ABSTRACT
The findings from both the sample interviewed and the literature are consistent in the view that failing organisations share a number of common features. In relation to failings of ‘top teams’ these include command and control leadership style, leaders ‘who talk the talk but don’t walk the walk’, failure to address the key elements of culture, leading by anecdote instead of using sound data, denying there are problems, and refusing to hear or acknowledge problems and instead blaming individuals where failings occur. The effective use of data and quality reporting were mentioned by a number of the group, in particular ensuring the boards are fully aware of the issues in their organisations and have the information with which to make decisions. The last few successive governments have failed to demonstrate their acknowledgment of the importance of senior nurse leadership being represented in both government and various layers of the health service.
