Globally, the health sector faces significant demands for reform and improvement to meet the needs of the 21st Century. To achieve that goal, highly sophisticated and capable leaders are required across all dimensions of the health system. This book describes the key challenges that demand reform, why better leadership is the source code for better system performance, and the issues that stand in the way of getting that leadership. It includes substantive treatment of the modern democratic challenges that healthcare leaders face; and the essence of what it means to be a leader in today's world. The essence of leadership itself is described, and the case made for the need for people to use the workplace as the place to develop leadership rather than relying solely on formal programs. It will also outline a self-directed learning process that any individual leader--citizen, clinician, or senior executive--can use to develop their own leadership capability, and thus become more active as a leader of change. This book addresses the need for leaders to think on a system-wide scale. A second part of the book focuses primarily on the Canadian Health system and LEADS in a Caring Environment capabilities framework, and the link between LEADS and frameworks in Australia and the UK. LEADS was developed through a partnership between members of the Healthcare Leaders Association of British Columbia and the Canadian College of Health Leaders, the Canadian Health Leadership Network and Royal Roads University. Currently it is stewarded by a not-for-profit collaboration that has endorsed LEADS as an evidence-informed set of national expectations for Canadian health leaders. LEADS has been endorsed by many health organizations in almost all provinces in Canada as a foundation for their talent management programs in leadership (development and succession planning). The book will address the research foundations for the LEADS framework; how it was developed; the framework's contents; its congruence with other national frameworks, and how LEADS can be used as a model to envisage and plan change.

Dr Graham Dickson, PhD, Professor Emeritus, Royal Roads University, is Research Advisor to the Canadian Health Leadership Network, and a member of the Physician Assistants Certification Council of Canada. Prior to leaving Royal Roads University, Dr Dickson was the founding Director of the Centre for Health Leadership and Research. He helped develop the Master of Arts in Leadership (Health specialization) at RRU. Dr Dickson was the principal investigator in the cross-Canada research project on the LEADS in a Caring Environment capabilities framework and is the principal investigator on two participatory action research studies being conducted in Canada. He has published a number of articles on leadership in peer reviewed journals and professional magazines, and teaches strategic planning for the Canadian Medical Association's Physician Management Institute (based on the LEADS framework).

Bill Tholl is a respected Canadian senior health executive, with extensive experience in health leadership, policy, planning and financing. He currently serves as the part-time Founding Executive Director, Canadian Health Leadership Network (CHLNet), a recently formed "value network" committed to growing leadership capacity in the Canadian health system. CHLNet has brought together more than 30 health organizations from across Canada committed to developing For Health, By Health leadership solutions. This work has recently included forging a national consensus around the LEADS in a Caring Environment capabilities framework. Before taking on his current assignment at CHLNet, Bill served as Chief Executive Officer and Secretary General, Canadian Medical Association (2001-2008), and Executive Director, Heart and Stroke Foundation of Canada (1995-2001). Previously, he served for many years as a senior public servant with Health and Welfare Canada. Bill also has part-time academic appointments with both Royal Roads University and the University of Ottawa.