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<form action="/search-results" method="GET">
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Google Ireland Limited, Ireland
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When accessing some sub-services of our website, additional personal services
are processed. Processed data categories: technical connection data of the
server access (IP address, date, time, requested page, browser information)data
for creating usage statistics. Purpose of processing: avoid non-human and
automated input. The legal basis for processing: Your consent according to Art.
6 (1) a GDPR. Data is transmitted: to the data controller Google Ireland
Limited, Gordon House, Barrow Street, Dublin 4, Ireland. The legal basis for the
data transfer to Google Ireland Limited is Your consent according to Art. 6 (1)
a GDPR. This may also mean a transfer of personal data to a country outside the
European Union. The data is transferred to the USA on the basis of Art. 45 GDPR
in conjunction with the European Commission's adequacy decision C(2023) 4745,
since the data recipient has committed to comply with the data processing
principles of the Data Privacy Framework (DPF).
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YouTube
Google Ireland Limited, Ireland
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When accessing some sub-services of our website, additional personal services
are processed. Processed data categories: technical connection data of the
server access (IP address, date, time, requested page, browser information)data
for creating usage statistics. Purpose of processing: Delivery of content
provided by third parties, Selection of online advertising on other platforms,
which are automatically selected using real-time bidding based on user behavior
and transmission and display of video content. The legal basis for processing:
Your consent according to Art. 6 (1) a GDPR. Data is transmitted: as joint
controllers for Google Ireland Limited, Gordon House, Barrow Street, Dublin 4,
Ireland. This may also mean a transfer of personal data to a country outside the
European Union. The data is transferred to the USA on the basis of Art. 45 GDPR
in conjunction with the European Commission's adequacy decision C(2023) 4745,
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Brave leadership and new ways of thinking


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LATEST NEWS

Jun 27, 2024
by Helen Crimlisk
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Brave leadership and new ways of thinking

Sciana Fellow Helen Crimlisk reflects on her “transformative” Sciana experience
and how it has affected her day-to-day work


Helen Crimlisk (right) in conversation at a Sciana Network residential meeting
in May 2024



Helen Crimlisk is a consultant in community psychiatry, medical director at
Sheffield Health and Social Care NHS Foundation Trust, and associate director of
teaching at the University of Sheffield. 

In addition to being a Fellow of the Royal College of Psychiatrists, Helen
serves the organisation as a specialist advisor for workforce. She chairs the
Royal College of Psychiatrists Workforce Committee and is involved in several
programmes with the College related to leadership, workforce innovation, and
transformation of services. Helen is also a Fellow of the Academy of Medical
Educators and a Senior Fellow at the Faculty of Medical Leadership and
Management. She is a member of Sciana's fifth cohort.

Ahead of Cohort 5’s fourth residential meeting, Helen reflected on her Sciana
journey.

The opportunity to become a Salzburg Global Fellow and join Sciana: The Health
Leaders Network had been on my radar for a while. Working as a clinician,
academic, and manager and having benefitted from previous developmental
opportunities, I was attracted to the idea of taking my leadership to the next
level, collaborating with colleagues working in health across Europe. 

The Sciana Network is now in its sixth cohort, with each comprising 18 leaders
from Germany, Switzerland, and the UK. Sciana, a portmanteau word from the
Esperanto words 'scias' (to know) and 'sana' (healthy), is supported by the
Health Foundation (UK), Careum (Switzerland), and Bosch Health Campus (Germany)
in collaboration with Salzburg Global Seminar. 

Our cohort – Cohort 5 - met remotely over the two-year programme and several
times at Schloss Leopoldskron in Salzburg, Austria. Schloss Leopoldskron is the
historic home of Salzburg Global, a grand, moving, and history-rich building
that makes a fabulous setting for learning and living together.

Cohort 5 comprises community leaders, innovators, patient representatives,
clinicians, academics, economists, public health experts, health managers, and
others, representing diverse stakeholders coming from very different
perspectives. 

At the start of our programme in 2023, we spent some time understanding more
about our backgrounds, priorities, concerns and passions. We were exceptionally
well-supported by Chairs and Advisors and eventually found ourselves coalescing
around the themes of workforce, health literacy, and digital through the lens of
One Health.

One Health is a term I hadn’t heard of prior to the Fellowship, although it was
familiar to others. It is an approach advocated by the World Health Organization
utilising a transdisciplinary collaborative approach to look at the
co-dependencies of animal, human, and planetary health. The aim is to harness a
wide range of expertise and experience to design and implement novel health
policies and actions to achieve better public health outcomes and address health
threats in the animal-human-environment interface, which we have become all too
familiar with from our experiences of the COVID-19 pandemic.

It has been humbling and, at times, overwhelming to hear other leaders talk
about their experiences of trying to enact change, facing struggles, and hearing
of the challenges of finding ways forward to address these. There are, of
course, different cultures, health systems, and political and economic drivers
across the three countries, and potential solutions in one system will not
necessarily work elsewhere. 

Using action learning approaches, we have tried to support one another, offering
feedback and new insights into familiar problems. An overarching theme emerged
of how to work with citizens and users of our health systems. We have spent time
exploring power differentials and health inequalities, considering how to
amplify health literacy and governance around One Health. It is clear to us the
importance of the codesign principles, which will be necessary in leading any
change with stakeholders. 

In one exercise, we played out an imaginary scenario from the future, asking
what we would have done differently today had we known what our “imagined”
future would look like 30 years from now. It was a powerful day. It exposed our
deep-seated anxieties and uncertainties about the health of future generations –
our children and grandchildren! 

What would the geopolitics look like in 30 years? Would democracy survive? How
many other novel viruses would have emerged? What would the impact of climate
disasters or mass migration be? And how would we see the challenges of securing
health for humans, animals, and our planet in this imagined world? It was
sobering but also enlightening to think about the type of leadership needed now
to face some of these issues. 

Brave leadership was, of course, an overarching theme that we came back to again
and again. In thinking about our own leadership options, we recognised the need
to be inclusive and collaborative, agile and innovative, and show compassion and
understanding to others who would also be scared about the scale of threats and
change. We also recognised that there was an option to do things differently to
mitigate or manage some of the threats to health we could see. 

We discussed the inherent power of people to adapt, find other ways of “being,”
take collective action resulting in change for the good, and care for one
another when supported and empowered. The technological and digital advances
open to us to address health challenges were also a source of hope. While many
of us expressed frustration with the speed of adoption of these within our
systems, we also recognised that we are in the early phases of a digital
revolution which could lead to transformative approaches to promoting health and
managing illness and disease. 

The need to think differently about the workforce of the future was also a
recurring theme. Our health services are designed as “illness” services,
focussing on fixing things once they are broken. We played out thought
experiments on how to flip this on its head – what would it look like if we
focused on preventing and managing as well as fixing and curing? And what sort
of “health” workforce would we need to invest in to achieve this “left” shift?

So, it’s all very interesting, I hear you say, but how has it changed things for
me and the communities I serve? I am a medical director of a mental health trust
and an academic at a school of medicine, and I have found the experience of the
Sciana Fellowship transformative. That has been visible in my work in the UK. 

I have been able to introduce new ideas into conversations in the organisations
I work in and with, develop teaching sessions for students, health care workers,
and leaders, and introduce concepts I have been exploring. I have used the
Fellowship to expand my own sphere of impact, strengthening systems, community,
and academic relationships across disciplines. 

I have promoted concepts of health literacy, One Health transformation, and
digital innovation in multiple settings. I have gained the confidence to
challenge complacency about climate change and promoted and supported the work
on our NHS Green Plan and community transformation programmes, including working
on bids to radically shift the delivery of mental health alongside physical
health interventions at the community level. 

I increasingly recognise the importance of talking to and working with the vast
number of people interested in health inequalities, population health, the
social and commercial determinants of health, and adverse weather conditions,
and I am participating with more vigour and impact in research and change
programmes relating to these themes. 

I have been able to share my successes and challenges within the wider Sciana
Fellows group, and the conversations I have had with others on the programme
have inspired and enriched me, enabling me to do the same to others back at
home. It has also been a pleasure to support other Salzburg Global Fellows, and
I look forward to continuing to support other programmes. 

In short, it has been a privilege and a worthwhile endeavour, which has resulted
in many new friends and allies whose power will sustain me for years to come.



This article was authored by Sciana Fellow Helen Crimlisk. The views and
opinions expressed in this article do not necessarily represent the views of
their organisation(s), Sciana: The Health Leaders Network, nor those of
the Sciana Network's three funding foundations.

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