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Darzi Clinical Leadership Fellows: an activity theory perspective
Rebecca Malby1, Kieran Mervyn1, Terry J Boyle1
1School of Health and Social Care, London South Bank University , London, UK.
Journal of Health Organization and Management
|October 10, 2018
Summary
The Darzi Clinical Leadership Fellowship successfully equips fellows to drive sustainable change in healthcare services. This program fosters systems leadership, delivering lasting value and innovation within the NHS.
Area of Science:
- Healthcare Management
- Leadership Studies
- Health Services Research
Background:
- The Darzi Clinical Leadership Fellowship aimed to cultivate leaders capable of driving change within UK health and care services.
- Assessing the long-term impact of leadership development programs is crucial for healthcare quality improvement.
Purpose of the Study:
- To evaluate the impact of the Darzi Clinical Leadership Programme on fellows' ability to lead change projects.
- To determine the sustainability of quality healthcare improvements initiated by fellows beyond the program's duration.
Main Methods:
- A longitudinal empirical investigation was conducted over eight years, involving 80 clinical leaders.
- Activity Theory (AT) provided the framework for a mixed-methods research approach.
Main Results:
- Activity Theory analysis demonstrated sustained change within NHS London services due to the Darzi Fellowship.
- The program showed success in fostering sustained learning and positive behavioral changes among fellows across the NHS.
- Fellows continue to innovate and lead systemic change, utilizing skills gained during the fellowship.
Conclusions:
- The Darzi fellowship creates a valuable network of systems thinkers committed to evidence-based healthcare change.
- Investment in this systems leadership program yields significant value for the NHS.
- Further support is needed for fellows' ongoing development as they advance in leadership roles.
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