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Leadership and management

for all doctors

General Medical Council

Overview: Leadership and management for all doctors

Leadership and management for all doctors sets out the wider
management and leadership responsibilities of doctors in the
workplace, including:

responsibilities relating to employment issues

teaching and training
planning, using and managing resources
raising and acting on concerns
helping to develop and improve services.

The guidance applies to all doctors, whether they work

directly with patients or in a formal management role.

Background: The GMCs statutory power to advise

The Medical Act 1983 gives the GMC power to provide, in

such manner as the Council think fit, advice for members of
the medical profession on

standards of professional conduct;

standards of professional performance; or

medical ethics

Background: The GMCs Guidance on good practice

Personal Beliefs
in Medical Practice

Good Practice in

Good practice in
Research &
Consent to research
Acting as an
Expert Witness

Development of Leadership and management

Last review was 2004/6 published Management for

doctors in 2006
Part of the regular review of all GMC guidance to
ensure it is:

Up to date

Reflects a consensus between doctors and the


Is relevant to doctors practice

This review started in November 2009
New edition published in January 2012

Development: Initial scoping and Consultation

Early scoping of likely issues between Nov 09 and Jan 10; Working group
formed April 2010

Consultation launched 7 March; closed 3 June 2011

Two separate questionnaires (long and short)

Also consulted on Raising and acting on concerns about patient safety and
Writing references

Publication follows two years of development, Jan 2009 Jan 2011

Summary of Leadership and management

Leadership and management for all doctors:

Establishes a framework of principles within which doctors can exercise

professional judgement
Sets out the wider management and leadership responsibilities of doctors in the
Recognises that the implementation of principles will differ depending on
Emphasises promoting strong and effective management and leadership for all
The guidance was published in January and came into effect 12 March 2012

Whats new in Leadership and management?

New guidance on:

Duties of a doctor in the workplace


Planning, using and managing resources

Induction and mentoring

Performance review and revalidation

And the guidance is separated to apply to all doctors and
doctors with extra responsibilities

Whats new: Duties of a doctor in the workplace

Doctors must:

Engage with colleagues to maintain and improve the

safety and quality of patient care.
Contribute to discussions and decisions about improving
the quality of services and outcomes.
Raise and act on concerns about patient safety.
Demonstrate effective team working and leadership.
Promote a working environment free from unfair
discrimination, bullying and harassment, bearing in mind
that colleagues and patients come from diverse
Contribute to teaching and training doctors and other
healthcare professionals, including by acting as a
positive role model.
Use resources efficiently for the benefit of patients and
the public. (para 2)

Whats new: Leadership

Focus on wider management and leadership

responsibilities of doctors in the workplace

Concept of Shared leadership:

The formal leader of the team is accountable for

the performance of the team, but the responsibility
for identifying problems, solving them and
implementing the appropriate action is shared by
the team as a whole. (para 3)

Whats new: Using resources

A new, clearer approach to the skills and competencies

that all doctors need to effectively manage resources:

Whatever your role or level in your organisation,

whether you are a junior, non-training grade or other
doctor, you should be willing to demonstrate leadership
in managing and using resources effectively. (para 79)

Whats new: Induction

Emphasis on the importance of access to induction and

mentoring for all doctors:

You must take part in the induction offered by your employer

when you join an organisation or move into a new role. You
should also contribute to the induction of colleagues when
asked. (para 54)

And, doctors with extra responsibilities must ensure induction

is provided.

Learning materials

Case study on raising and acting on concerns

about patient safety
Webpage exploring shared leadership
Online resources to help doctors with difficult
discussions with their patients
Good Medical Practice in Action

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