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Change starts with me: an impact evaluation of a multiprofessional leadership programme to support primary care networks in the South East of England

Carolyn Jackson (School of Health Sciences, University of East Anglia, Norwich, UK)
Kim Manley (School of Health Sciences, University of East Anglia, Norwich, UK)
Mayur Vibhuti (Institute of Medical Sciences, Canterbury Christ Church University, Royal Tunbridge Wells, UK)

Leadership in Health Services

ISSN: 1751-1879

Article publication date: 17 August 2021

Issue publication date: 28 June 2022

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Abstract

Purpose

This paper aims to present the impact evaluation findings from a multiprofessional leadership programme commissioned in the South East of England to support primary care networks (PCNs) to lead system improvement together. It identifies programme impact at micro and meso system levels; a leadership impact continuum that can be used by individuals and teams to evidence impact of improvements in PCN practices; the learning and development strategies that were effective and proposes implications for other networks.

Design/methodology/approach

Mixed methods underpinned by practice development methodology were used to explore the impact of the programme on two practitioner cohorts across 16 PCNs. Data were collected at the start, mid-point and end of the eight-month programme.

Findings

Results illustrate an innovative approach to collective leadership development. A continuum of impact created with participants offers insight into the journey of transformation, recognising that “change starts with me”. The impact framework identifies enablers, attributes and consequences for measuring and leading change at micro, meso and macro levels of the health-care system. Participants learned how to facilitate change and collaboratively solve problems through peer consulting which created a safe space for individuals to discuss workplace issues and receive multiprofessional views through action learning. These activities enabled teams to present innovative projects to commissioners for service redesign, enabling their PCN to be more effective in meeting population health needs. The authors believe that this programme may provide a model for other PCNs England and other place-based care systems internationally.

Originality/value

This study offers insight into how to enable a journey of transformation for individuals and PCN teams to enhance team effectiveness and collective leadership for system-wide transformation required by the National Health Service Long Term Plan (2019).

Contribution to Impact

Keywords

Acknowledgements

Thanks go to Medway Clinical Commissioning Group, Institute of Medical Sciences, Canterbury Christ Church University, programme participants from the Primary Care Networks involved in the two cohorts reported here.

Funding: North Kent Training Hub, Institute of Medical Sciences, Health Education England Kent, Surrey Sussex.

Citation

Jackson, C., Manley, K. and Vibhuti, M. (2022), "Change starts with me: an impact evaluation of a multiprofessional leadership programme to support primary care networks in the South East of England", Leadership in Health Services, Vol. 35 No. 3, pp. 309-337. https://doi.org/10.1108/LHS-11-2020-0094

Publisher

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Emerald Publishing Limited

Copyright © 2021, Emerald Publishing Limited

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