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Evaluating the impact of a digital leadership programme on national digital priorities: a mixed methods study.
Acharya, Amish; Black, Ruth Claire; Smithies, Alisdair; Darzi, Ara.
  • Acharya A; Institute of Global Health Innovation, Imperial College London, London, UK.
  • Black RC; Institute of Global Health Innovation, Imperial College London, London, UK.
  • Smithies A; Institute of Global Health Innovation, Imperial College London, London, UK a.smithies@imperial.ac.uk.
  • Darzi A; Institute of Global Health Innovation, Imperial College London, London, UK.
BMJ Open ; 12(4): e056369, 2022 04 29.
Article in English | MEDLINE | ID: covidwho-1854346
ABSTRACT

OBJECTIVES:

This study aimed to determine the impact of the United Kingdom's National Health Service Digital Academy (NHSDA) Digital Health Leadership course on high-level recommendations in digital preparedness and the development of a proficient leadership to oversee digital transformation, which has been a longstanding priority within the NHS.

DESIGN:

A mixed methods study incorporating an online questionnaire, in-depth interviews and focus groups that were then analysed through a thematic analysis, underpinned by a constructivist approach. SETTINGS An online mixed methods study of a defined cohort of participants who had completed the NHSDA course.

PARTICIPANTS:

26 participants were recruited to the study, of whom 50% were clinicians, 26.9% in management and 19.2% in data science. All had completed the 2-year NHSDA programme in Digital Health Leadership more than 6 months prior.

RESULTS:

Interviews and focus groups elicited two key areas of impact of the course loco-regional digitisation and the development of a network of change agents. The dissertation project had direct effects on local digital transformation efforts. Most of these projects focused on clinician (11.7%) or service user (10.3%) engagement, as oppose to de novo digital processes (9.4%). The development of a network of digital leaders has facilitated communication between organisations and improved the efficiency of the national digital infrastructure.

CONCLUSIONS:

A bespoke course incorporating a dissertation of practice model for digital health leaders can have broader impact for the attainment of digital priorities. This includes helping trusts to successfully adopt digital solutions, as well as fostering shared organisational learning. These influences, however, are mediated by resource and cultural barriers, which continue to hinder transformation efforts.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: State Medicine / Leadership Type of study: Cohort study / Experimental Studies / Observational study / Prognostic study / Qualitative research / Randomized controlled trials Limits: Humans Language: English Journal: BMJ Open Year: 2022 Document Type: Article Affiliation country: Bmjopen-2021-056369

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Full text: Available Collection: International databases Database: MEDLINE Main subject: State Medicine / Leadership Type of study: Cohort study / Experimental Studies / Observational study / Prognostic study / Qualitative research / Randomized controlled trials Limits: Humans Language: English Journal: BMJ Open Year: 2022 Document Type: Article Affiliation country: Bmjopen-2021-056369