This section has been written by Stuart Holmes, medical
student at Manchester University:
Next Stage Review: High Quality Care
In 2008, the government asked a surgeon, Lord
Ara Darzi, to undertake a review of the NHS for its 60th
Birthday. His final report, entitled
High Quality Care For All, set out a vision for a
health service with quality at its heart.
To enact this he called for the development of
leadership and management skills for clinicians. He argued
that clinicians are at the frontline so are best placed to improve
Liberating the NHS
The 2010 Health White Paper,
Liberating the NHS, affirmed the development of
leadership and management skills for doctors.
The health reforms in the White Paper give
primary care clinicians responsibility for purchasing (i.e.
commissioning) care from provider organisations like
hospitals. This new architecture for the NHS will require
certain doctors to take unprecedented financial and managerial
responsibility for their actions.
How has this been
The NHS Institute and the Academy of Medical
Royal Colleges developed the
Medical Leadership & Competency Framework for doctors to
use to guide their development of these skills (see section
below). This has been embedded into both medical school and
postgraduate specialty curricula.
There are now lots of opportunities for
doctors to develop these skills in their postgraduate training,
either through out of programme fellowships or alongside their
training programmes. Less is provided for medical students
but many medical schools do now offer opportunities like SSCs in
leadership and management (see the ‘How can I develop leadership
skills?’ section below).