A Guide to Medical Leadership & the NHS 2020-21


Explore the UK healthcare system. Develop your ability to engage with others on the subject.

  • Improve everyday leadership by understanding the system
  • Conflicting challenges facing the NHS
  • Drivers and experiences of change
  • NHS history structures and finances
  • The different approaches across the UK
  • All information is related to medical leadership

SKU: N/A Category:


The NHS is huge and complex. The numerous organisations which form its constituent parts continually evolve, divide, grow and merge. Processes, authority and responsibilities forever shift with each change of the political winds. How can any single person ever expect to exert a worthwhile degree of influence, even if they wanted to?

Over the course of 163 pages, ‘A Guide to Medical Leadership & The NHS 2020-21’  explores the history, structures and finance of the NHS. We consider the key drivers of organisational change, the conflicting challenges facing the NHS and the different approaches being taken by each of the four home nations of the UK. Revised December 2019, we continually relate the ‘big’ topics to everyday leadership for doctors and clinicians of all disciplines.

Choose from:

  • A paperback version of the guide sent by post
  • A non-printable PDF download version

Both versions of the book include exercises which are designed to help you develop your thoughts and experiences by committing them to writing.  The newest version of our non-printable PDF has been created with this in mind, and allows you type in responses to exercises within the digital document which can then be saved for future reference.

Please note: If you book to attend our Everyday Medical Leadership & The NHS course then you receive a hard copy of this book at the event as part of your package.

Significant legislative and structure changes are planned for the NHS in England from April 2022. However, these changes are not yet finalised in law. Relevant sections of this book will be revised once the relevant Act of Parliament has passed. When you purchase this book, we will also provide you with an updated pdf version as soon as it is available.

See a preview of the first chapter below.



Chapter 1:  Introduction

1.01 ‘A moral and professional responsibility’

1.02 About this book

1.02 Your current perceptions

Chapter 2: What is wrong with the NHS?

2.01 What do you think?

2.02 Financial headlines

2.03 The triple aim and the triple tension

2.04 Politics and inconsistency

2.05 Vacancies

2.06 What does the British public think?

2.07 Evidence based medical leadership

2.08 What do patients and their carers think?

2.09 Errors

2.10 Behaviour

2.11 Workforce morale

2.12 Burnout

Chapter 3: Drivers, reactions and experiences of change

3.01 Can there be a positive way forward?

3.02 Typical reactions to change

3.03 What is changing at present?

3.04 Drivers of change: PESTLE

3.05 PESTLE interactions and impact

3.06 Choosing your response to change

3.07 Clinical Governance

Chapter 4: The history of the NHS

4.01 Why is history important?

4.02 The birth of the NHS

4.03 Founding principles of the NHS

4.04 Prescription charges – an early change

4.05 A history of innovation, progress and achievement

4.06 From innovation to expectation to complacency

4.07 Key reports and restructures

4.08 Five Year Forward View (5YFV) – NHS England

4.09 The Long Term Plan – NHS England

4.10 Future direction across the UK

Chapter 5: Structures of the NHS

5.01 Who are ‘The NHS’?

5.02 Common organisational elements of the four NHS systems

5.03 The structure of the NHS in England

5.04 The structure and direction of the NHS is Scotland

5.05 The structure and direction of the NHS in Wales

5.06 The structure and direction of the NHS in Northern Ireland

5.07 Your interaction within the structure

Chapter 6: Finance and the NHS

6.01 Where does the money come from?

6.02 The deficit

6.03 How does the money flow?

6.04 Population age distribution

6.05 The impact of lifestyle

6.06 Comparisons with different countries

6.07 The NHS workforce

6.08 Property and PFI

6.09 ‘Unwarranted variations’

6.10 An ‘ethical duty to prevent waste’

6.11 Difficult decisions

Chapter 7:  Going forward

7.01 Dare to be optimistic for the NHS?

7.02 Your reflections


Additional information

Book Type

Digital Download, Large Paperback