Terri Salt

Effective Leadership in Health and Social Care: Towards Outstanding Teams and Services


Leaders of health and social care services at all levels need to understand how to present a service to drive ratings up. Effective Leadership in Health and Social Care explores what good leadership looks like, why it matters and how to make it better.



The Towards Outstanding series offers essential resources for health and social care services regulated by the Care Quality Commission, built around the ‘five questions’ that CQC inspectors use (are services safe, effective, caring, responsive and well-led?). Written by a senior CQC inspector, titles in the series show how a mindset of getting the basics right then applying finishing touches can allow any service to move towards an ‘Outstanding’ rating. Effective Leadership in Health and Social Care takes a close-up look at the ‘well-led’ aspect of assessment. The CQC is moving towards a common approach framework and changing the way it regulates, with a more risk focused approach being developed and far greater use of data. Leaders and managers of regulated services need to understand how to ensure that the five areas are delivered well and – just as importantly – how they will be assessed.


TERRI SALT is Inspection Manager for the Care Quality Commission (CQC) – the regulator of all health and social care services in England. Until recently she was Head of Hospital Inspection for North London. As one of the longest serving regulators in the country, Terri is unique in having regulated all types of services (today’s inspectors specialise in only one). She awarded the very first ‘Outstanding’ rating, (for end of life care at Frimley Park Hospital), and she has awarded more ‘Outstanding’ ratings to hospitals than any other member of CQC staff.

Terri trained as a nurse for adults and children, and retains a current professional registration. She earned qualifications in a range of nursing specialisms before leaving clinical practice to start a family. She then moved into lecturing and eventually management, joining the CQC in 2000. She has given keynote talks on the subject of what ‘Outstanding’ looks like.

Visit Terri’s website here: https://www.towardsoutstanding.com/


Publisher: Pavilion Publishing and Media Ltd

Publication Date: End of May 2022

ISBN: 9781803880693


Table of Contents




1. The context

PART 1: What is a good leader?

  1. What are the characteristics of a good leader?;
  2.  Geese and giraffes;
  3. Leadership styles;
  4. Role modelling;
  5. The regulatory framework

PART 2: The legislation

  1. Regulated activity;
  2. Requirements of a registered manager

PART 3: Leading your service into the future

  1. The well-led question and how to assess it;
  2. Leadership capacity;
  3. Visibility;
  4. Sustainability, succession and development;
  5. Vision and strategy;
  6. Is there a culture of high quality, sustainable care?;
  7. Building a team

PART 4: Governance

  1. A clear organisational structure;
  2. Oversight responsibilities;
  3. Assuring quality;
  4. Risk management


20: Engagement

Final thoughts


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