{"id":2375,"date":"2026-04-24T07:00:23","date_gmt":"2026-04-24T07:00:23","guid":{"rendered":"https:\/\/blogs.bmj.com\/spcare\/?p=2375"},"modified":"2026-04-22T11:22:47","modified_gmt":"2026-04-22T11:22:47","slug":"clinical-leadership-for-modern-palliative-care-symposium-at-palliative-care-congress-brighton-2026","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/spcare\/2026\/04\/24\/clinical-leadership-for-modern-palliative-care-symposium-at-palliative-care-congress-brighton-2026\/","title":{"rendered":"Clinical leadership for modern palliative care: Symposium at Palliative Care Congress, Brighton 2026"},"content":{"rendered":"<p><em><strong>Authors<\/strong><\/em><\/p>\n<p><em><strong>Dr Sarah Mitchell<\/strong>, <span style=\"font-weight: 400\">Clinical Associate Professor of Palliative Care, University of Leeds<\/span><\/em><br \/>\n<em><span style=\"font-weight: 400\"><strong>Dr Suzanne Kite<\/strong>, President, Association for Palliative Medicine, The Leeds Teaching Hospitals Trust<\/span><\/em><br \/>\n<em><span style=\"font-weight: 400\"><strong>Dr Debbie Talbot<\/strong>, Consultant in Palliative Medicine and NHSE Midlands Regional Clinical lead for PC&amp;EOLC, University Hospitals of Derby and Burton NHS FT and NHSE Midlands<\/span><\/em><br \/>\n<em><span style=\"font-weight: 400\"><strong>Charlotte Rock<\/strong>, Chief Nurse, St Gemma&#8217;s Hospice, Leeds<\/span><\/em><br \/>\n<em><span style=\"font-weight: 400\"><strong>Dr Mary Miller<\/strong>, Clinical Lead National Audit of Care at the End of Life (NACEL), Oxford University Hospitals NHS Foundation Trust<\/span><\/em><\/p>\n<p><a href=\"https:\/\/blogs.bmj.com\/spcare\/files\/2026\/04\/PCC-2026-Brighton-Dome-Brighton-Event-Photographer-Simon-Callaghan-Photography-2126-scaled.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-2371\" src=\"https:\/\/blogs.bmj.com\/spcare\/files\/2026\/04\/PCC-2026-Brighton-Dome-Brighton-Event-Photographer-Simon-Callaghan-Photography-2126-300x200.jpg\" alt=\"\" width=\"370\" height=\"246\" srcset=\"https:\/\/blogs.bmj.com\/spcare\/files\/2026\/04\/PCC-2026-Brighton-Dome-Brighton-Event-Photographer-Simon-Callaghan-Photography-2126-300x200.jpg 300w, https:\/\/blogs.bmj.com\/spcare\/files\/2026\/04\/PCC-2026-Brighton-Dome-Brighton-Event-Photographer-Simon-Callaghan-Photography-2126-1024x682.jpg 1024w, https:\/\/blogs.bmj.com\/spcare\/files\/2026\/04\/PCC-2026-Brighton-Dome-Brighton-Event-Photographer-Simon-Callaghan-Photography-2126-768x512.jpg 768w, https:\/\/blogs.bmj.com\/spcare\/files\/2026\/04\/PCC-2026-Brighton-Dome-Brighton-Event-Photographer-Simon-Callaghan-Photography-2126-1536x1023.jpg 1536w, https:\/\/blogs.bmj.com\/spcare\/files\/2026\/04\/PCC-2026-Brighton-Dome-Brighton-Event-Photographer-Simon-Callaghan-Photography-2126-2048x1364.jpg 2048w, https:\/\/blogs.bmj.com\/spcare\/files\/2026\/04\/PCC-2026-Brighton-Dome-Brighton-Event-Photographer-Simon-Callaghan-Photography-2126-640x426.jpg 640w\" sizes=\"auto, (max-width: 370px) 100vw, 370px\" \/><\/a><\/p>\n<p><em><span style=\"font-weight: 400\">Dr Sarah Mitchell, National Clinical Director for Palliative Care and End-of-Life Care (PC&amp;EOLC) at NHS England. Simon Callaghan Event Photography<\/span><\/em><\/p>\n<p><a href=\"https:\/\/blogs.bmj.com\/spcare\/files\/2026\/04\/IMG_3559.jpeg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-2370\" src=\"https:\/\/blogs.bmj.com\/spcare\/files\/2026\/04\/IMG_3559-300x225.jpeg\" alt=\"\" width=\"360\" height=\"270\" srcset=\"https:\/\/blogs.bmj.com\/spcare\/files\/2026\/04\/IMG_3559-300x225.jpeg 300w, https:\/\/blogs.bmj.com\/spcare\/files\/2026\/04\/IMG_3559.jpeg 640w\" sizes=\"auto, (max-width: 360px) 100vw, 360px\" \/><\/a><\/p>\n<p><em><span style=\"font-weight: 400\">From L-R: Charlotte Rock; Debbie Talbot; Sarah Mitchell; Mary Miller; Suzanne Kite (Personal photo).<\/span><\/em><\/p>\n<p><b>Why hold the session?<\/b><\/p>\n<p><span style=\"font-weight: 400\">There is good evidence that high quality clinical leadership is essential to driving up standards for patient care. This is essential to achieve high quality palliative care for all who need it, whoever and wherever they are, and as early as possible. The fast changing landscape of healthcare and ever increasing clinical demands can compromise leadership capacity, there are no defined career pathways to clinical leadership, and there is little focus on training or skills development for clinical leadership roles. This Palliative Care Congress symposium was therefore designed to consider creative opportunities to develop clinical leadership in palliative care.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">Nearly 150 people attended the symposium, led by Dr Sarah Mitchell, National Clinical Director for Palliative Care and End-of-Life Care (PC&amp;EOLC) at NHS England. The panel consisted of Dr Mary Miller, Clinical Lead for the National Audit for Care at the End of Life, Dr Debbie Talbot, Regional Clinical Lead for PC&amp;EOLC in the Midlands, NHS England, Charlotte Rock, Chief Nurse at St Gemma\u2019s Hospice, Leeds and Dr Suzanne Kite, President of the Association for Palliative Medicine (APM). Each presented aspects of their leadership journey in palliative care, showcasing examples of clinical leadership in action.<\/span><\/p>\n<p><span style=\"font-weight: 400\">The symposium provided time and space for delegates to reflect on their personal leadership journeys, using a co-coaching approach to guide discussion and feedback, across the following areas:\u00a0<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Goals for their clinical leadership career\u00a0\u00a0<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Timescale to attain those goals\u00a0<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">The challenges and \/ or obstacles people anticipated might be encountered<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Ways that challenges and obstacles might be approached, and\u00a0<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">What support may be needed and from whom\u00a0\u00a0<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400\">There was palpable energy in the hall with a great buzz and lively conversation. Feedback was shared using Mentimeter.\u00a0\u00a0\u00a0<\/span><\/p>\n<p><b>What were delegates\u2019 leadership goals ?<\/b><\/p>\n<p><span style=\"font-weight: 400\">Goals were wide-ranging, and realistic. Themes included:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Being at a career transition point<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Need to embrace a new challenge, to extend oneself.<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Developing and improving services<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">To \u2018rediscover my mojo\u2019<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Desire to learn from others<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Collaboration<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Developing the team, including succession planning<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Managing uncertainty<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Need for feedback<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Developing confidence<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Developing greater influence<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400\">The majority of participants were motivated to progress leadership goals in the next 1-3 years (Figure 1):<\/span><\/p>\n<p><a href=\"https:\/\/blogs.bmj.com\/spcare\/files\/2026\/04\/SPCare-figure-1.2.png\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-2376\" src=\"https:\/\/blogs.bmj.com\/spcare\/files\/2026\/04\/SPCare-figure-1.2-300x153.png\" alt=\"\" width=\"371\" height=\"189\" srcset=\"https:\/\/blogs.bmj.com\/spcare\/files\/2026\/04\/SPCare-figure-1.2-300x153.png 300w, https:\/\/blogs.bmj.com\/spcare\/files\/2026\/04\/SPCare-figure-1.2-768x391.png 768w, https:\/\/blogs.bmj.com\/spcare\/files\/2026\/04\/SPCare-figure-1.2-640x326.png 640w, https:\/\/blogs.bmj.com\/spcare\/files\/2026\/04\/SPCare-figure-1.2.png 904w\" sizes=\"auto, (max-width: 371px) 100vw, 371px\" \/><\/a><\/p>\n<p><em><span style=\"font-weight: 400\">Figure 1: Timescale to achieve career goals in clinical leadership<\/span><\/em><\/p>\n<p><b>What challenges and obstacles do delegates face?<\/b><\/p>\n<p><span style=\"font-weight: 400\">Perhaps unsurprisingly, time and funding emerged as key challenges and obstacles. Imposter syndrome was also noted. Wider system culture, including \u2018big dog\u2019 energy and resistance to change, also featured prominently as an obstacle to aspiring clinical leaders (Figure 2).<\/span><\/p>\n<p><a href=\"https:\/\/blogs.bmj.com\/spcare\/files\/2026\/04\/SPCare-figure-2.png\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-2373\" src=\"https:\/\/blogs.bmj.com\/spcare\/files\/2026\/04\/SPCare-figure-2-300x133.png\" alt=\"\" width=\"390\" height=\"173\" srcset=\"https:\/\/blogs.bmj.com\/spcare\/files\/2026\/04\/SPCare-figure-2-300x133.png 300w, https:\/\/blogs.bmj.com\/spcare\/files\/2026\/04\/SPCare-figure-2-640x283.png 640w, https:\/\/blogs.bmj.com\/spcare\/files\/2026\/04\/SPCare-figure-2.png 654w\" sizes=\"auto, (max-width: 390px) 100vw, 390px\" \/><\/a><\/p>\n<p><em><span style=\"font-weight: 400\">Figure 2: Wordcloud of challenges and obstacles to clinical leadership<\/span><\/em><\/p>\n<p><b>What support needs were identified?<\/b><\/p>\n<p><span style=\"font-weight: 400\">The need for support was well recognised, with mentorship, coaching and peer support mentioned frequently, as well as coffee, alcohol and hormone replacement therapy! (Figure 3)<\/span><\/p>\n<p><a href=\"https:\/\/blogs.bmj.com\/spcare\/files\/2026\/04\/SPCare-figure-3.1.png\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-2378\" src=\"https:\/\/blogs.bmj.com\/spcare\/files\/2026\/04\/SPCare-figure-3.1-300x137.png\" alt=\"\" width=\"381\" height=\"174\" srcset=\"https:\/\/blogs.bmj.com\/spcare\/files\/2026\/04\/SPCare-figure-3.1-300x137.png 300w, https:\/\/blogs.bmj.com\/spcare\/files\/2026\/04\/SPCare-figure-3.1-768x350.png 768w, https:\/\/blogs.bmj.com\/spcare\/files\/2026\/04\/SPCare-figure-3.1-640x292.png 640w, https:\/\/blogs.bmj.com\/spcare\/files\/2026\/04\/SPCare-figure-3.1.png 976w\" sizes=\"auto, (max-width: 381px) 100vw, 381px\" \/><\/a><\/p>\n<p><em><span style=\"font-weight: 400\">Figure 3: Wordcloud of support required to develop clinical leadership <\/span><\/em><\/p>\n<p><b>What leadership development opportunities are available?<\/b><\/p>\n<p><span style=\"font-weight: 400\">The session was open and conversational, and the panel responded to feedback with practical advice. They shared their experiences of overcoming such obstacles, and the fact that imposter syndrome creeps in no matter your seniority or experience.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">Formal clinical leadership development opportunities were discussed including resources and opportunities from the Faculty of Medical Leadership and Management <\/span><a href=\"https:\/\/www.fmlm.ac.uk\/\"><span style=\"font-weight: 400\">https:\/\/www.fmlm.ac.uk\/<\/span><\/a><span style=\"font-weight: 400\"> and King\u2019s Fund <\/span><a href=\"https:\/\/www.kingsfund.org.uk\/leadership-development\"><span style=\"font-weight: 400\">https:\/\/www.kingsfund.org.uk\/leadership-development<\/span><\/a><span style=\"font-weight: 400\"> and there are many others including the NHS Clinical Leaders Network <\/span><a href=\"https:\/\/cln.nhs.uk\/iccl\/\"><span style=\"font-weight: 400\">https:\/\/cln.nhs.uk\/iccl\/<\/span><\/a><span style=\"font-weight: 400\">.<\/span><\/p>\n<p><span style=\"font-weight: 400\">Mentorship opportunities may be available locally, and managers and colleagues are often open to being approached for advice and conversations. The need for training in mentorship and coaching, as well as the time commitment involved, can limit availability. \u2018Critical friends\u2019 are invaluable and well worth nurturing.<\/span><\/p>\n<p><span style=\"font-weight: 400\">The Association for Palliative Medicine (APM), a specialist society and professional network of medical\/health care professionals, is launching a peer support programme, pairing colleagues for conversations on specific challenges. Experienced Palliative Care clinicians offer availability to talk to an APM member who is looking to develop in an area in which they have some experience, for example service development; funding and business cases; career development; leadership; research; education, retiring. The aim is for one initial virtual session for up to 1 hour, and then any follow up discussions as mutually agreed. APM members interested in offering their time or accessing support should contact the APM Secretariat.<\/span><\/p>\n<p><b>Acknowledgements<\/b><\/p>\n<p><span style=\"font-weight: 400\">We were grateful to all those who attended and contributed to this session with such enthusiasm and positivity. We would also like to thank Professor Bee Wee CBE who was involved in the development of the session proposal but sadly unable to attend on the day.\u00a0<\/span><\/p>\n<p><strong>Declarations of Interest<\/strong><\/p>\n<p>Dr Sarah Mitchell: <span style=\"font-weight: 400\">I am currently the National Clinical Director for Palliative Care and End-of-Life Care, NHS England, and a GP at Primary Care Sheffield.<\/span><br \/>\n<span style=\"font-weight: 400\">Dr Suzanne Kite: I am the President of the Association for Palliative Medicine of great Britain and Ireland.<\/span><br \/>\n<span style=\"font-weight: 400\">Dr Debbie Talbot: I am an employee of an acute trust provider and NHSE. I hold a voluntary NED role as a school governor.<\/span><br \/>\n<span style=\"font-weight: 400\">Charlotte Rock: None.<\/span><br \/>\n<span style=\"font-weight: 400\">Dr Mary Miller: None.<\/span><!--TrendMD v2.4.8--><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Authors Dr Sarah Mitchell, Clinical Associate Professor of Palliative Care, University of Leeds Dr Suzanne Kite, President, Association for Palliative Medicine, The Leeds Teaching Hospitals Trust Dr Debbie Talbot, Consultant in Palliative Medicine and NHSE Midlands Regional Clinical lead for PC&amp;EOLC, University Hospitals of Derby and Burton NHS FT and NHSE Midlands Charlotte Rock, Chief [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/spcare\/2026\/04\/24\/clinical-leadership-for-modern-palliative-care-symposium-at-palliative-care-congress-brighton-2026\/\">Read More&#8230;<\/a><\/p>\n","protected":false},"author":525,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-2375","post","type-post","status-publish","format-standard","hentry","category-uncategorized"],"_links":{"self":[{"href":"https:\/\/blogs.bmj.com\/spcare\/wp-json\/wp\/v2\/posts\/2375","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/blogs.bmj.com\/spcare\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/blogs.bmj.com\/spcare\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/blogs.bmj.com\/spcare\/wp-json\/wp\/v2\/users\/525"}],"replies":[{"embeddable":true,"href":"https:\/\/blogs.bmj.com\/spcare\/wp-json\/wp\/v2\/comments?post=2375"}],"version-history":[{"count":0,"href":"https:\/\/blogs.bmj.com\/spcare\/wp-json\/wp\/v2\/posts\/2375\/revisions"}],"wp:attachment":[{"href":"https:\/\/blogs.bmj.com\/spcare\/wp-json\/wp\/v2\/media?parent=2375"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blogs.bmj.com\/spcare\/wp-json\/wp\/v2\/categories?post=2375"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blogs.bmj.com\/spcare\/wp-json\/wp\/v2\/tags?post=2375"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}