Good leadership starts with culture change

To create the right leadership culture in the NHS I’ve been looking at what we can learn from other organisations, but the truth is, there’s nowhere like the NHS.

No other nation has what we have in the NHS. No other healthcare system is as comprehensive or as big. There’s no organisation on earth on the scale of the NHS that deals with life and death decisions every single day, often in highly pressurised and challenging conditions. So there’s probably a lot the NHS has to teach others. 

But that doesn’t mean we should be complacent or that we can’t learn from others – particularly when it comes to leadership. The only organisations that come close to the NHS in size is the US Department of Defence, McDonald’s, Walmart and the Chinese People’s Liberation Army: Missiles, cheeseburgers and groceries! On the surface of it, not a lot in common with the NHS. But look at McDonald’s, for example: they’re nowhere near as important as the NHS. What they do is spectacularly less complex. Yet they start leadership training at shift manager level. They drive leadership training through every level of their company.