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In-programme leadership development for psychiatric higher trainees: The Royal College of Psychiatrists’ Leadership and Management Fellow Scheme
  1. Deepa Bagepalli-Krishnan1,
  2. Russell Gibson2,
  3. Satnam Goyal3,
  4. Ba Min (Adam) Ko4,
  5. Alex Till5,6,
  6. Helen Crimlisk7,8
  1. 1School of Psychiatry, Health Education England (East Midlands), Nottingham, UK
  2. 2School of Psychiatry, Health Education England (South West), Bristol, UK
  3. 3School of Psychiatry, Health Education England (East of England), Cambridge, UK
  4. 4School of Psychiatry, Health Education England (London), London, UK
  5. 5School of Psychiatry, Health Education England (North West), Liverpool, UK
  6. 6Director Leadership and Management Fellow Scheme, Royal College of Psychiatrists, London, UK
  7. 7Associate Registrar for Leadersip & Management, Royal College of Psychiatrists, London, UK
  8. 8Sheffield Health and Social Care NHS Foundation Trust, Sheffield, UK
  1. Correspondence to Dr Alex Till, School of Psychiatry, Health Education England North West Liverpool, Liverpool, UK; alextill54{at}


Introduction The Royal College of Psychiatrists’ (RCPsych) Leadership and Management Fellow Scheme was established to develop and support a new cohort of medical leaders within psychiatry. Sponsored and mentored by a trainee's local education provider, the scheme combines a high-impact national leadership and management training programme, with a novel in-programme apprenticeship model, where Fellows gain local leadership experience.

Method An internal review team conducted a mixed-methods evaluation of feedback from Fellows and Mentors on the scheme’s structure, delivery, provision of individual leadership development and the impact fellows had on their teams and the organisations within which they were embedded.

Results With a response rate of 67% (n=20) from Fellows and 30% (n=7) from Mentors, a clear benefit from the scheme was observed, alongside opportunities for improvement. Strengths of the scheme included the bespoke in-programme design, mentoring from a senior medical leader, networking opportunities, and experiential learning through local leadership experience, which additionally promoted medical engagement within organisations. Opportunities for improvement included strengthening existing offers, particularly mentoring relationships and enhancing the network established between fellows.

Conclusions A bespoke, uniprofessional and in-programme leadership and management fellow scheme can play an important role in the development of future medical leaders within psychiatry.

  • trainees
  • role modeling
  • medical leadership
  • coaching
  • clinical leadership

Statistics from


  • DB-K and RG are joint first authors.

  • Twitter @alextill54, @helencrimlisk

  • Contributors DBK, RG, BMK and SG planned this evaluation in collaboration with AT. DK and RG analysed the survey results. All contributed to writing the paper.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests AT is the founder and director of the RCPsych Leadership and Management Fellow Scheme and led its development in collaboration with HC. RG, DBK, BMK and SG were inaugural RCPsych Leadership and Management Fellows and led this evaluation.

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

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