title: Vertical leadership in highly complex and unpredictable health systems.
abstract: This article explores how the concept of vertical leadership development might help health organizations cope with and thrive within highly complex and unpredictable health systems, looking at concepts of VUCA (volatility, uncertainty, complexity and ambiguity) and RUPT (rapid, unpredictable, paradoxical and tangled).
authors.affiliation: Psychiatric Core Trainee, North West School of Psychiatry, Health Education North West (Mersey), Liverpool L3 4BL.
authors.forename: Alex
authors.initials: A
authors.lastname: Till
authors.affiliation: General Practice Trainee, London Deanery, London.
authors.forename: Nina
authors.initials: N
authors.lastname: Dutta
authors.affiliation: Professor of Medical Education and Director of Strategic Educational Development, Swansea University, Swansea.
authors.forename: Judy
authors.initials: J
authors.lastname: McKimm
mesh_terms: D019981:Health Care Sector; D006801:Humans; D007857:Leadership; D017146:Models, Organizational; D015279:Organizational Culture; D009936:Organizational Innovation; D009937:Organizational Objectives; D010934:Planning Techniques; D013598:Systems Theory; D006113:United Kingdom