liam donaldson: leadership in the nhs - reflections on a chief medical officer
TRANSCRIPT
Leadership in the NHS: Reflections of a Chief Medical Officer
Professor Sir Liam Donaldson, Chairman, National Patient Safety Agency and former Chief Medical Officer 1998 - 2010
4 April 2011
Leadership lecture series, and leadership commission
kindly supported by
Sir John Simon
Chief Medical Officer 1855-1876
Chief Medical Officer: Four quadrants of focus
Improving the population’s
health
Protecting thepublic
Medicine andmedical practice
Better and safer care
CMO Annual Reports
Sir John CharlesChief Medical Officer 1950 - 1960
Medical Research Council Meeting 1963
The prevalence of smoking in the UK 1948-2004
Smoking: A package of interventions
•Advertising banned
•Smuggling countermeasures
•Graphic messages
•Smoking cessation services
•Smoke-free public places
The prevalence of smoking in the UK 1948-2008
As smoking has fallen, alcohol consumption has risen
Each year, every adult in
the UKconsumes the
equivalent of 120 bottles
of wine
Passive drinkingThe collateral damage from alcohol
Chief Medical Officer: Four quadrants of focus
Improving the population’s
health
Protecting thepublic
Medicine andmedical practice
Better and safer care
Sir Kenneth CalmanChief Medical Officer 1991 - 1998
Strong health protection systems
Public health emergencies
Vaccines: maintaining trust
Pandemic influenza: The mildness dilemma
“These are the sickest people I’ve ever seen”
Dr Anand Kumar, Intensive Care Specialist, Winnipeg Canada
New Scientist, 12 September 2009
“Swine flu? Pigs may fly”
Dr James Le Fanu
Telegraph, 2 September 2009
Improving the population’s
health
Protecting thepublic
Medicine andmedical practice
Better and safer care
Improving the population’s
health
Chief Medical Officer: Four quadrants of focus
primum non nocere
Preventing harm
• from poor practice
• from the system
• from badly managed organisations
Improving the population’s
health
Protecting thepublic
Medicine andmedical practice
Better and safer care
Improving the population’s
health
Chief Medical Officer: Four quadrants of focus
Enhancing medical training through simulation
With kind permission Professor Roger Kneebone, Imperial College
A new medical frontier
Chief Medical Officer: The eternal triangle
Harmonyand
Conflict
Government
PublicProfession
Leadership lessons
Consistency of purpose
Alignment of policy with staff values
Thinking about how to change
Public health needs big causes
Insatiable central demands for information
’Centralisation bad, localism good’ is too simplistic
The biggest leadership lesson of all
Most of the lessons are not learned