IMPACT OF COVID PANDEMIC ON LEADERSHIP AND MANAGEMENT

Question 1

MANAGEMENT AND LEADERSHIP ISSUES THAT PRESENTED DURING/AS A RESULT OF THE COVID PANDEMIC?

Answer 1

• PH DISASTER/PANDEMIC
• PUBLIC EDUCATION, POLICY AND COMPLIANCE (INCONSISTENTLY LED AND POOR MESSAGING, CONFUSING FOR THE PUBLIC, VARIABLE LEVELS OF COMPLIANCE)
• NHS CAPACITY AN CAPABILITY
• PPE DEBATE = SUPPLY PROBLEMS
• TESTING CAPACITY AND QUALITY
• VACCINATION; SUPPLY AND SCIENCE
• LARGE SCALE WAITING LISTS
• RETURN TO BUSINESS AS USUAL (NOT CLEAR WHAT THAT WILL LOOK LIKE, COMPLEX UNCLEAR MESAGING AS TO WHAT THE PUBLIC SHOULD AND SHOULDN’T DO WHEN RETURNING TO ‘NORMAL’)
• POLITICS (DETERIORIATION OF TRUST, NOT FOLLOWING PURELY MEDICAL/PH INTEREST, PUBLIC DEBATES, CONFUSING)
• BIG RISKS IF WRONG DECISIONS ARE MADE
• BALANCING RISKS BENEFITS AND CONSEQUENCES CAN BE VERY HARD IN THE FACE OF AN EMERGENCY
• NOT ALWAYS CLEAR WHO IS IN CHARGE

Question 2

ONLY ———— CAN DECLARE A PANDEMIC

Answer 2

WORLD HEALTH ORGANISATION

Question 3

PUBLIC HEALTH ENGLAND STOPPED EXISTING DURING THE PANDEMIC AND WAS REPLACED BY?

Answer 3

UK HEALTH SECURITY AGENCY

Question 4

WHAT WERE THE KEY MANAGEMENT AND LEADERSHIP BARRIERS AT THE BEGINNING OF THE PANDEMIC?

Answer 4

• CHAOTIC INTERNATIONAL AND NATIONAL LEADERSHIP INITIALLY, NO CLEAR CONSENSUS
• SYSTEMS OF RESPONSE DESIGNED FOR SHORT TERM EMERGENCY REPONSE, NOT A 2-5 YEAR PROBLEM
• MASSIVELY UNDER-RESOURCED AND INEXPERIENCED LEADERSHIP
• TYPE OF THE PROBLEM NOT AS BIG OF AN ISSUE AS THE SCALE OF THE PROBLEM

Question 5

HOW TO MEASURE HOW WELL THE PANDEMICS RESPONSE HAS GONE?

Answer 5

• DEATHS AND INFECTIONS (RECORDING OF THESE DIFFERS BETWEEN COUNTRIES, DIFF DEFINITIONS AND CAPACITIES)
• EXPENDITURE AND DEBT
• INTERNATIONAL COMPARISON
• PUBLIC AND POLITICAL OPINION (ELECTIONS?)
• RESEARCH, EVIDENCE AND ANALYSIS

Question 6

COVID IS — MOST COMMON CAUSE OF DEATH IN THE UK?

Answer 6

3RD (150 000+ DEATHS SO FAR)

Question 7

NHS DURING THE PANDEMIC?

Answer 7

• WELL LED, ORGANISED AND OVERWHELMING RESPONSE TO ENSURE CAPACITY AND CAPABILITY MAINTAINED
• PLACED AT THE CENTRE OF GOV MESSAGING
• SIGNIFICANT RISKS WITH TIRED AND PRESURED WORKFORCE
• MONEY EXTENSIVELY PROVIDED
• HUGE COSTS TO PEOPLE WAITING FOR NOT COVID RELATED HEALTH PROBLEMS (WAITING LINES, SWITCHING TO ‘SILVER STANDARD’ CARE) —> PEOPLE WITH OTHER ILLNESSES PRESENTING QUITE LATE
• INCREASED RESPECT FOR THE NHS/HCPs
• ALTHOUGH THE NHS WAS WELL RESOURCED, BUT CARE HOMES SUFFERED MASSIVELY, BIG OUTBREAKS
• MEDICAL STUDENTS SWIFTLY MOVED INTO THE WORKFORCE
• HCPs LOSING TRUST IN PHE
• VOLUNTEERS BECAME VACCINATORS (NON-HCPs)
• DIGITALISATION OF HEALTHCARE? MORE PATIENT-PERFORMED TESTING? —> RESPONSIBILITY MOVED FROM HEALTH INSTITUTIONS TO INDIVIDUALS (GETTING TESTED, REPORTING RESULTS, COMPLYING THE GUIDANCE WITHIN ONE’S CONTROL)
• TEST AND TRACE —> FAIL
• TESTING CAPACITY DIDN’T MEET DEMAND (PCR SHORTAGE)
• PRIVATE TESTING EXPENSIVE

Question 8

WHAT IS THE MOST DOCUMENTED, RESEARCHED AND STUDIED PH EMERGENCY EVER?

Answer 8

COVID 19