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One of the cultural issues for the NHS is that there is the notion that leadership development is a separate activity, and not part of the bloodstream of NHS management, topped up by constructive experiences to enable individuals to grow their skills, knowledge and experience as leaders. If it was culturally accepted that everyone has potential to lead then there wouldn't be the issues of unfairness that some places invest more than others and may lose the ROI. It would be part of the routine for all managers that their CPD had to be met each year for them to continue as managers.
Derek Mowbray, from Linkedin