mindset can really impact how someone shows up at work meaning the individual may feel helpless to change the situation and may be withdrawn, seem rigid and unable to change, or be emotionally reactive or unpredictable.
After the programme, individuals showing up from ‘Stuck’ i.e. Critical of Self and Others had reduced to 25% meaning a significant proportion of them had built new habits to enable them to be less critical of themselves or others and show a shift towards Growth.
There were further statistically-significant (med-high effect) improvements for Growth Profile questionnaire scales that are critical to care:
These shifts in mindsets were really felt in improvements in relationships between Consultants and Midwives and the participants requested posters to use in the hospitals sharing how a mindset of Growth linked to how people show up, having challenging conversations and giving feedback.
“18 months after, staff feedback suggests relationships between Consultants and Senior Midwives are in a much better place. There is still work to be done in Maternity Services but I am convinced the programme has played a key role in the improvements we have seen”
– Director of People and Culture
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