The future of leadership and management in the NHS

The conclusions of the King’s Fund commission on leadership and management in the NHS.

The King’s Fund set up a commission on leadership and management in the NHS with a brief to:

  • take a view on the current state of management and leadership in the NHS
  • establish the nature of management and leadership that will be required to meet the quality and financial challenges now facing the health care system
  • recommend what needs to be done to strengthen and develop management and leadership in the NHS.

The future of  leadership and management in the NHS: no more heroes reflects the conclusions of the commission’s work.

The conclusions challenge some of the negative attitudes towards managers, as well as current plans for major reductions in management and administration costs. The commission believes that the NHS needs to move beyond the outdated model of heroic leadership to recognise the value of leadership that is shared, distributed and adaptive. In the new model, leaders must focus on systems of care and not just institutions and on engaging staff in delivering results.

The commission emphasises the contribution of both general managers and clinical managers to leadership, the fact that leaders exist at all levels – from the board to the ward – and the increasing importance of leadership across systems of care as well as in individual organisations.

Related downloads

The future of leadership and management in the NHS: no more heroes Download PDF document