Workshops and Seminars 2018-19
The Management in Medicine Programme ran a series of Saturday workshops and Monday evening seminars during the 2018-19 academic year.
The NHS at 70: where did it come from; how does it compare; and what is its future?
Monday 15 October 2018, 18:30
View seminar slides for ‘The NHS at 70’ (PDF)
Speakers:
- Professor Bob Arnott, medical historian, Green Templeton College member, former NHS Senior Manager, Sub-Dean of the University of Birmingham Medical School and Director of the Birmingham Medical Institute.
- Dr Nick Fahy, researcher and consultant on health policy and systems, a Research Fellow of Green Templeton College and a senior researcher in the Department of Primary Health Care Sciences.
The National Health Service of the UK is a totemic institution – much loved by the British public, and a model for elsewhere. But it faces fundamental challenges. Can it keep up with changes in medicine? Can it adapt to changing expectations of the public and of its own staff? And most fundamentally, can we afford to keep it?
In this seminar, we looked at how the NHS came into being, how it was originally managed and operated, and the series of significant structural and policy changes that have shaped the modern NHS. We compared this with other systems emerging elsewhere, especially in Europe, and asked what we can learn from them. And we explored the central challenges the NHS faces for the future; can we keep the NHS for the next 70 years, too?
The NHS: a machine or an organism?
Monday 19 November 2018, 18:45
View seminar slides for ‘The NHS: a machine or organism’ (PDF)
Speaker: Dr Eleanor Murray, Fellow in Management Practice, Saïd Business School, University of Oxford, former Honorary Lecturer at Imperial College London and NHS Executive Director/Senior Manager.
In this seminar, we explored alternative perspectives on the NHS as an organisation. As a complex, adaptive system, the NHS can be a challenging place to introduce change and interventions can lead to unintended consequences. Utilising a range of organisation metaphors offers new insights into change processes and the behaviours of those involved in change.
Dr Eleanor Murray has extensive experience in the health sector: a 20-year career in health services management involved ten years in senior manager and executive director roles; and since 2008 as a director of her own consulting company, advising on health, education and government projects.
Making service improvements in healthcare
Saturday 1 December 2018, 09:30
View workshop slides for ‘Making service improvements in healthcare’ (PDF)
Speakers:
- Dr Keith Ruddle, Green Templeton College Emeritus Fellow and Associate Fellow, Saïd Business School.
- Dr Tony Berendt, Leadership Development Consultant and Former Medical Director, OUH NHS Foundation Trust 2014-2018, NOC 2004-2011.
This highly interactive workshop focused on implementing change in the clinical environment. It was led by Dr Keith Ruddle, who brought both practical and academic experience of managing change in large organizations including the NHS. The workshop took ideas from the participants’ own experience of working in, and experiencing, health services – and explored how they might be implemented in practice.
Keith was joined by Dr Tony Berendt, recently 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.
Launch of Management in Medicine Shadowing Programme
Monday 10 December 2018, 18:45
Speaker: Dr Siân Rees, Director of Patient and Public Involvement, Engagement and Experience, Oxford Academic Health Science Network.
The shadowing element of the Green Templeton 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 a manager on the Management in Medicine Programme. Siân gave a general overview of management based on her career to date and how she uses that 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 will 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 needed 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 is 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 attended this launch event, Green Templeton students and alumni, and doctors training in the Thames Valley area.
An Update from the USA: Obamacare 10 years later. What can we learn from the Great American Health Care Experiment?
Monday 14 January 2019, 18:45
Speaker: Professor Timothy Hoff, Visiting Associate Fellow of Green Templeton College, 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.
Almost ten years ago in the United States, work began on what would ultimately become the Affordable Care Act, or “Obamacare”. This signature health care legislation, the most important in the U.S. since Medicare and Medicaid in the 1960s, has transformed key parts of our health care system and changed the way many Americans now think about the role of affordable health care in their lives. What are the major takeaways from this great American health care experiment?
Professor Timothy Hoff addressed this question in depth by examining how the U.S. health care system has responded to the law’s implementation. Also discussed was whether ten years of Obamacare have inched the U.S. any closer to a single-payer health system, like that seen in other countries, or taken it more in the direction of a corporately dominated, privately run system. Also explored were policy lessons that could be exported from the Obamacare experience to other health care systems internationally.
NHS finance: how to understand and influence how funds flow around our system
Monday 11 March 2019, 18:45
Speaker: Andrew Smith. He has extensive experience in the health sector: An alumnus of the NHS Financial Management Training Scheme, he worked for five years in various finance role in commissioning and also at a large Acute Hospital, followed by seven years at the Department of Health’s Commercial Directorate, responsible for several multi-billion pound commercial transactions. Andrew wrote procurement guidance for the NHS and has, for the last seven years, been designing new incentive models and shared saving contracts for health and care systems across England.
In this seminar, we explored the way funds flow around the NHS system and discussed value in the NHS and why a focus on ‘savings’ might not be the right one. This session examined how to create value and make a case for securing funds to make changes happen. We reviewed some of the different incentive and contractual models in use in health and care and looked at why their success requires a good mutual understanding between clinical and financial disciplines.
Achieving change through teams
Saturday 30 March 2019, 09:30
Workshop leaders: 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.
Almost all healthcare interventions involve groups of people with different roles and skills working together, whether or not these groups are called teams. Learning to work in teams is thus essential to achieving change. In this workshop, participants will explore their own personalities, how different personalities interact when working together and how teams can achieve better outcomes by working together more effectively.
Re-inventing organisations: service improvements and culture
Saturday 11 May 2019, 09:30
Speaker: John Drew, Associate Fellow of Green Templeton College and Director of Improvement & Culture, Oxford University Hospitals NHS Foundation Trust.
This workshop explored the links between leadership, improvement and culture within a healthcare context, and the opportunities and challenges associated with this kind of change. Is it a necessary, realistic and feasible? And what is the role of change agents and leaders in bringing it about?
John Drew shared a model from Reinventing Organizations, by Frederic Laloux, which describes how organisations are changing or evolving over time, and made the case for a fundamental rethink of our core assumptions rather than just tinkering with structures and processes. He then described some of the challenges of applying this thinking in the NHS environment, drawing on his current experiences as well as an approach and set of tools developed by the NHS Leadership Academy to change Leadership and Culture in NHS providers.
Integrated care and population health management: ephemeral NHS fads or a new direction?
Monday 20 May 2019, 18:45
Speaker: Dr Nicholas Hicks, Associate Fellow of Green Templeton and lead for the Management in Medicine Programme. He is Founder and Chief Executive of COBIC.
Five years ago, in 2014, the NHS published the Five Year Forward View, promising that the NHS would end the ‘artificial divisions between health and social care, hospital and community care, and physical and mental health’. Few think those lofty ambitions have been achieved. Indeed, 2019 has seen the publication of the NHS Long Term Plan and a widely welcomed new contract for general practice, heralding the creation of primary care networks, the widespread adoption of ‘population health management’ and ‘integrated care’.
This seminar explored what it might mean for the NHS to practice population health management and its implications for clinical staff and the institutions that employ them.
BRICK HOSPITAL
Saturday 8 June 2019, 09:00
Facilitator: Rasmus Thøger Christensen, Medical Doctor and Co-Founder and Managing Director, LIVSKRAFT.
A patient’s journey through the hospital, between different departments and seeing different health care professionals, can be challenging, especially in an increasingly complex health care system. In order to ensure good patient care, all health care 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.
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
