Potential challenges facing distributed leadership in health care: evidence from the UK National Health Service

Martin, Graeme; Beech, Nic; MacIntosh, Robert; Bushfield, Stacey

Abstract

The discourse of leaderism in health care has been a subject of much academic and practical debate. Recently, distributed leadership (DL) has been adopted as a key strand of policy in the UK National Health Service (NHS). However, there is some confusion over the meaning of DL and uncertainty over its application to clinical and non‐clinical staff. This article examines the potential for DL in the NHS by drawing on qualitative data from three co‐located health‐care organisations that embraced DL as part of their organisational strategy. Recent theorising positions DL as a hybrid model combining focused and dispersed leadership; however, our data raise important challenges for policymakers and senior managers who are implementing such a leadership policy. We show that there are three distinct forms of disconnect and that these pose a significant problem for DL. However, we argue that instead of these disconnects posing a significant problem for the discourse of leaderism, they enable a fantasy of leadership that draws on and supports the discourse

Citation

Martin, G., Beech, N., MacIntosh, R., & Bushfield, S. (2015). Potential challenges facing distributed leadership in health care: evidence from the UK National Health Service. Sociology of health and illness, 37(1), 14-29. https://doi.org/10.1111/1467-9566.12171

• Journal Article Type: Article
• Acceptance Date: Apr 3, 2014
• Online Publication Date: Dec 20, 2014
• Publication Date: 2015-01
• Deposit Date: Jul 19, 2019
• Publicly Available Date: Jul 26, 2019
• Journal: Sociology of Health & Illness
• Print ISSN: 1467-9566
• Publisher: Wiley
• Peer Reviewed: Peer Reviewed
• Volume: 37
• Issue: 1
• Pages: 14-29
• DOI: https://doi.org/10.1111/1467-9566.12171
• Keywords: leadership; health care; NHS; distributed leadership; leaderism
• Public URL: http://researchrepository.napier.ac.uk/Output/1914580
• Related Public URLs: https://discovery.dundee.ac.uk/en/publications/potential-challenges-facing-distributed-leadership-in-health-care
• Contract Date: Jul 26, 2019