ABSTRACT
This chapter seeks to provide illustrative evidence of how leadership that is not wholly driven from the top may emerge and may operate to promote the good for those who are supported by services. Through nursing leadership, the nurse manager on call has influenced service provision to promote a more person-centred service. Accessing generic services can be difficult for people with an intellectual disability, as information and guidance may not be available in accessible formats. In initiating reflective teamwork with Linda, Catherine demonstrated leadership, creating conditions conducive to mutual learning, problem-solving and decision-making. However, the exemplar also illustrates that this was not a top-down, hierarchical approach since both Linda and Catherine brought different and complementary knowledge and skills to the partnership. The leadership orientation was focused on how best to nurture, support, develop and facilitate the key group.
