Comparative Analysis between the Clinical Leadership Concept between the UK and Lebanon

by

Mohamad Hajaj

Keele University

2009-2012

TABLE OF CONTENTS

CHAPTER 1: INTRODUCTION1

Background of the Study1

Problem Statement2

Purpose of the Study2

Research Questions3

CHAPTER 2: LITERATURE REVIEW4

History of NHS4

Lebanese Health Care4

Innovations in Health Care System5

Current trends in Healthcare Leadership7

Role of Healthcare leadership in Innovation8

Example of Innovations in Healthcare Leadership8

Healthcare Leadership in UK9

Healthcare Leadership in Lebanon11

CHAPTER 3: METHODOLOGY12

Questionnaire Survey12

Reliability12

Research Validity13

Ethical Considerations14

REFERENCES15

APPENDIX - A17

Interview Questionnaire with the Minister of Health, Lebanon17

APPENDIX - B18

Survey Questionnaire18

CHAPTER 1: INTRODUCTION

Problem Statement

Lebanon's Health care system, unlike the UK, is predominantly private with a few patchy governmental health institutes providing the health care for Lebanese citizens. Although the majority of health care is provided by private hospitals in Lebanon which are owned by either individuals or enterprises the key managers such as the medical directors and CEOs are clinicians.

Background of the Study

Leadership is an important part of the profession of doctors. According to the General Medical Council (GMC), leadership is an important requirement for all doctors. This requirement has been published in the General Medical Council's publication Good Medical Practice, Tomorrow's Doctors and also Management for Doctors.

The most important factor for doctors in their profession is their professional practice. However, doctors are a part of systems and organizations. It is important for doctors to have an influential impact of patients and their experiences. The legal duty performed by doctors is broader than any other healthcare profession. As a result, doctors are expected to play a leadership role in healthcare services. It is the responsibility of doctors to contribute towards the effective functioning of the organization. The development of leadership skills should be the most important aspect of the training and learning of organizations. The Medical Leadership and Competency Framework aims to enable doctors to become a practitioner, a leader, and a partner.

Leadership is a contested topic that has different meanings for different people. The concept of leadership across different cultures, contexts, andregions. The Academy of Medical Royal Collegesand the NHS Institute for Innovation and Improvement have published a competency framework that involves the concept of shared leadership. There is a widespread agreement that this framework will be integrated in the curriculum of all stages of medical education in the United Kingdom.

Figure 1: Medical Leadership Competency Framework

Purpose of the Study

The purpose of this project is to analyse the understanding of the clinical leadership concept

in UK and Lebanon and to compare in depth how it is practised in both countries and what

impacts it has on the quality of health care. In the UK the profile of Clinical Leadership has risen

dramatically recently especially after Lord Darzi's Report/Next Stage Review which established

a shared vision of an NHS that has quality of care at its heart. The report suggests that providing

high quality care requires the frontline professionals to be empowered to make the daily

decisions and lead to a change that improves quality. Good

The comparison and analysis will involve both private and public sectors in the UK as well as in Lebanon.

Research Questions

Following ...