Leading in the 3rd dimension: – Creating a culture of stewardship

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Elinor Ostrom studied the management of scarce resources, such as fishing resources and water and grazing lands and came to the conclusion that “If those using the resources are allowed to manage those common pooled resources themselves, then sustainability is possible. They become stewards” She was joint winner of the Nobel Prize for Economics in 2009 with Oliver Williamson who convinced the world of economists and business that neither bureaucracies nor markets alone or together could meet complex challenges like healthcare. Wjat is needed is an integrated system with the culture of stewardship The term stewardship came into use about the future of the planet and here are two definitions

“Stewardship is to hold something in trust for another.”

Block P (1996) Stewardship: choosing service over self-interest. Berrett-Koehler Publishers. Page xx.

“The stewardship concept demands that we constantly ask the question: Will the resource be in better shape after my stewardship?”

Holmgren D (2002) Permaculture. Principles and pathways beyond sustainability. Holmgren Design Services. Page 5.

“The same concept is highly relevant to the stewardship of healthcare.

Clinicians do not make good use of the resources there may not be a health service of the type they value for the generations to come, Doctors should embrace the values of resource stewardship in their clinical practice …”

Maughan D, Ansell J (2014) Protecting resources, promoting value: a doctor’s guide to cutting waste in clinical care.  Academy of Medical Royal Colleges. November 2014. Page 8. https://www.aomrc.org.uk/wp-content/uploads/2016/05/Protecting_Resources_Promoting_Value_1114.pdf

The White Paper emphasises the need to make ‘sustainable use of NHS resources’ and to contribute to the ‘broader social and economic development’ of the community they serve with a sense of ‘collective responsibility’.

The new culture is collaborative, mentioned 55 times in the White Paper, with a focus on stewardship to ensure the sustainability of the NHS.

Module 6 Micromodules and Topics

  • Micromodule 6.1 – Understanding the nature and importance of culture for value-based healthcare
  • Micromodule 6.2 – Leading the creation and expression of shared values and behaviours for a culture of stewardship
  • Micromodule 6.3 – Leading the use of a new language for a culture of stewardship and agreeing the artefacts that would be observed

Click here for information on Module 7