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Systems Leadership

TVWLA Our offer on Systems Leadership

Click on the image below to view a presentaion on our offer for Systems Leadership for STP's and ACS's


Traditional solutions to the complex issues facing our health and social care organisations have focused on delivering interventions often in isolation from other parts of the system. For some time, clinicians, managers, patients and policymakers have seen the limitations of focussing on single organisational performance and regulation and have begun to build and experiment with ideas, plans and mechanisms to build joined-up integrated health and social care systems. This work has been further supported by the vision described in the Five Year Forward View (2014), The Care Act (2014), and the GP Forward View (2016). This groundswell of opinion and policy direction demands that organisations and individuals work together across patient pathways and within new models and frameworks of care that are no longer linear and boundaried. Furthermore, they demand a more inclusive approach and full engagement with patients, communities, citizens and staff to truly create a far more equal relationship between those who need services and those who provide them.

It should not be underestimated how huge the challenge of integrated health and social care is, nor the opportunities that it brings. Through the development and implementation of Sustainability and Transformation Plans, local systems will be driven towards more collaborative, diverse, inclusive, outcome focused approaches whilst maintaining quality, compassion, financial balance and effective individual performance. Such is the nature of the transformation ahead of us; it is naïve to believe that any one organisation will achieve it without the help and support of others and achieving such ambitions will demand a different kind of leadership than that established and required to run single organisations.

This brochure describes a way of understanding ‘Systems Leadership’. It aims to be the starting point of a conversation between those charged with bringing the Five Year Forward View (FYFV) into reality via the implementation of the Sustainability and Transformation Plans (STPs) and the Leadership Development Partners (LDPs) of the NHS Leadership Academy who can support developing the capacity and capability of leaders needing to work across organisational boundaries in a complex and ever-changing environment.

Please Note: The contact details listed in this brochure are no longer valid, a new version of this brochure is currently being produced and will be uploaded to this page when it becomes avaliable.

In the interim, if you do have questions or would like to contact us about Developing Systems Leadership please e-mail

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We know that the NHS and care systems are facing the biggest challenges in their history. Across the NHS, the local systems will have differing requirements. We know that systems are multi-faceted and multi-agency. Through leadership and system development, we will be working with you to support and address some of the Five Year Forward View Challenges (5YFV).

Systems leadership interventions play a wide-ranging, dynamic role. They help people build robust relationships and trust; share leadership where necessary; and have difficult conversations about complex issues with a view to obtaining real progress. They can include:

  • Building capacity for analytical thinking about a local system
  • Applying models and insights to support behaviour change
  • Framing debates in ways that motivate people to take action
  • Coaching and mentoring people to strengthen their leadership capacity
  • Connecting different parts of the system, including citizens, patients and service users
  • Creating deeper understanding of shared issues
  • Bringing people together to work differently

Systems leadership interventions provide bespoke, tailored support to help people in places move from planning to bring about sustained, and sustainable, change.

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