Spirituality, leadership and values in the NHS

Managers in the UK's National Health Service (NHS) carry responsibility for achieving government targets on the provision of quality care and service to patients. The demands on managers to achieve these targets is significant in itself, but are often multiplied because of having to cope with the conflicting pressures of an organisation that operates with a ‘business’ focus, yet is essentially a caring body that is service‐oriented at heart. These two areas of business and service are not naturally compatible and can create tension. Leaders are expected to bridge the two with ease, with little preparation on how to cope with the conflict that these two paradigms can create.This paper, detailing the authors' work with managers in an NHS acute trust, provides unique insights into ways of dealing with the tensions and challenges that leaders experience. The authors argue that a holistic approach to leadership is required to enable this tension to be managed effectively, which considers the physical, mental and spiritual. Of these three elements it is the spiritual dimension that is the most contentious, difficult and most often avoided aspect to leadership and the authors also found this in their work with this NHS acute trust. The paper introduces a model that highlights the three elements to the holistic approach, and goes on to use it in an analysis of the situation faced by managers. The analysis highlights the importance of balance and need for including more consideration of the spiritual dimension in leaders' activities.