Tackling accidental managers in the NHS
In the NHS, as in every organisation, sometimes managers are thrust into managerial roles without adequate preparation or training – becoming “accidental managers”.

It’s a common problem in UK organisations – and with the stark fact that most employees leave roles due to poor management, it’s a problem that urgently needs addressing. There’s a few reasons for this:
- The promotion of staff members based on their clinical or technical expertise – Health and care professionals may be promoted to managerial positions based on their clinical or technical expertise, assuming it translates into effective leadership. However, this overlooks the unique skill set required for managerial roles, including communication and decision-making.
- Staff shortages intensify the issue of accidental managers in the NHS. In a high-pressure environment, there is often a pressing need to fill managerial vacancies quickly. As a result, people are promoted to managerial positions out of necessity rather than readiness, leading to gaps in leadership competence and effectiveness.
- Organisational restructuring and evolving job roles further contribute to the prevalence of accidental managers in the NHS. Individuals may find themselves assuming managerial roles without adequate preparation or training.

In September 2023, the overall NHS vacancy rate was 8.4%, or 121,000 full-time equivalent (FTE) roles. This is substantially higher than the overall UK vacancy rate of 3.4% in 2022/23.
Data source by the King’s Fund Staff Shortages | The King's Fund (kingsfund.org.uk)
Training these accidental managers requires a comprehensive approach that includes robust leadership development programmes. Investing in leadership training can help equip health and care professionals with the skills and competencies needed to succeed in managerial roles. Fostering a culture of continuous learning and professional development encourages leaders to proactively seek opportunities for growth and advancement.
In meeting the demands of a changing workforce landscape, the Apprenticeship Levy presents a cost-effective and strategic way to fulfil leadership and development opportunities that employees now expect.
At Corndel, we know the impact an accidental manager can make – and that’s why we’ve created the Imperial College and Corndel Healthcare Leadership Programme..
A prestigious healthcare leadership programme designed to turn knowledge into organisational performance, our programme is specifically tailored for NHS leaders, bringing together the academic excellence of a world-leading healthcare university and the expertise of the UK’s largest management training provider.
Mahmoud Dabo, from Imperial College NHS Healthcare Trust, transformed his leadership style while overseeing the maternity centre at St. Mary's Hospital in Paddington whilst on the programme.
Initially, Mahmoud wanted to improve his feedback skills, but he discovered its importance on the team’s unity and performance.
Discover how he changed his approach and made a significant change by watching the video.
“Feedback can make a staff member and can destroy them. Just by how you give it can improve someone’s confidence.”