Table 6.

Leadership questionnaire adapted from RPS Peer Assessment Tool and Healthcare Leadership Model.

Statement	Pre CPhOGH (n = 25)					Post CPhOGH (n = 26)
	Essential	Proficient	Strong	Exceptional	U/C*	Essential	Proficient	Strong	Exceptional	U/C*
Teamwork
The pharmacist listens attentively to other team members and values their suggestions		3	17	5			1	10	15
The pharmacist is an established and effective member of a multidisciplinary team	2	4	15	4			1	10	15
The pharmacist is consulted for advice which requires their in-depth professional expertise	1	6	12	6				10	16
The pharmacist consistently works effectively across boundaries to build relationships and share information, plans and resources.	2	6	9	7	1		1	5	19	1
U/C* Unable to comment
Supporting quotes “…. ability to network and be collegiate widens the scope and impact of Fellow work, and the Fellow is fundamental in keeping our team connected and on task.” “Their positive, "can-do" attitude and unrelenting support for ALL members of the team means you can face any challenge with them!” “The Fellow is a core member of and contributor to the Antimicrobial Stewardship Committee…. developed strong working relationships with clinicians, pharmacists and specialist nurses in both hospital and community settings…. taken an active leadership role in the Trust response to COVID-19 working across site and specialities.” “The Fellow has always been strong team player and has developed strong networks…sought for expert clinical advice at a National level”
Influencing for Results
The pharmacist is able to share issues and information to help others understand his/her point of view	1	11	8	5			3	11	12
The pharmacist tailors his/her communication group or presentation according to the audience or stakeholder.	4	8	9	3	1		2	14	10
The pharmacist directly or indirectly links different working groups across the organisation to achieve a common goal.	3	7	9	5	1		6	9	11
The pharmacist gains reputational influence by sharing experience and best practice nationally	3	5	10	4	3		5	6	14	1
U/C* Unable to comment
Supporting quotes “The Fellow is able to communicate and build relationships with anyone, irrespective of position or background. They have been proactive in sharing theirs and the team’s work both locally and at conferences.” “The Fellow has worked hard to establish their place in the team with confidence, they now have a much stronger voice in our QI huddles and across the department” “As Lead Antimicrobial Pharmacist the Fellow has to communicate with a variety of professionals in a number of different settings, all of whom may have differing agendas e.g. harmonisation of antimicrobial guidelines following the merger of two large hospital Trusts….has spoken at national conferences and set up a professional Twitter account for dissemination and sharing of information and networking.”
Vision, Motivation and Developing Capability
The pharmacist creates a clear vision of the future for his/ her team in accordance with the organisations vision.	3	12	7	3		1	3	11	11
The pharmacist often looks for opportunities to develop him/herself and learn things outside his/her comfort zone.	2	11	9	3			3	9	14
The pharmacist often provides constructive feedback to his/her team to help them focus on the right area in order to develop professionally	4	6	6	3	6	1	6	8	6	5
The pharmacist is involved in strategy planning	4	7	9	2	3	2	4	11	8	1
U/C* Unable to comment
Supporting quotes “The Fellow sees the bigger picture but is also able to hone in on the key steps required to implement change and is detail-orientated when it is appropriate.” “very sensible and objective in discussions, also very good at providing feedback, identifying colleagues who need support and providing help to the best of their abilities.” “The Fellow has taken on the responsibility of being a diploma tutor…….and also actively engages with other diploma students and gives constructive and positive development suggestions.” “Lead role in development of Antimicrobial Stewardship strategy…. involvement in Trust Infection Service strategy working group” “The Fellow has been pivotal in planning the next steps of the project and disseminating the links work at a national level”
Inspiring shared purpose
The pharmacist demonstrates the characteristics of a role model of the Pharmacy profession.	1	4	12	6	2			9	16	1
The pharmacist inspires others, even when they are under pressure, by helping them to focus on the value of their contribution	1	10	8	6			3	10	13
The pharmacist supports his/her colleagues to keep challenging others cohesively to achieve a shared purpose.	1	10	9	5			3	12	11
U/C* Unable to comment
Supporting quotes “The Fellow is supportive, encouraging and inspiring in their enthusiasm, drive and outlook.” “The Fellow responded positively to the COVID crisis, showing calm yet strong leadership for the staff delivering clinical services to ward areas.” “The Fellow has managed the recent changes in working due to COVID-19 with grace and understanding…been a role model to their colleagues. Fellow has forged strong links with psychology colleagues at the university to provide behaviour change education to Stewardship Committee members and regularly demonstrates what they has learned from these sessions in leadership role.”
Managing Change
The pharmacist is able to adapt to different way of working especially in times of crisis	1	8	11	3	2			10	15	1
The pharmacist consistently reflects on his/ her service and manages processes of change or service improvement	4	4	11	3	3		1	16	7	2
The pharmacist applies a behaviour change approach in change management or education and training	3	12	2	3	5		3	12	8	3
U/C* Unable to comment
Supporting quotes “The Fellow is very good at identifying the context for change and making on-going assessment of the potential impact of change.” “The Fellow has embraced new concepts of behaviour change in terms of education and training and has applied this new learning into practice.” “The Fellow has worked hard to develop their confidence and her voice in the team, now confidently able to establish their ideas into change.” “Use of QI methodology to understand problems, adapt processes and work differently.” “…. can take on a variety of challenges, whether that involves service improvement, additional clinical responsibilities or education and training.” “Working in a LMIC has provided an opportunity to apply skills in a new context and learning can be applied in future roles.”
Innovative working and practice
The pharmacist strives to improve his/her service within the limitation of resources.	3	8	9	3	2		2	16	8
The pharmacist is able to analyse essential data and utilise the results to improve services.	2	8	8	4	3		3	13	8	2
The pharmacist is able to identify the key stakeholders and understand their agenda.	4	12	4	5			4	12	10
The applicant takes the lead to ensure innovation produces demonstrable improvement	2	11	6	2	4	1	3	13	8	1
The Fellow effectively strives to improve quality within limitations of service	3	9	7	5	1		3	13	10
The pharmacist recognises and implements innovation from the external environment.	3	12	4	3	3		3	13	8	2
U/C* Unable to comment
Supporting quotes “The Fellow has an open mind to new ideas/innovation and change, i.e., not afraid of trying new ways of working. The Fellow has an increased awareness of stakeholder engagement and project work and in mindful of influences.” “Pushed forward with new prescribing models to address deficiencies brought about by staffing issues” “Recognises areas for improvement using resources such as audit and incident reporting, makes an action plan and delivers on these plans” “…interested in research and finding innovative ways of doing things…also good at giving due consideration to new and innovative ideas, as observed during our partnership project. I was impressed by… enthusiasm and dedication”