title: NHS Lanarkshire's leadership development programme's impact on clinical practice.
abstract: OBJECTIVE
  The purpose of this paper is to explore the effect of a clinical leadership programme on senior clinicians within National Health Service Lanarkshire, in terms of key constituents for fostering leadership development, specific skills developed and impact this has had on clinical practice.
  
  
  METHODS
  A qualitative research design was employed over several stages, involving 44 senior clinical managers, with member validation substantiating findings and thematic analysis used to analyse data collected.
  
  
  RESULTS
  The programme's impact was evident in acknowledged change to participants' attitude, behaviour and performance with examples conveyed to demonstrate both the effect on clinical practice and perceived organisational benefits gained. The use of role play, scenario planning and enquiry-based learning approaches were deemed critical in achieving such change.
  
  
  CONCLUSIONS
  Time constraints merited two different cohorts being examined simultaneously during the various stages of the programme. A longitudinal study is underway encompassing the evaluations of several cohorts through various stages of the programme to enable time-based comparisons to be made and enhance the rigour and scrutiny of the programme's impact on clinical practice.
  
  
  CONCLUSIONS
  The paper is foremost in determining structure and processes employed on the programme, specific leadership skills developed, subsequent effect on clinical practice and perceived organisational benefits gained but not necessarily contemplated by staff prior to embarking on the programme, such as the emergence of communities of practice.
authors.affiliation: Glasgow Caledonian University, Caledonian Business School, Glasgow, UK. angela.sutherland@gcal.ac.uk
authors.forename: Angela M
authors.initials: AM
authors.lastname: Sutherland
authors.forename: Frances
authors.initials: F
authors.lastname: Dodd
mesh_terms: D006801:Humans; D007857:Leadership; D019982:Organizational Case Studies; D010557:Personnel Administration, Hospital / Q000379:methods*; D010564:Personnel, Hospital; D012606:Scotland; D013192:Staff Development; D013222:State Medicine / Q000458:organization & administration*