Exploring CQC’s well-led domain; how can boards ensure a positive organisational culture?

Source: Katy Steward, the King’s Fund

Link to main document: http://www.kingsfund.org.uk/sites/files/kf/field/field_publication_file/exploring-cqcs-well-led-domain-kingsfund-nov14.pdf

Publication format:  PDF

Date of publication: November 2014

Summary of driver:

This paper has been written as a guide for board members to improve leadership and culture in preparation for CQC inspections. It provides an overview of aspects of culture within the organisation to ensure that trust boards have the tools they need to engage and motivate staff.

The main purpose of CQC inspections is to assess the quality of care delivered to patents. Following the Francis Report, the CQC are now starting to analyse leadership and the organisational culture of providers.

Key features of driver:

The report sets out five lines of enquiry (below) that the CQC believe will ensure that an organisation is well led, operates within a positive culture and has a high level of staff engagement. Each enquiry has a real life example of how an NHS Trust has achieved that line of enquiry via best practice.

  • inspiring vision – developing a compelling vision and narrative
  • governance – ensuring clear accountabilities and effective processes to measure performance and address concerns
  • leadership, culture and values – developing open and transparent cultures focused on improving quality
  • staff and patient engagement – focusing on engaging all staff and valuing patients’ views and experience
  • learning and innovation – focusing on continuous learning, innovation and improvement.

With regard to collective leadership and culture change, the following three phases have been identified in relation to the development of a leadership strategy.

  • discovery phase – thorough analysis of current situation and an informed view for the future
  • design phase – lists specific requirements for the next three- five years (individually and as a collective)
  • delivery phase – comprehensive details of the strategies and programmes required

The leadership strategy is the basis of a leadership development plan that sets out how the organisation will develop behaviour in order to deliver its strategy.

Primary audience: Trust Board, key stakeholders, NHS staff in general

Impact on library policy/practice: Retrieval of information associated with management and staff engagement

Date last updated:  November 2014

Due for review:  November 2015

Group member responsible: LK

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