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Leadership in Practice

Leadership 12: Digital leadership, transition and sustainable impact

Lead responsibly in a digital and AI-mediated NHS, plan the first 90 days of formal authority, build an evidence-based leadership portfolio and leave sustainable work behind.

Clinical safety: Use current guidance, local policy and patient-specific judgement.

Learning objectives

Recognise the leadership work involved in this topic. Separate formal status from role-relevant leadership capability. Apply purpose, authority, evidence and correction to a practical leadership problem. Identify a proportionate action for personal or organisational development.

Section 1

Core reading

Lead responsibly in a digital and AI-mediated NHS, plan the first 90 days of formal authority, build an evidence-based leadership portfolio and leave sustainable work behind. This module is adapted from SAS Leadership in Practice and uses the book as the deeper reading source. The leadership programme is organised into twelve online modules rather than reproducing all twenty-seven book chapters one-for-one. Module 12 draws principally on Chapters 24–27. Use four tests throughout: what legitimate purpose is being advanced; what authority and responsibility actually exist; what evidence supports the judgement; and how the decision will be translated into action, inspected and corrected. Leadership should not be used to disguise missing authority, resources or governance. For SAS doctors, the practical task is to make existing contribution visible without inflating it. For new consultants and formal leaders, the task is to use newly conferred authority without assuming that title proves every leadership capability. In both cases, role-relevant evidence matters more than status as a shortcut.
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