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“From microscope to management”

“From microscope to management”. Dr Mark Newbold CEO, Heart of England NHS FT. web: www.marknewbold.co.uk twitter: @drmarknewbold. 1. today. my journey into management CEO perspective on pathology and future questions / discussion. my journey - training.

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“From microscope to management”

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  1. “From microscope to management” • Dr Mark Newbold • CEO, Heart of England NHS FT web: www.marknewbold.co.uk twitter: @drmarknewbold 1

  2. today... • my journey into management • CEO perspective on pathology and future • questions / discussion

  3. my journey - training • 1983 - graduated from Birmingham Uni • 1984 - house jobs - Dudley Rd Hosp & QEH • 1985 - SHO pathology - General & Childrens • 1986 - Reg in Histopathology - Warwick Hosp • 1986-91 - Lecturer in Pathology, Med Sch • 1991 - Consultant at Warwick Hospital 1989 MRCPath 1991 MD

  4. my journey - post-training • 1991 - 1999 Consultant at Warwick Hospital • Head of Cytology / Postgraduate Clinical Tutor / Clinical Director of Pathology • ISM Mgt training / Dip. BA at Warwick Business School • 1999 - 2007 Consultant at Walsgrave / UHCW • Clinical Director of Pathology / Head of Division / Associate Medical Director • Managing Director, Rugby St Cross Hospital • Led Cov & Warks Acute Services Review for SHA • Aspiring CEO programme, West MIdlands SHA • 2007 - left clinical work for CEO post Board post

  5. some reflections... • build skills base in your own specialty • moving outside pathology is a key step • take lots of advice - mentor / coach / or just ask! • delegate - encourage, support, don’t always do! • there is no ‘black book’ • it’s all about people • don’t try to conform to management stereotype - understand what is needed and deliver it your way

  6. The real challenges! • persisting health inequalities • care quality - especially elderly care • variable / poor clinical outcomes • money - (£20bn) Nicholson challenge • outmoded approach to chronic illness • politics, esp. around ‘local’ services

  7. key issues for provider CEO? • clinical outcomes • patient satisfaction • targets - performance and quality • financial balance • governors / local issues • QIPP / £20bn challenge • shift from hospital to community / home care

  8. what would CEOs like from you? • guidance and advice • clear clinical planning / strategy • creation of clinical consensus • constructive involvement in ‘real world’ debate on resource / constraints • leadership on outcomes and quality

  9. future of pathology… • Nicholson challenge / economic outlook • Future of smaller hospitals / specialist services • Carter report - £500m efficiencies via rationalising? • GP direct access c50% work for most labs, with significant surplus – ie it subsidises hospital lab service • No real issues re quality / service standards

  10. predictions... • Split of hospital and GP/direct access pathology • Some reconfiguration of hospital services as result • Centralised processing for Cellular Path? • What about the consultants?? • Specialist clinical services • Telepathology • Where / How will bright young people like yourselves want to work?

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