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In the spotlight: healthcare inspections as an opportunity for trainee clinicians to be the leaders of today
  1. Parashar Pravin Ramanuj1,
  2. Howard Ryland2,
  3. Edward W Mitchell3,
  4. Nassim Parvizi4,
  5. Krishna Chinthapalli5
  1. 1South London and Maudsley NHS Foundation Trust, Adamson Centre, St Thomas’ Hospital, London, UK
  2. 2Department of Forensic Psychiatry, Oxleas NHS Foundation Trust, Memorial Hospital, London, UK
  3. 3NHS England, London, UK
  4. 4Department of Clinical Radiology, Oxford University Hospitals NHS Trust, Oxford, UK
  5. 5Department of Neurology, Royal Surrey County Hospital, Guildford, UK
  1. Correspondence to Dr Parashar Pravin Ramanuj, Lambeth Integrated Psychological Therapies Team, South London and Maudsley NHS Foundation Trust, Adamson Centre, South Block, St Thomas’ Hospital, Westminster Bridge Road, London SE1 7EH, UK; parashar.ramanuj{at}


There have been repeated calls from all quarters of healthcare for more clinicians to be leaders. The risks of not accepting this responsibility have been demonstrated by harrowing reports into failed care in England. Ambiguity persists over what clinical leadership encompasses, how it can be developed and how to inspire clinicians to practise it. A supportive organisational culture, dedicated resources and national support are needed to foster leadership skills among trainee clinicians. Here we discuss a possible blueprint based on the recent reviews of English NHS Trusts with high mortality rates for future initiatives in empowering medical and nursing trainees to learn from leaders and practise leadership skills.

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