Read extracts of HH reports that have been included in the HSJ and HR Magazine:
- 2014: Included in the Health Services Journal: Remove the glass ceiling for undervalued staff
- 2013: Included in HR Magazine: 93% of employees would strongly consider leaving their employer due to a culture of fear
- 2013: Included in HR Magazine: UK leaders must change attitudes and cultures to help the economy grow, report finds
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Hillcroft House reports and articles are listed below2017: Trump's Victory was Predictable
Click here to read the article Trump’s Victory was Predictable
19th January 2017 by Adam Crizzle & Angela Zvesper with editorial by Mat Dowle2015: Growing management numbers in the NHS
In the build-up to the 2015 general election, David Cameron referred to NHS Management as “a bureaucrat with a clipboard”. Media coverage has questioned the comparison between the numbers of doctors, nurses and other clinical staff with the high numbers employed in management of the NHS. National reports show that the perception of bullying behaviours is increasing in the NHS. Could this behaviour in any way be connected to the increased disparity between the numbers employed in management and those responsible for the medical and clinical needs of the NHS? Is it also one of the reasons for an abundance of whistleblowing cases?2014: Leading a ‘360° Compassionate’ NHS Organisation
In February 2014 the Secretary of State for Health, Jeremy Hunt MP, sent a message to all NHS staff one year on from the publication of Sir Robert Francis’ report about the failings in Mid Staffordshire. “I know the reason so many of you choose to work in the NHS is because you want everyone facing a horrible illness to be guaranteed safe and kind care. And that’s exactly what the vast majority of NHS care is: a world class service for us and our families when we need it the most. But the lesson of Mid Staffs is that the system needs to be more honest more quickly where things do go wrong… Of course, it takes time to change culture, and there is much, much more to do.”
This report shows how training in the NHS can be applied on a wider scale and in doing so work towards the goal of improving patient care by creating a 360 degree compassionate NHS organisation.
Click on report image to read the full report2014: Who Cares for the Carers? NHS Equality, Diversity & Inclusion in England
This report was included in the Health Services Journal: Remove the glass ceiling for undervalued staff in 2014 and presents the findings of the investigation into how effective NHS employees feel Equality and Diversity is being conducted throughout England. After establishing the extent that the employer promoted Equality and Diversity and how effective this promotion translated to the employees, it was found that between 2008 and 2014: Over 90% of all employees said that their employer had a policy to cover Equality and Diversity and promoted this culture throughout their organisation. Nationally, fewer NHS females than males consistently feel valued and included by their employer. The number of BME and GLBT who feel valued and included by their employer has significantly increased. Although over half of the males surveyed consistently feel valued and included by their employer, there has been no significant increase.
Click on report image to read the full report2013: NHS Leadership Culture 2014 & Beyond Life after Mid Staffordshire and the Francis Inquiry
The Report NHS Leadership Culture 2014 and Beyond, began in 2007; however, its importance became even more apparent when on Wednesday 6th February 2013 the results of the inquiry into Mid Staffordshire NHS Foundation Trust were published. These results identified numerous warning signs, all of which signalled concerns for the rest of the National Health Service.
The Francis Report is both objective and meticulous. It identifies: “an insidious negative
culture involving a tolerance of poor standards” and “a disengagement from managerial and leadership responsibilities.” Is Mid Staffs unique in this, or is such dysfunction common throughout the country?
We find that much research carried out between 2009 and 2013 reveals leadership concerns:
- ineffective management, which is estimated to be costing UK businesses over £19 billion per year in lost working hours;
- 93% of NHS employees claim current leadership training is ineffective.
Click on report image to read the full report2013: UK Leadership - Is it working? The Facts
This report considers the responses given by employees in both the National Health Service (NHS) and the private sector in answer to the following questions:
- Are you aware whether your line manager has attended leadership training in the last 12 months?
- Have you seen any change for the better in his or her leadership style since their attendance at that training?
The first survey (2008) was conducted in seven UK regions. It was repeated five years later (2013). A total number of 1000 employees were interviewed. 500 were employed in the NHS and 500 employed by private sector companies.
This report compares the results of these two surveys and seems to indicate from the responses of those questioned, the following:
- After attending leadership training, private sector managers are more effective than are NHS managers at utilising that training to prompt improvement in their leadership behaviour.
- In 2008, 55% of private sector employees were aware that their line manager had attended leadership training in the previous twelve months. By 2013, this figure had decreased to a mere 22% of employees questioned. While in that same year (2008) 83% of NHS employees thought their manager had attended leadership training in the previous twelve months, this figure had decreased to 47% by 2013.
The report concludes that:
- Leadership training provided to the private sector is apparently more effective than that provided to the NHS. Despite this, 75% of private sector employees either “disagree” or “disagree strongly” when asked if they had seen any change for the better in the leadership behaviour of their manager subsequent to him or her attending training. In the NHS this figure was even higher at 93%.
- Since 2008 there has been a decline of investment in leadership development. This decline has been one major factor in the current people challenges which now face the UK. The potential consequence of ineffective and poor leadership on UK private sector businesses is a decrease in profitability and performance.
The resulting impact on the NHS has been covered in the findings of the Francis Inquiry
This report has been written for UK private sector executives, for NHS Chief Executives and for senior members of HR departments. Its purpose is to encourage them to consider whether these findings might apply to their own organisations. It should also support them in instigating plans which aim at reversing the findings in this report.
Click on report image to read the full report2013: The Good, The Bad, The Ugly Leadership into the 3rd decade
‘The Good, The Bad, The Ugly’ focusses on real case studies drawn from both the public and private sectors:
- The Good: How exceptional leaders have made a difference to business performance
- The Bad: The impact on an organisation of leaders who lack self-awareness
- The Ugly: The results speak for themselves!
Click on report image to read the full report2012: UK Management Culture of Fear? A comparison of employees perception of management culture in the UK
This report considers employees’ perception of the:
- Performance appraisal processes and results
- Leadership qualities of their direct line manager
- Satisfaction levels when working for their current employer
The results show that:
- In 2008, 58% of employees felt that their direct line manager did notcommunicate effectively and concisely until the formal performance appraisalprocess. By 2012, this figure had increased to 72%
- The quality of essential leadership and engagement skills necessary for amanager halved or more than halved between 2008 and 2012
- The 2012 results show a higher than expected rise in the number of dissatisfiedemployees, with 90% definitely considering leaving their current employer
This report compares employees perception of management culture in the UK (2012 compared with 2008).
It considers employees’ perception of the:
- Performance appraisal processes and results
- Leadership qualities of their direct line manager
- Satisfaction levels when working for their current employer.
Click on report image to read the full report2011: Why Should Anyone Be Led By You?
This report has been completed to establish how the type of leadership skills a manager possesses can be linked with their ability to effectively manage performance issues, achieve deadlines and minimise the behaviours that lead to the perception of bullying in the workplace. It follows two previous surveys which were the baseline for this report.
500 employees were surveyed nationally and asked to respond to questions in order to capture their perception of their direct line manager’s leadership skills.
Click on report image to read the full report2011: Survey - Managing Poor Performance
Research has shown there is a knowledge and skills gap in the way organisations are managing performance challenges. The gaps are costing organisations thousands of pounds in tribunal costs, sickness and conflict.
The Roffey Park Institute has shown that just over half (51%) of public sector managers said underperformance was tackled ‘not at all well,’ whereas the figure for the private sector was 34%. While 64% of private sector managers described themselves as‘very confident’ about tackling underperformance, the figure for public sector managers was just 49%.
In Q1 2011 Hillcroft House asked 250 managers nationally to highlight their top three concerns when managing performance issues:
The results were:
1. Not having the right skills (42%)
2. Not having the confidence (39%)
3. Not knowing how to apply the relevant policies (19%)
The survey findings also highlighted there was an adverse impact on several indicators including:
2010: Bullying and Harassment in the NHS - A Solution to Overcome the Challenge
- Low productivity,
- Low motivation,
- Negative mindset,
- Poor communication,
- High stress levels.
This interim report has been written as a practical response to the costly bullying and harassment challenges which exist among NHS staff and are currently being experienced across all regions.
The evidence for bullying and harassment is highlighted in the NHS Health and Well-being Review led by Dr Steven Boorman, (November 2009) and produced after Dame Carol Black’s report Working for a healthier tomorrow (March 2008).
Click on report image to read the full report2008: Survey How effective are managers at communicating with their staff?
Of the 350 employees we surveyed about their employer’s annual review process:
- 42% said the feedback they received was accurate and fair
- 36% said the feedback was the same as they received at their previous review
- 22% said that although they agreed with the feedback on the day it was unexpected
This survey suggests that 58% of employees are not being communicated to effectively by their direct line manager until the annual review.
This survey was conducted accoss the UK* with employees from private sector organisations
* 7 UK regions
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