Messenger Review

Health and Social Care Review: Leadership for a Collaborative and Inclusive Future
Completed
General Sir Gordon Messenger and Dame Linda Pollard · Published 8 June 2022 · Commissioned by DHSC
Health & Social Care

Independent review examining leadership and management across health and social care in England. Identified cultural, structural and talent management weaknesses and proposed system-wide changes to leadership standards, accreditation and career pathways for NHS managers.

7recommendations

Government Response

All 7 recommendations accepted by the Health and Social Care Secretary on the day of publication. Government committed to NHS-wide management standards and a new career and talent management function.

8 June 2022

Recommendations

Recommendation 1
DHSC response_published
1. Targeted interventions on collaborative leadership and organisational values. A new, national entry-level induction for all who join health and social care. A new, national mid-career programme for managers across health and social care.
Recommendation 2
DHSC response_published
2. Positive equality, diversity and inclusion (EDI) action Embed inclusive leadership practice as the responsibility of all leaders. Commit to promoting equal opportunity and fairness standards. More stringently enforce existing measures to improve equal opportunities and fairness. Enhance CQC role in ensuring improvement in EDI outcomes.
Recommendation 3
DHSC response_published
3. Consistent management standards delivered through accredited training A single set of unified, core leadership and management standards for managers. Training and development bundles to meet these standards.
Recommendation 4
DHSC response_published
4. A simplified, standard appraisal system for the NHS A more effective, consistent and behaviour-based appraisal system, of value to both the individual and the system.
Recommendation 5
DHSC response_published
5. A new career and talent management function for managers Creation of a new career and talent management function at regional level, which oversees and provides structure to NHS management careers.
Recommendation 6
DHSC response_published
6. More effective recruitment and development of non-executive directors Establishment of an expanded, specialist non-executive talent and appointments team.
Recommendation 7
DHSC response_published
7. Encouraging top talent into challenged parts of the system Improve the package of support and incentives in place to enable the best leaders and managers to take on some of the most difficult roles.