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Making sense of place-based clinical leadership: is England catching up?
  1. Ted Adams1,2,
  2. Danny Ryan1,3,
  3. Richard Taunt1
  1. 1 Kaleidoscope Health and Care, Cannon Wharf, London, UK
  2. 2 Obstetrics and Gynaecology, Ormskirk and District General Hospital, Ormskirk, UK
  3. 3 Faculty of Medical Leadership and Management, London, UK
  1. Correspondence to Dr Ted Adams, Kaleidoscope Health and Care, Cannon Wharf, London SE8 5EN, UK; tedadams{at}


Introduction Successful health care organisations have understood the need to engage with clinicians, with a resulting desire for clinical leaders to emerge and be trained.

Sustainability and transformation plans (STPs) The development of sustainability and transformation plans has highlighted the need for clinical leaders to be engaged at every level of each regional plan. The plans are based around a geographical area rather than being focussed on pre-existing organisations, so-called place-based plans. Health care place-based plans need place-based clincal leaders.

Examples of clincial place-based leadership Clinical leaders have existed across boundaries before STPs were developed, for example in Canterbury District Health Board in New Zealand or closer to home in Wales.

Conclusion We discuss the benefits that removing organisation boundaries could have on clinical care, believing that as patients cross organisational boundaries so should their health care and so should clinical leaders.

  • place-based care
  • clinical leadership
  • medical leadership
  • sustainability

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  • Contributors TA conceived the idea and wrote the first draft of the manuscript. DR and RT provided significant input in second and subsequent drafts and the final version.

  • Funding This research received no specific grant from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests Kaleidoscope Health and Care is a community interest company, regulated by the office of the regulator of community interest companies who may from time to time apply for work in and around organisations wishing to develop their leadership capabilities.

  • Patient consent Not required.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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