Developing People and Teams Strategy and Objectives - Stories


Health Foundation Award for Relational Coordination

In November 2016 CLIC was awarded £75000 from the Health Foundation for Innovation for Improvement. The project will study the use of relational coordination as a tool to facilitate and enable change in two pathways of care. One pathway is a system level pathway across multi agencies and communities working to improve mental health crisis management. The second is within our acute trust and will focus on chemotherapy pathway of care. The project will gather learning of the impact the survey has on each system and seek to understand how relational coordination helps to improve working of each pathway.


System leadership



Integrated Care Communities 

During 2016/2017 financial year CLIC has led on the delivery of leadership development support to ICC development across what is now Morecambe Bay CCG.

Early in 2015 CLIC was successful in acquiring funding from NW Leadership Academy to support the development of a programme to develop system leaders. CLIC commissioned Develop Change and Belinda Weir to develop this programme with learning taken from the Millom ICC. Millom were seen to be making progress to change the way health and care is delivered, having engaged their community and adopted a solution focussed approach. Utilising the learning from this piece of work and the evidence base for system leadership is what underpins our approach.

We have designed a flexible and adaptive set of interventions, rather than a formal structured programme, to reflect the complexity of System Change and the different start points of each ICC. Our approach offers a blend of learning and development opportunities, ranging from formal teaching, which draws on the evidence base for systems thinking and collaborative leadership, to personal skill development, bespoke workshops, team development activities, learning sets and coaching. It will also include and encourage best practice seeking and sharing within the Bay area, the North West, the North East and elsewhere in the UK.

This is an experiential programme, providing space and time for participants to focus on emergent and real time issues that have the potential to be solved through working collaboratively. We envisage that each ICC will undertake core elements from the programme in the Laying Foundations Stage but beyond that, reflecting the Taking Control Together stage support will become increasingly tailored to each ICC’s emerging needs, based on an understanding of existing knowledge, skills and capabilities and the ICC ambitions and objectives.




Our methodological approach encourages enquiry, supports experimentation, helps participants be ‘risk aware’ but not ‘risk averse’. It enables them to work with uncertainty and adapt as they learn. Throughout we will maintain a focus on building networking capability, enabling participants to work across organisational, cultural and professional boundaries and to learn from and with each other with the end users always in mind.

CLIC use a collaborative and networking approach by working alongside other partners using best practice and existing methodologies, to deliver impact for our system.

Our aim is that participants using this system leadership approach will:

  • demonstrate increased confidence and competence to lead system integration of care services
  • improve cross-agency/sector leaders’ capability to learn and to work more effectively together
  • create a network of critical-friends to benchmark the scale, pace, outcomes and benefits of their programmes of work on integrated care
  • construct a map of the journey towards system-level leadership and transformational change across the BCT geography throughout the programme
  • build transferable skills, capability and capacity for leading system-level change in other areas
  • have protected time, safe space and support for reflective practice and peer-to-peer learning


The approach is based on our understanding of the dimensions of effective system leaders drawn from practical experience and, from models such as the Local Vision Integrated Leadership model[1] and the AQuA System Leadership framework[2], both of which our team has extensive experience of using to support system thinking and collaborative leadership.


Lancaster University Partnership - CETAD

Press release 27 June 2017

Postgraduate Diploma in Professional Practice

Cumbria Learning and Improvement Collaborative (CLIC) has established a range of leadership and improvement programmes to respond to the emerging development needs of team leaders working to achieve improvement in health and social care across Cumbria.

Funded by Health Education North West, CETAD is working closely with CLIC to deliver a postgraduate programme to clinical staff which offers an opportunity for participants to gain credit for their leadership training and build on it to achieve a postgraduate qualification, consolidating and extending their leadership learning and supporting them to put this into practice through the delivery of clinical leadership projects.  

The students have been supported to make an Accreditation of Prior Learning claim and are now working towards a Postgraduate Diploma in Professional Practice

One of the students on the programme has said:

"This programme has been hugely satisfying, it has given me confidence in my professional skills and the opportunity to explore new concepts directly relevant to my work. I have been challenged, validated and have grown personally and professionally. My learning through this course has enhanced my professional practice and provided a springboard for new career opportunities: I am already being considered for a more senior role as a result of putting my reflection and learning into practice"


[2] See, for example,