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Evaluating clinical leadership: a case study

Abstract

Purpose
The paper aims to describe an evaluation study of advanced leadership programmes run for clinical leaders in the National Health Service (NHS) in England.

Design/methodology/approach
This was a limited, post-hoc study, strongly influenced by a “moving target” problem, which collected and analysed reaction and learning-level data through e-mail questionnaires, document analysis and semi-structured interviews.

Findings
Significant underlying unchecked assumptions in relation to the programmes were made and were never realised in practice. There were split funding arrangements and lack of clarity over the purpose of the programmes. While there were organisational and individual benefits achieved the programmes only partly met their original objectives.

Research limitations/implications
The post-hoc nature of the research study was a major limitation, together with the “bespoke” nature of programme delivery, This meant that the findings of the study were broad and general, rather than specific to each individual programme. Future evaluation studies would need to be planned with the programme design, rather than as an afterthought.

Practical implications
Robust project management arrangements are necessary for steering purposes in such complex leadership development programmes. A continuing diagnostic orientation is needed on the part of the programme provider. Programme titles matter – and create expectations. The contractual model potentially creates tensions between client(s) and provider.

Publication Date Jan 1, 2009
Journal Leadership in Health Services
Print ISSN 1751-1879
Publisher Emerald
Pages 2010-224
DOI https://doi.org/10.1108/17511870910978132
Keywords NHS, leadership, leadership development
Publisher URL https://doi.org/10.1108/17511870910978132

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