Leadership and Management in Healthcare: A Guide for Medical and Dental Practitioners

243 Pages·2023·5.745 MB·English

by  Stefan Abela

Leadership and
Management in
Healthcare
A Guide for Medical and Dental
Practitioners
Stefan Abela
123
Leadership and Management in Healthcare
Stefan Abela
Leadership and
Management in
Healthcare
A Guide for Medical and
Dental Practitioners
Stefan Abela
Oral Health Department
Norfolk and Norwich University Hospital NHS Foundation Trust
Norwich, UK
ISBN 978-3-031-21024-2 ISBN 978-3-031-21025-9 (eBook)
https://doi.org/10.1007/978-3-031-21025-9
© The Editor(s) (if applicable) and The Author(s), under exclusive license to Springer Nature
Switzerland AG 2023
This work is subject to copyright. All rights are solely and exclusively licensed by the Publisher, whether
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The use of general descriptive names, registered names, trademarks, service marks, etc. in this publica-
tion does not imply, even in the absence of a specific statement, that such names are exempt from the
relevant protective laws and regulations and therefore free for general use.
The publisher, the authors, and the editors are safe to assume that the advice and information in this book
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This Springer imprint is published by the registered company Springer Nature Switzerland AG
The registered company address is: Gewerbestrasse 11, 6330 Cham, Switzerland
This book is dedicated to my wife Dr. Milisha
Chotai, my parents Joseph and Pauline
Abela, my siblings Shawn and Maria Abela,
sibling-in-law Charmaine and Andrew and
my parents-in-law, Mrs. Sudha Chotai and in
loving memory of Dr. Narendra Chotai.
Preface
Managing complex clinical scenarios is a part of everyday practice for hospital doc-
tors, but these clinical management skills take time to acquire. Specialty training pro-
grammes in the UK are very thorough and train doctors to a very high clinical standard.
However, training in hospital management is not part of the approved curriculum and
in-depth guidance is often lacking or not provided at all. Final undergraduate students,
trainees and newly appointed consultants, in particular, can be faced with complex
management scenarios or may be tasked to solve crucial medical dilemmas. This is
equally valid in real life on a daily basis or in very important interviews with little or
no previous experience and knowledge on which to base their actions and responses.
A limited number of management skills can be acquired through specific training
programmes, but experience can only be gained with time. There is no formal path-
way to gain skills in this area and so this book aims to provide the information
necessary to facilitate and increase the ability of trainees to address potential issues
before they escalate.
Medical management and leadership is in a constant sphere of change. Changes
are dictated by governmental administrators and providers alike with the ultimate
aim being that of providing the ideal healthcare model. To this effect, some of the
diagrams, management concepts and bodies could have been modified or replaced
by the time this book is in full production.
This book provides general concepts and models and the reader should be aware
of the subtle differences that can be found between the national health services in
the different constituent countries that comprise the UK.
The author has, in the second part of the book attempted to outline strategies for
dealing with the management problems that arise, often on a daily basis. The con-
tents of this book will certainly increase the confidence of the reader preparing to
face interviews, examinations and daily life as a medical or dental practitioner. It
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will also be invaluable in obtaining familiarity with the system if you are preparing
to move oversees or if you are based in a commonwealth country with similar medi-
cal systems in place.
This book is ideal for final-year medical and dental undergraduate students, post-
graduate students including foundation-year doctors, medical and dental core train-
ees, registrars, specialist practitioners and newly appointed consultants.
Norwich, UK Stefan Abela
January 2023
Junior and Academic Grades Nomenclature
Junior Medical Grades Positions
FY1 Foundation year one junior doctor
FY2 Foundation year two junior doctor
ST Specialty trainee in a hospital specialty
SpR Specialty registrar in a hospital specialty
GPST Specialty registrar in general practice
Junior Dental Grades Positions
DFT Dental Foundation trainee (previously known as VT - Vocational training)
DCT1 Dental Core Trainee year one dentist
DCT2 Dental Core Trainee year two dentist
Dental Dental Specialist trainee
StR
Post- Post-Certificate of Completion of Specialist Training
CCST
Academic Medical Grades Positions
ACF Academic clinical fellow
CL Clinical lecturer
CRF Clinical research fellow
CSL Senior clinical lecturer
RD Reader
AP Associate professor
Prof Professor
Definitions of harm from the National Reporting and Learning System (NRLS)
No harm:
• Impact prevented—any patient safety incident that had the potential to cause
harm but was prevented, resulting in no harm to people receiving NHS-
funded care.
• Impact not prevented—any patient safety incident that ran to completion, but no
harm occurred to people receiving NHS-funded care.
Minor harm:
• Any patient safety incident that required extra observation, or minor treatment
and caused minimal harm to one or more persons receiving NHS-funded care.
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x Junior and Academic Grades Nomenclature
Moderate harm:
• Any patient safety incident that resulted in a moderate increase in treatment and
which caused significant but not permanent harm, to one or more persons receiv-
ing NHS-funded care.
Major harm:
• Any patient safety incident that appears to have resulted in permanent harm to
one or more persons receiving NHS-funded care.
Catastrophic harm (including death)
• Any patient safety incident that directly resulted in the death of one or more
persons receiving NHS-funded care.
Acknowledgements
I would like to thank the many people who saw me through the writing of this book
and to all those who provided support, talked things over and encouraged me to
persevere in seeing the book through to publication.
Heartfelt thanks go to my family, who supported and encouraged me. Above all,
I would like to express my deepest gratitude to my wife, Dr. Milisha Chotai (DDS,
PGCert, MSc, MSc), because her support and help never fail to surprise me. She has
been invaluable and understanding in many ways, despite my commitment to the
book taking me away from being close to her in times of need.
The final thanks should go to all those who have been involved in the peer-review
process; William Mifsud, Harshini Pindolia, Nitin Thacker, Salehi Mahan, Ramayee
Sivasubramanian, Issar Hussain , Catherine Liu, Ryan Seguna, Ajay Kumar, Ronnie
Farrugia and John Cutajar amongst others and all those whose names I will not
mention to ensure that nobody feels forgotten.
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