Traditional solutions to the complex issues facing our health and social care organisations have focused on delivering interventions often in isolation from other parts of the system. For some time, clinicians, managers, patients and policy makers have seen the limitations of focussing on single organisational performance and regulation and have begun to build and experiment with ideas, plans and mechanisms to build joined-up integrated health and social care systems. This work has been further supported by the vision described in the Five Year Forward View (2014), The Care Act (2014), and the GP Forward View (2016). This groundswell of opinion and policy direction demands that organisations and individuals work together across patient pathways and within new models and frameworks of care that are no longer linear and boundaried. Furthermore they demand a more inclusive approach and full engagement with patients, communities, citizens and staff to truly create a far more equal relationship between those who need services and those who provide them.
It should not be underestimated how huge the challenge of integrated health and social care is, nor the opportunities that it brings. Through the development and implementation of Sustainability and Transformation Plans, local systems will be driven towards more collaborative, diverse, inclusive, outcome focused approaches whilst maintaining quality, compassion, financial balance and effective individual performance. Such is the nature of the transformation ahead of us; it is naïve to believe that any one organisation will achieve it without the help and support of others and achieving such ambitions will demand a different kind of leadership than that established and required to run single organisations.
This brochure describes a way of understanding ‘Systems Leadership’. It aims to be the starting point of a conversation between those charged with bringing the Five Year Forward View (FYFV) into reality via the implementation of the Sustainability and Transformation Plans (STPs) and the Leadership Development Partners (LDPs) of the NHS Leadership Academy who can support developing the capacity and capability of leaders needing to work across organisational boundaries in a complex and ever changing environment.
Over the coming weeks we will be launching our local interventions to support our South West system.