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Next Step: Leadership and Management Fellows Programme

Transforming healthcare through applied leadership 

About  The Programme  Partners  Funding  How To Apply

An innovative programme providing important tools, knowledge and confidence for prospective trainees to thrive as leaders and managers within the NHS 

FMLM Education training course

The context of leadership and management within the NHS has never been more challenging due to the pressures of a complex future.  In response, Health Education England - East of England are working with a powerful collaboration from King’s Health Partners, King’s Business School, the Faculty of Medical Leadership and Management and The King’s Fund to deliver an innovative programme. The programme benefits from:

  • Rigour and expertise drawn from a world-class university. 
  • Clinical insight through the lens of a leading Academic Health Sciences Centre. 
  • Cutting-edge content to tackle the challenges in delivering leadership and management successfully through specialist intervention. 

About the Next Step development programme 

The Next Step Programme is an eleven-month immersive development experience accredited by the Faculty of Medical Leadership and Management (FMLM). Each year, 70 Leadership and Management Fellows from across the East of England will be equipped with the tools and confidence to thrive as leaders and managers within a complex environment. Fellows will then use this expertise to act as leaders, sharing leadership and management insights with other trainees and healthcare professionals from within their organisations.    

 Who can join?

Trainee doctors on a leadership programme

Trainees: Aimed at trainees within two training years of the expected CCT date at the time of commencing the Next Step: Leadership and Management Fellows Programme and will therefore be starting to take on increased managerial and leadership responsibilities.  This programme addresses these needs and prepares the Fellows with both a thorough understanding of themselves, and input into leadership and management within the healthcare context; but also provides a growing network of Fellows that will be mutually supportive as they take the next steps in their careers.

Senior Trainees: The programme is open to senior trainees (of all disciplines; from Primary Care, Secondary Care and Mental Health)  within two training  years of their expected certification of completion of training date, and who will still be  in a training programme in the east of England at the end of July 2024.   


What will the programme cover?

The programme will be delivered in four blocks of activity. In includes in-person workshops which allow Fellows to address emerging issues and focus on new skills and adaptability needed for the years ahead. These are supported by online masterclasses and a 1-2-1 coaching session to debrief your 360 evaluation and report. The expected commitment of hours for the programme is 120 over the year including the Fellows Quality Improvement Project, a programme requirement.  

In-Person Days

There is a requirement to attend all four in-person days by programme delegates. 

Module 1 – The Healthcare Context: This first module provides an orientation for the Fellows to the programme and the organisation of Healthcare and Health Economics, this module provides details to Fellows of their membership of the FMLM and the associated benefits of this.

Module 2 – Leadership and Influence: This module introduces the essential business skills required to succeed in today's volatile healthcare environment. This will be an interactive session to sharpen Fellows skills by exploring a number of themes such as Presentation skills; Influence and empathy; Handling difficult questions; Successful behaviours; and Decision making.

Module 3 – Knowledge Transfer and Systems Leadership: Delivered by the Kings Fund this module addresses Compassionate Leadership, contemporary issues in healthcare; and Integrated Care System explained.  The module concludes with an informal networking event allowing Fellows from the cohort, and from the previous graduates, to come together to meet and share their experiences.

Module 4 – Capstone, best practice, and next steps: The final module is a presentation day for the participants on their Quality Improvement Projects. The projects will be assessed by an Executive Panel from The King’s Fund, King’s Health Partners, Faculty of Medical Leadership and Management (FMLM) and King’s Business School. The panel will choose the five best Quality Improvement Projects and during a Fellowship Awards ceremony those five participants will receive a bursary to cover the fee for FMLM Associate Fellowship.

Live Online Masterclasses

In addition to the in-person modules there are live online masterclasses delivered from King’s Business School and from King’s Health Partners, attendance of at least 4/6 of these is mandatory.

Online masterclass 1 – The Quality Improvement Project: Delivered by King’s Health Partners.   The session will be 2 hours and will discuss the underlying principles, approaches and methods and how to plan and deliver quality improvement.  This masterclass will outline the process of working with your supervisor and will include how Fellows can access the series of Action learning Sets and drop-in surgeries that will be provided for them to support their project through the programme.

Online masterclass 2 – Crises Management: This online masterclass presents the challenges associated with leading in crisis, providing an outline of how critical situations arise and evolve in a healthcare setting. The session will be run interactively in an MBA format, using real life cases from other safety critical industries. You will explore generic crisis management interventions that are applicable in a healthcare setting and beyond.

Online masterclass 3 – Understanding finance in a healthcare setting: In this online masterclass Fellows will work interactively to interpret financial data, gain an overview of key financial trends in the NHS and deconstruct a set of financial statements from a relevant NHS trust.  The objective of the online masterclass is to quickly improve the financial literacy of Fellows and enhance their understanding of the financial context within which they operate as clinicians.

Online masterclass 4 – Disruptive thinking and intrapreneurial skills: We live in an uncertain world and the future is going to be shaped by those bold enough to lead and to create the world in which they want to live. This may seem grandiose but if you think about the products and services you use on a daily basis be that in travel, finance, entertainment, technology or even dating. Each of these innovations started with someone who was willing to question the way things are done, someone willing to solve a problem or take advantage of an opportunity. In this masterclass Fellows will be taken through a variety of tools, exercises, and games to help them bring out their inner disruptor. We will look at techniques Fellows can employ to come up with new and innovative ideas and apply these techniques to real challenges in the health care system today.

Online masterclass 5 – Approaches to Change Management in Healthcare: The management of change is essential to any leadership role, and especially in healthcare where change is not only ubiquitous but difficult. However, change takes different forms and is based on different assumptions in terms of the purpose and nature change. This masterclass explores different models of change and their application to the healthcare context. It considers whether the contrasting tenets underpinning these different models impact our understanding of why, how and with effect change is enacted in healthcare.  

Online masterclass 6 – Care integration: More integrated, coordinated and multi-disciplinary working has been a prominent trend in several healthcare systems over the past decades. It has, however, also been difficult to achieve. This online masterclass provides an overview of research on care integration from several different perspectives: a high-performance work systems perspective; a professions sociology perspective; and an employment relations perspective. In analysing the common problem of care integration, these perspectives have highlighted different conditions and challenges for integrating different occupations, services and sectors.   

Small group sessions

The programme will aslo include four 90-minute small group sessions which will be held via zoom in groups of 6. The following four topics will be covered:

Topic 1 – What is the problem and why is it a problem
Friday 17th November or Saturday 18th November 2023 (10 slots across the two days available)

Topic 2 - Engaging the multiple perspectives including organisation and systems
Friday 26th January or Saturday 27th January 2024 (10 slots across the two days available)

Topic 3 – Logic model for change – facilitators and barriers at all levels
Thursday 7th or Friday 8th March 2024 (10 slots across the two days available)

Topic 4 – Action for change
Friday 12th or Friday 19th April 2024 (10 slots across the two days available)

In addition, Fellows will benefit from the following value-added elements:

  1. Membership: 12-month Membership of the Faculty of Medical Leadership and Management for all Fellows, allowing access to the suite of resources available and invitations to networking events and opportunities
  2. Fee Discount: FMLM Associate Fellowship application fee is discounted to £200 per application for each Fellow upon graduation from the Next Step Programme (discount is valid for two years after completion of the programme). In addition, the top five best individuals in each cohort will have their applications funded by Kings.
  3. 360 tool: The FMLM 360 tool and feedback for all Fellows. FMLM accredited coaches will facilitate individual 360 debrief sessions.
  4. Networking: There will be two Fellows networking events and will conclude with an informative session on how participants can join King’s Executive Alumni Association and gain access to King’s Alumni benefits; join the Graduates Mentor pool and support subsequent cohorts, enabling the transfer of their new knowledge to others.

Who are the delivery partners:

The Next Step: Leadership and Management Fellows Programme brings together the powerful combination of expertise into a single programme:

FMLM logo

The Faculty of Medical Leadership and Management (FMLM), established in 2011 by all the UK medical royal colleges and faculties and endorsed by the Academy of Medical Royal Colleges, is the UK professional home for medical leadership. Our primary objective is to raise the standard of patient care by improving medical leadership.

the Kings Fund Logo

The King’s Fund is an independent charitable organisation working to improve health and care in England. Founded in 1897 by the Prince of Wales, later King Edward VII, to raise money for London’s voluntary hospitals. The work of the Fund has evolved over time in response to the changing needs of the population, but our mission – to improve health and care for all – has endured. The money invested in the Fund more than a century ago provides a substantial proportion of our income, enabling us to maintain our independence. We are not aligned with any political, professional or any other interests.

Kings health partners logo

Kings Health Partners (KHP) is an Academic Health Sciences Centre where world-class research, education and clinical practice are brought together for the benefit of patients. We are here to translate cutting-edge research and existing best practice into excellent patient care.

Kings College Business School Logo

King’s Business School (KBS) undertake ground-breaking research that improves the way people do business. And we engage with organisations around the world to create real value for society.  Since 1989, King’s Business School has grown into a leading management institution – and one of the largest in London. We’ve appeared in the top 10 for business and management studies three years in a row.


Dates and logistics  

Application Timings: Applications open in late April and will close on the 2nd June 2023.

Programme Logistics: Face-to-face workshops will take place at The British Racing School, Snailwell Road, Newmarket CB8 7NU and at Bush House at the Strand in London (Government regulations permitting).  Trainees will be expected to be able to make their own arrangements for attending face-to-face workshops.

    • Live Online Masterclass 1: 13 September 2023
    • In-person Module 1: 5 October 2023 British Racing School, Newmarket
    • Live Online Masterclass 2: 8 November 2023
    • Small group session - Topic 1: 17 November 2023
    • Small group session - Topic 1: 18 November 2023
    • In-person Module 2: 13 December 2023 British Racing School, Newmarket
    • Live Online Masterclass 3: 10 January 2024
    • Small group session - Topic 2: 26 January 2024
    • Small group session - Topic 2: 27 January 2024
    • Live Online Masterclass 4: 1 February 2024
    • In-person Module 3: 22 February 2024 KCL Campus, London
    • Live Online Masterclass 5: 6 March 2024
    • Small group session - Topic 3: 7 March 2024
    • Small group session - Topic 3: 8 March 2024
    • Small group session - Topic 4: 12 April 2024
    • Small group session - Topic 4: 19 April 2024
    • Live Online Masterclass 6: 17 April 2024
    • In-person Module 4: 24 July 2024 British Racing School, Newmarket

Funding and Next Steps

The programme is fully funded by Health Education England. Those accepted onto the programme are expected to apply for study leave on the program dates at the time of accepting the application. Where this is not possible (because of rotations/lack of rotas during the time of the course) they should notify the trusts to which they will be rotating at the earliest opportunity. Trainees should ensure they apply for leave to attend the course in line with the local trust’s study leave process and in good time to attend the course.

Except in exceptional circumstances trainees are expected to attend all the face-to-face sessions and at least 4/6 of the Masterclasses.


To Apply

Application open on 24 April 2023 and will close on Friday 2 June 2023.

Complete the aplication form here. 

Additional information

  • 5 October 2023 - 9:00am
  • 13 December 2023 - 9:00am
  • 22 February 2024 - 9:00am
  • 24 July 2024 - 9:00am


British Racing School in Newmarket
United Kingdom


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