Steve Onyett

Steve Onyett

Steve Onyett is a senior development consultant with the South West Development Centre.

  • A busy professional, on the phone
    HSJ Knowledge

    Engaging hearts and minds in the face of criticism: the new leadership challenges


    The new challenges facing leadership in the NHS are being accompanied by increased confusion and criticism. Steve Onyett examines two key themes in social movement that could liberate leaders from the fear of failure.

  • Team survival in troubled times

    Team survival in troubled times


    In the NHS’s rush to do more with less there is an inevitable temptation to merge teams, or broaden the remit of existing teams. If clarity of aims - the core requirement for effective team working - is sacrificed, inefficiencies result.

  • Brighton Pier
    HSJ Knowledge

    NHS leadership in troubled times


    Steve Onyett describes five principles for leadership in troubled times, but warns that initiatives are meaningless if they don’t bring about improvement

  • How to increase NHS leadership capacity
    HSJ Knowledge

    How to increase NHS leadership capacity


    Steve Onyett and colleagues explain how to use solution focused coaching to increase leadership capacity

  • onyett012

    Steve Onyett on leading the NHS for alignment


    An earlier column explored the first two of the Department of Health’s change principles for the NHS: co-production and “subsidiarity”. Both seek to get people working together to effect change by enabling them to fully exercise their power and authority.

  • Comment

    Steve Onyett on healthcare reform


    To describe the underpinning principles of the new Department of Health approach to change, health secretary Alan Johnson and NHS chief executive David Nicholson use the terms co-production, subsidiarity, clinical ownership and leadership, and system alignment.

  • Comment

    Steve Onyett on NHS interdependence


    It is not unusual to find teams and their managers entangled in a cruel bind. Senior management conveys the absolute requirement to increase caseload sizes to meet an activity target.

  • Comment

    Steve Onyett on loosening central control


    The sociologist Lipsky coined the term 'street level bureaucracy' to highlight the fact that you can't force people to work effectively on something they disagree with.

  • Comment

    Steve Onyett on medical leadership


    The Darzi review has shed new light on the challenge of letting go of central control. The idea that staff can be clinicians, partners and leaders is an engaging way of conveying that leadership needs to be widely dispersed.

  • Comment

    Steve Onyett on NHS complexity


    One of the biggest challenges in conveying the profound implications of complexity theory is its name. What could be less appealing to busy staff?

  • HSJ Knowledge

    Steve Onyett on transformational leadership


    Picture the scene. Two clinical teams have received disappointing performance assessments. In each team, a senior manager brings the team members and their line manager together for an action planning workshop.

  • HSJ Knowledge

    Steve Onyett on Paxman's pants


    While "pants" is a term of derision in the vernacular of youth, Jeremy Paxman's exchange last month with Marks & Spencer chief executive Sir Stuart Rose has done the men of our nation a service by highlighting the importance of being supported in all the right places.