The HSJ online now has a number of probably highly important health service managers writing blog posts for their website. I say probably, because most of these are written by people anonymously.
I was drawn by one such post recently because like me the author admires Stephen Covey’s 7 habits of highly effective people and thinks it is one of the best of the management guru / popular textbooks that you can get.
I use Stephen Covey’s book in some of the leadership and management sessions I do. I particularly like the way it is laid out in sections that can be related to real life. I see from his website that he has developed an 8th habit and also has a book called the 7 habits of highly effective teenagers which I might well have a look at though I am not sure if it is possible as a parent to directly influence the effectiveness of one’s teenager.
Anyway, the HSJ blogger thought it would be a great idea to think of the 7 habits of highly ineffective managers. Irritatingly he comes up with some very good and pretty true to life examples:
- Saying “What we did at St Elsewhere’s was…”. This becomes a significantly more ineffective habit if the offender stopped working at St Elsewhere’s 17 years ago.
- Lamenting the old days, i.e. when junior doctors did an honest day’s work and nurses wore frilly hats. And when people died of rickets and the waiting lists were ten miles long.
- Drawing inappropriate parallels with the private sector, e.g. “In the City they have a much more sophisticated approach to managing financial risk.”
- Doctor bashing and manager bashing. That’ll sort it.
- Stating the bleeding obvious and bleeding unhelpful in one sentence, e.g. “If we had a full electronic patient record in place then we wouldn’t have this problem.”
- Being late. These people should be hung, drawn and quartered, for ’tis timeliness and not cleanliness that is next to Godliness
- Writing blogs: the province of the badly dressed and the serial underachiever.
Obviously i don’t necessarily agree with number 7 since I am neither badly dressed nor do I underachieve but the rest are pretty often to be heard around NHS coridoors.
My own would include:
- People who cannot delegate – since only they are good enough
- People who use email to tell people off and whats more cc in half the world to do it
- Speaking of email – people who always ‘reply to all’
- People who are so important that they are in the office before dawn, don’t leave till after dark and who are still emailing you at midnight
- People whose meetings never start on time, always over run and which are full of irrelevant discussion
- People who habitually cancel appraisals and one to ones with their staff as they have more important meetings to go to
- finally – people who don’t listen but who love the sound of their own voices




















Stephen Covey’s seven, now eight habits, has stood the test of time. Readers my also like to grab a copy of Marshall Goldsmith’s book, What Got You Here Will Not Get You There.
I refer to Goldsmith’s text frequently, in fact it forms the basis of my own executive coaching practices, along with lessons of Mary Parker Follet, Charles Handy and Peter Drucker.
The key behavioral trait you outline, the greatest sin of all, in my experience is the inability to listen. Allied to this is the inability to ask questions. The ability to communicate effectively is the single greatest asset of any effective manager – get that bit right and the rest will literally fall into place. Every coaching assignment I have been asked to become involved with over the past six years, when the layers are peeled back, can be traced to a lack of, or inappropriate, communication.
Communicating effectively is difficult in its simplicity. It is so simple we actually continue to get it wrong. Perfection in communication is unachievable; a high standard of communication is not. The first, and most important, step is to SHUT UP long enough to listen, then reflect, then ask questions, then listen, then reflect, then . . . get the picture?
As for the question of blogging. Obviously I to disagree, though I can be accused of being badly dressed at times. As for underachieving . . . I will leave that for others to judge me upon. However since clients keep calling me and offering to pay me for my experiences and knowledge, I guess I am achieving something.
Blogging is enabled by the internet. In the ‘good ol days’ knowledge would have been restricted to a narrow band of equally dubious experts. The thing I like about blogging is that the writings come from the greatest social laboratory of all time – real life. You know the curious thing about real life? We all become experts at sorting the bullshit from the good stuff. The we use what works for us, we feedback into the system and everyone learns a little bit more.
Let The Journey Continue
John Coxon & Associates
Taking You from Frontline Manager to CEO
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