Workshops and Seminars 2015-16
The following Management in Medicine workshops and seminars were held at Green Templeton in the academic year 2015-16:
History and structure of the NHS
Monday 21 September 2015, 18:45
Speaker: Professor Robert Arnott. Green Templeton College Common Room Member; previously NHS Senior Manager; Sub-Dean of the University of Birmingham Medical School; and Director of the Birmingham Medical Institute.
The NHS is one of the world’s largest organisations, comparable to the People’s Liberation Army of China, the Indian Railways and Wal-Mart. Understanding how this vast conglomerate came into being and how it works today is important for anyone interested in its leadership and management. This seminar explored participants’ understanding of the current structure of the organisation and looked at how it came into being, how it was originally managed and operated and the series of significant structural changes that has been an important characteristic of its sixty-seven year history. It also explored the innumerable political and financial challenges currently facing the NHS.
Financial skills for healthcare
Saturday 3 October 2015, 09:30
Speaker: Dominic Tkaczyk, a senior financial professional with over 40 years practical experience of finance in the NHS.
Successful managers must plan the resources needed to carry out any particular task or function and measure how those resources are used. Accounting is the discipline, developed over centuries, that helps managers to measure resource allocation and use. It provides a standard language for reporting financial performance and is primarily a way of ‘keeping score’.
An understanding of NHS finance and accounting, including how hospital budgets are constructed, how activity is measured and how to put together a business case for a new activity is an invaluable skill for any manager. In this workshop, Dominic Tkaczyk described how NHS organisations report their financial position, explained how ‘Service Level’ accounting works and illustrated how to put together a business case. Working in small groups, participants got hands-on experience in these activities.
Dominic has been Finance Director at a range of NHS organisations including acute trusts, community trusts, and commissioning organisations. He is familiar with the financial policies, practices and needs in Trusts as diverse as a large London Teaching Hospital and a Clinical Commissioning Group. Dominic has also had wider management experience having managed IT, Estates and Performance Management directorates. He has also acted as Chief Executive of an Acute Trust. For the last 16 years he has run his own consultancy organisation providing interim financial management to NHS organisations, bringing a wealth of experience and insight to his clients. He also lectures on NHS finance at Oxford Brookes University.
Leadership skills
Saturday 12 December 2015, 09:30
Speaker: David Pendleton, psychologist and Associate Fellow of Green Templeton College and the Saïd Business School.
David has focused on two main areas during his career. After his DPhil (Doctor-Patient Communication, Brasenose, 1982) he spent a number of years researching and teaching effective consulting in General Practice and he was elected an Honorary Fellow of the RCGP in 1997 and is about to join their Trustee Board in 2015. He has published several books and papers on this subject, most notably ‘The Consultation’ with Theo Schofield, Peter Tate and Peter Havelock in 1983 and 2003, published by Oxford University Press, in which the Pendleton rules for feedback first appeared in print.
From 1995 to June 2015, he co-founded and led the Edgecumbe Consulting Group specialising in the application of psychology to issues of professional and leadership development. Since 2000, he has turned his attention to the subject of leadership in all manner of organisations. In 2012 he published Leadership: ‘All you need to know’ with Professor Adrian Furnham of UCL and published by Palgrave Macmillan. The book forms the key text for a number of courses he has designed and led at the Saïd Business School here in Oxford and elsewhere.
In both his work on effective consulting in general practice and also his work on leadership, he has adopted a task based starting point for the development of diagnostic tools and interventions aimed at improving the effectiveness of leadership in organisations of all kinds. The approach to working with leaders and leadership he has dubbed the Primary Colours Approach to leadership for reasons he will explain in the workshop and in which he will help us to consider our own stance on leadership during our careers.
An update from the USA: how is Obamacare working for Americans?
Monday 14 December 2015, 18:00
Speaker: Professor Timothy Hoff, Visiting Associate Fellow at Green Templeton College and Professor of Management, Healthcare Systems and Health Policy, Northeastern University, Boston.
Professor Sue Dopson, Fellow of Green Templeton College, and Rhodes Trust Professor of Organisational Behaviour and Faculty Dean, Saïd Business School, University of Oxford.
This seminar provided an update on how the U.S. Affordable Care Act (“Obamacare”) is working, in terms of major successes and challenges to the law’s full implementation that still remain. Topics covered included the continued hot-button political environment surrounding the legislation’s key initiatives, such as expanding and subsidizing health insurance for Americans, and the legislation’s effects on health outcomes, care costs, and quality.
Successful transition to 24/7 day services. What will it take to provide services more consistently 24/7
Saturday 12 March 2016, 09:30
Speakers:
- John Drew, Partner at McKinsey’s Healthcare Practice.
- Dr Kristin-Anne Rutter, Partner at McKinsey’s Healthcare Practice.
This workshop allowed participants to debate the case for changing the way healthcare services are delivered to provide more uniform services over the week. Participants were asked to consider where and what changes are required and how these should be prioritised. Having debated the need for change the workshop went on to think about what it would take to deliver a successful transition and whether the current funding plans for the NHS were a barrier. One of the topics that is sometimes raised in relation to this is the whether the changes in working patterns and how the process has been handled, impacts the career appeal for new doctors and potentially breaks the ‘social contract’ for those already in their career. There was a chance to discuss this explicitly and share perspectives. The workshop drew on the experiences of several Trusts who have started the journey with their clinicians.
After studying Engineering, Economics and Management at Oxford, John Drew went into industry working as a manufacturing engineer, and then joined McKinsey’s Operations Practice. Since then he has worked intensively with hospitals for the last decade, and more recently has established the McKinsey Hospital Institute. In 2005 he wrote an award-winning book on operational improvement called Journey to Lean.
Dr Kristin-Anne Rutter obtained an MBA in neurosciences and her medical degree from Cambridge before going on to work in Accident and Emergency. Frustrated by her inability to drive change from within she launched a medical device to treat tinnitus in Australia and obtained and MBA from Harvard. Since 2006 she has worked with McKinsey and is now a Partner focusing on improving the quality of health care provision, promoting increased patient participation, transparent quality metrics and increased use of technology. She is a non-executive of Marie Stopes International.
An update from the USA: current innovations in health professions’ workforce policy due to health reform
Monday 16 May 2016, 18:45
Speaker: Professor Timothy Hoff, Visiting Associate Fellow at Green Templeton College and Professor of Management, Healthcare Systems and Health Policy, Northeastern University, Boston.
This seminar described and analysed several important developments in U.S. health professions’ workforce policy over the past several years in response to nationwide healthcare reform and continued challenges meeting the demand for healthcare services in the country. Examples of current innovations implemented or being planned include greater use of non-physician providers to deliver care, shifts in clinical training that include more collaborative models of care delivery, work upskilling for various healthcare workers to free up physician capacity, and structural reforms to increase health professional alignment with their employing organisations. A critical analysis of which types of innovations may work and which may not in meeting health reform challenges was presented.
Healthcare systems across Europe – seeing the NHS in a wider context
Monday 23 May 2016, 18:45
Speaker: Nick Fahy, a European health expert with over twenty years of experience advising public and private sector clients ranging from individual hospitals to the World Health Organisation.
The National Health Service is among Britain’s best-loved institutions, and is often described as ‘unique’. But how true is that? How does the NHS compare to other European systems?
This seminar set the NHS in its wider context of health systems across Europe. It described how a shared commitment to universal health systems has emerged in different forms throughout Europe, and what remains distinctive about the British NHS. It explored how shared values and challenges create the potential for learning and cooperation between European systems on topics ranging from cancer care to organ transplantation, from rare diseases to cross-border care – and why Europe is a better place to look for inspiration than the United States. And as the referendum approached, it explained the European Union’s changing role in health systems, and discussed what Brexit would mean for the NHS.
Working with others
Saturday 11 June 2016, 09:30
Speakers: Maire and Paul Brankin, both members of Green Templeton College, who work with Chairmen, Chief Executives, senior managers and medical leaders in the NHS, helping them to develop their leadership and management skills.
The NHS Leadership Framework is designed for all staff in health and care irrespective of discipline, role and function. “Working with Others” is one of the seven competency domains of the Framework. Effective leadership requires individuals to influence and work with others in networks and teams to deliver and improve services.
Designed for present and past medical students, doctors in training and other healthcare professionals, this workshop focused on interpersonal skills, including establishing rapport, matching and pacing, effective listening, understanding how different individuals take-in information and giving feedback. The programme was interactive, involving role-playing in small groups.
Clinical leadership
Tuesday 12 July 2016, 18:30
Speaker: Dr Bruno Holthof, Chief Executive Officer (CEO) of Oxford University Hospitals Foundation Trust.
Dr Bruno Holthof spoke about his own experience of Clinical Leadership. Oxford University Hospitals Foundation Trust (OUHFT) employs 12,000 staff across four hospital sites and 44 other locations. Before OUHFT, he was CEO of the Antwerp Hospital Network from January 2004 until September 2015. During this period, he transformed ZNA into the most profitable hospital group in Belgium.
Before becoming a CEO, he was a partner at McKinsey & Company. During this period, he served a wide range of healthcare clients in Europe and the United States and gained significant expertise in the areas of strategy, organization and operations.
He is a member of the Board of Barco NV, a public listed company providing visualization solutions for professional markets, and a member of the Board of Bpost, the Belgian Post which is publicly listed since 2013. Holthof holds an MBA from the Harvard Business School and an MD/PhD from the University of Leuven.
Contact
All enquiries about the Management in Medicine Programme should be addressed to:
Naomi Benson
naomi.benson@gtc.ox.ac.uk
Academic Projects Administrator
Green Templeton College
Woodstock Road
Oxford
OX2 6HG
