Workshops and Seminars 2017-18
The following Management in Medicine seminars and workshops were held in the 2017-18 academic year.
The past, present and future of the NHS
Monday 25 September 2017, 18:45
View workshop slides for ‘The past, present and future of the NHS’ (PDF)
Speaker: Professor Robert Arnott, Green Templeton Common Room Member, medical historian, and former NHS Senior Manager and Sub-Dean of the University of Birmingham Medical School, 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 and Indian Railways. Understanding this vast conglomerate and how it works is important for anyone interested in its leadership and management. This session examined 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 and policy changes that has been an important characteristic of its history. It also explored the huge number of political and financial challenges the NHS currently faces.
Improving collaborative leadership in the NHS: An interactive dialogue
Friday 6 October 2017, 15:30
Speakers:
- Professor Sue Dopson, Governing Body Fellow of Green Templeton College, Rhodes Trust Professor of Organisational Behaviour at Saïd Business School, University of Oxford.
- Professor Timothy Hoff, Visiting Associate Fellow of Green Templeton College, Professor of Management Healthcare Systems and Health Policy, D’Amore-McKim School of Business, Northeastern University.
This session shared findings from a recent study on collaborative working among senior leaders in the NHS, followed by deep dive group discussions on the above questions, and ended with a drinks reception for all participants. Topics included:
- Are collaborative leaders born or created?
- What fosters trust and camaraderie-building interactions among senior executive?
- Are there ways of seeing or understanding the everyday world that physician and non-physician leaders cannot reconcile?
- How can healthcare organisations enable greater cultural cohesion between senior executives?
An update from the USA: Obamacare is dead, long live Obamacare
Monday 9 October 2017, 18:30
Speaker: Professor Timothy Hoff, Visiting Associate Fellow of Green Templeton College. He is Professor of Management Healthcare Systems and Health Policy, D’Amore-McKim School of Business, Northeastern University.
The Republican effort in the U.S. to repeal and replace Obamacare met with failure, in part due to the healthcare law’s continued success in expanding health insurance for citizens. This seminar discussed how the U.S. healthcare reform effort remains a fragile work-in-progress, with new political threats to its survival just around the corner. Many aspects of Obamacare continue to work well in achieving the goal of a just, equitable care delivery system for all in the United States. However, there are still key aspects of the reform effort not working well that threaten its long-term viability and popularity. This talk addressed three things:
- providing a brief overview of the politics behind the failure of the repeal-and-replace efforts;
- identifying the parts of Obamacare working well, as well as aspects of the law and its implementation that must be fixed moving forward; and
- critically assessing current and near future efforts intended to apply those fixes.
Financial skills for healthcare
Saturday 18 November 2017, 09:30
View workshop slides for ‘Financial skills for healthcare’ (PDF)
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 18 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. Dominic has now retired from interim work and is now a lay member for finance for a clinical commissioning group. He also lectures occasionally on NHS finance at Oxford Brookes University.
Launch of the Management in Medicine Shadowing Programme
Monday 27 November 2017, 18:45
Speakers:
- Dr Siân Rees
- Dr Marion Lynch
The shadowing element of the Green Templeton College Management in Medicine Programme provides medical students, doctors in training in the Thames Valley area, postgraduate students and others with an interest in healthcare management, with an opportunity to shadow a senior manager in healthcare, or social services for approximately two half-days. The purpose of the shadowing is to give trainee medics an insight into the activities of managers, how they go about them and the issues on which they work.
This single launch event was held for potential shadows to be briefed on the Shadowing Programme and hear from previous shadows about their experiences, and from Dr Siân Rees and Dr Marion Lynch, both managers on the Management in Medicine programme. Siân gave a general overview of management based on her career to date and Marion spoke specifically about her experience as a manager on the Management in Medicine Shadowing Programme.
After this event, potential shadows were sent a list of all the participating managers, their job title, a sentence describing what the shadowing would involve and where it would take place.
Potential shadows were then invited to apply, stating their preferences for the shadowing placement based on the information provided and their ability to get to the location of the shadowing. They had to provide a short bio for the manager and give a firm commitment to complete the programme and to provide a report on completion.
The Shadowing Programme was open to all medical trainees, doctors in training, and postgraduate students with an interest in healthcare and healthcare management related subjects. The demand for shadowing opportunities has historically exceeded the number of managers who have agreed to take part so priority was given to those who missed out on a manager last year, those who attend this launch event, Green Templeton College students and alumni, and doctors training in the Thames Valley area.
An update from the USA: U.S. health policy in the age of Trumpism
Monday 5 March 2018, 18:45
Speaker: Professor Timothy Hoff, Visiting Associate Fellow at Green Templeton College. He is Professor of Management, Healthcare Systems, and Health Policy, Patrick F. and Helen C. Walsh Professor, D’Amore-McKim School of Business, School of Public Policy and Urban Affairs, Northeastern University.
Making service improvements in healthcare
Saturday 24 March 2018, 09.30
View workshop slides for ‘Making service improvements in healthcare’
Speakers:
- Dr Keith Ruddle, Emeritus Fellow of Green Templeton College, Associate Fellow at the Saïd Business School, University of Oxford.
- Dr Tony Berendt, Medical Director, Oxford University Hospitals NHS Foundation Trust.
This highly interactive workshop focused on implementing change in the clinical environment. It was by Dr Keith Ruddle, who brought both practical and academic experience of managing change in large organizations including the NHS. The workshop aim was to take ideas from the participants’ own experience of working in, and experiencing, health services – and explore how they might be implemented in practice.
Keith was joined by Dr Tony Berendt, Medical Director from the OUH, who provided some context for current and future service improvement in the NHS and also shared personal lessons learnt from his own experience sponsoring and leading service change initiatives at the Trust. Some key projects from previous similar Management in Medicine workshops have been taken forward successfully for implementation in the NHS and elsewhere.
Changing culture, improving healthcare
Saturday 21 April 2018, 09:30
View workshop slides for ‘Changing culture, improving healthcare’ (PDF)
Speaker: John Drew, Associate Fellow of Green Templeton College, Director of Improvement & Culture at Oxford University Hospitals.
This workshop explored the link between organisational culture and high quality healthcare, and set our strategies for changing culture and behaviour based on real examples from the NHS. John shared some models and research which have influenced him and which inform his work, including Reinventing Organisations by Frederic Laloux. You can watch a talk based on his book here. We discussed how relevant and practical these and other models are, and what impact we can reasonably expect to have in changing culture and behaviour within our sphere of influence. We also looked at a range of strategies we can all employ to influence other people, applying them during the workshop. The workshop was interactive, and used polling technology through smart phones or tablets.
Confessions of a senior NHS manager
Monday 14 May, 18:45
View workshop slides for ‘Confessions of a senior NHS manager’ (PDF)
Speaker: Paul Byrne, General Manager of the Children’s and Women’s Division, Oxford University Hospitals NHS Foundation Trust. He is an experienced senior general manager who has worked in the NHS for over 30 years, in London, Kent, Gloucestershire and Oxfordshire.
The purpose of the seminar was to explore some of the current difficulties facing the NHS at present, most notably:
- variation in experience and outcomes;
- increased demand on services;
- organisational boundaries impeding change;
- workforce and the impact of Brexit;
- financial sustainability.
The aim was to discuss each area in turn and discuss the future direction of service provision in the NHS over the next five to ten years. The seminar was highly interactive and an opportunity to share views in an open and honest discussion.
BRICK HOSPITAL
Saturday 9 June 2018, 09:00
Facilitator: Rasmus Thøger Christensen
A patient’s journey through the hospital, between different departments and seeing different healthcare professionals, can be challenging, especially in an increasingly complex healthcare system. In order to ensure good patient care, all healthcare professionals and managers must focus on the individual patient flow through the hospital, and not just on isolated actions taken at a department level. Playing the game BRICK HOSPITAL in this workshop increased awareness about patient flow and introduced tools that can help optimize flow for health care professionals on the ground or those aspiring to manage a clinical department or a hospital.
BRICK HOSPITAL is a LEGO-based game where each player is given a series of tasks related to the patient’s journey through the hospital – from admittance to diagnosis and treatment through to discharge. Through several rounds of the game, using reflection and facilitated improvement processes, the players are given a unique insight into interdisciplinary team-work and optimization of patient flow using game-based learning. It is already part of official specialty training in Denmark and an integrated part of an elective subject on leadership and process management for medical students at Aarhus University, Denmark.
Kathy McLean
Tuesday 3 July 2018, 18:00
The Management in Medicine Programme was delighted to welcome Kathy McLean, Executive Medical Director and Chief Operating Officer, NHS Improvement, who spoke on her personal journey from bedside clinician to her current position with NHS improvement.
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
