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Maximising the Leadership Role of the DPH
Jim McManus
Joint Director of Public Health
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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
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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
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"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
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NHS Leadership Framework - ProblematicNHS Leadership Framework - Problematic
© Birmingham City Council, 2011
Joint Director of Public Health 5
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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
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Domains of this,,,Domains of this,,,
© Birmingham City Council, 2011
Joint Director of Public Health 7
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Domains of this…Domains of this…
© Birmingham City Council, 2011
Joint Director of Public Health 8
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Distributed Leadership DomainsDistributed Leadership Domains9
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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