title: Notes on critical care-review of seminal management and leadership papers in the United Kingdom.
abstract: Review of recent critical care provision reveals substantial changes in clinical unit operating, and policy drivers influencing international critical care delivery. Practitioners who have worked in healthcare environments over this time, will have witnessed substantial shifts in healthcare policy, changes in professional body guidance and greater service evaluation have impacted on critical care management and leadership. This paper offers a personal perspective on seminal management and leadership papers published in the critical care literature over the past decade. Presenting a range of national and international work that utilise diverse approaches, ten key papers are highlighted that have impacted in the United Kingdom setting. Through this, the influence of the modernisation agenda, the increasing significance of outcome studies, and the need for flexible, interdependent practice emerges. A key message to surface from this paper is the need for all in critical care to engage with, and understand the wider implications of management and leadership change for critical care delivery.
authors.affiliation: Southampton University Hospitals Trust, Tremona Road, Southampton SO16 6YD, Hants, UK. Maureen.Coombs@suht.swest.nhs.uk
authors.forename: Maureen
authors.initials: M
authors.lastname: Coombs