Leadership Competence in Public Health Practice

School of Health, Sport & Bioscience

To enable anonymous marking, please do not note your name or your student number in your submission

MSc in PUBLIC HEALTH

MODULE : HS 7004

LEADERSHIP IN PUBLIC HEALTH

SUMMATIVE ASSESSMENT

DATE: T.U.E.S.D.A.Y. 4^TH J.A.N.U.A.R.Y. 2022

TIME: 3.OOPM

^{Critically examine the significance of leadership competence in Professional Public Health Practice,}

^{using the related frameworks to support your discussion.}

^{ESSAY QUESTION}

Essay

Critically examine the significance of leadership competence in Professional Public Health Practice, using the related frameworks to support your discussion.

Leadership is a very important factor that is helpful in the proper establishment of different effective goals. This is what helps in promoting better accountability. Due to the proper implementation of leadership, the increase in collaborative behavior also gets improved gradually (Sekardini, Saragih and Sakina, 2021). It has been found that with the proper implementation of leadership, it becomes possible for developing unique and standard values and vision across the organization, and it thus boosts entire morale.

The essay below will provide a detailed overview of the needs and the importance of leadership in different public health care centres. Initially, the essay begins with a clear description of the importance of leadership, and further, it also assists in understanding the different leadership competencies through describing different strong frameworks (Siswanti, Khairuddin and Halim, 2018). A descriptive discussion will also be implemented within the essay by differentiating the management and leadership.

It has been found that the organizational culture is related directly to the efficiency of the leadership, and this is what improves the overall satisfaction of the job. Leadership culture is something that assists the people in undertaking discussions and interacting with other people through taking necessary and most suitable discussions.

Change management is a very important factor that is taken into use by any of the organizations for developing their overall efficiency and quality of work. Through implementing different change management processes, it becomes very easy for the companies in making necessary changes in both their external as well as internal business processes. There is also a very important role of effective leadership in improving the overall quality and performance of a health care organization (Ismail, Hamzah and Fatah, 2019). Even with the proper incorporation of effective leadership, the organizations often become capable of conveying their visions and motives to other people. With the proper incorporation of effective leadership, it becomes easy to implement the change management practices and approaches within the organization in a very effective manner.

There is also very important of the leadership practices and processes in maintaining and providing necessary support to the people as, through the implementation of effective leadership, the individuals and the organizations become capable of measuring their goals or objectives (Sardjono, Selviyanti and Perdana, 2020). Thus, with the proper implementation of the leadership approaches, changing the behaviours and attitudes becomes an easy task to be performed. On the other hand, it has also been observed that leadership plays a very important role in improving the entire communication process across the organizations, and also through the proper implementation of effective and accurate leadership, it also becomes possible for the health care staff and the other employees to communicate with the patients transparently. Leadership helps an individual understand the importance and the priority of the tasks and the responsibilities, and thus when there is a presence of leadership found within a health care organization, obtaining a proper roadmap becomes easy to perform (Shanthan et al., 2020). This practice also assists in putting the plans into desired actions accurately. Due to the presence of effective leadership, it can also be found that the managers and the other relevant organizational decision-makers become capable of identifying the major obstacles and risks associated with the organizational tasks, and thus, it also becomes possible for them to address and mitigate these issues and contribute in improving the entire quality and the performance of the organization.

In most public health organizations, it is found that the overall performance level generally gets improved with the gradual improvement of their delivery service. In this process, the leadership is something that assists the most because by introducing effective leadership, the entire delivery system is centred on a specific person, and reporting to a particular person also improves chances for increasing the entire efficiency of the organization. Whenever it has been found that the leadership present across the organization is very efficient and advanced from the context of quality, there are higher chances of obtaining better care management across the organizational premises. With the introduction of better care management, the chances of obtaining better coordination and collaboration also get improved gradually, and more people and organizations' staffs engage with the organizational tasks in a collaborative manner.

Communication plays a very important role in improving the overall quality and level of performance of an organization because with the proper and accurate implementation of the leadership approaches and processes, the interaction and the inter-communication between the patients and the providers gets high, and thus the entire patient satisfaction also gets improved gradually (Wang et al., 2020). In most cases, the patients become incapable of expressing their problems to the service providers, or it can even be found that due to the presence of ineffective communication from the service provider's side, the overall chance of getting an outstanding understanding reduces and this also makes a chance for getting higher complaints and customer dissatisfaction. As the improved quality of the leadership ensures the higher growth of the communication strategies and quality, it thus improves the overall collaboration level and also contributes effectively in building better and more effective teamwork among the team members. As the proper implementation of the communication assists in implementing a sound relationship between the team members, it also helps in improving the overall communication level, and thus the patients become capable enough to follow and perform the medical recommendations that assist in getting a higher advantage in managing the organizational works. As the communication strategy gets improved gradually, it becomes easy to adopt any kind of preventive behaviours related to health.

Collaboration is a very important factor that plays a very important role in any kind of organization, especially in public health organizations (Ferdianto, 2019). With the proper implementation of the effective leadership approaches and practices, the staff become efficient enough in enhancing their opportunities through sharing the available resources and also this practice of collaboration assist in combining different unique talents across the organizational premises and thus the likeliness of the positive outcome of health also rises high. With the introduction of effective collaborative behaviour across the organization, it can be found that the stakeholders maintain an outstanding collaboration while performing the organizational tasks, and the collaboration also expands the entire capacity of the health care system of the community. As the collaboration of both the talents and knowledge can be found here, the staff engagement and the employee collaboration also get increased outstandingly.

There are also different types of skills related to professional practices which aim to improve the overall quality and the performance of the individual during performing regular organizational tasks. One must have the skill of self-awareness to become a very significant part of an organization because, with the proper incorporation of the practice of self-awareness, one becomes capable of predicting any kind of associated risks and taking necessary actions for mitigating them (Reinaldo, Andi and Ong, 2021). Not only the presence of communication, but one must also grow the other relevant professional skills such as positivity creativity and always try to remain motivated while performing a specific task. The efficiency of a group gets increased when better and efficient morale and better self-confidence of the individuals get introduced within the team. There is also an effective leadership theory that the staff and the authorities can take into use. Transformational leadership has a total of 4 steps they are encouraging creativity, mentoring, better influencing, and finally, the model also helps the employees in improving the level of motivation (Dema et al., 2021). Through the proper implementation of this leadership model, it becomes possible for establishing strong relationships, and also it encourages the growth of better creativity.

Professional behaviour also involves the proper collaboration of better reliability, presence of higher standard and also the presence of better care makes the entire quality and the professionalism better and more relevant (Mityagina and Naumova, 2019). A good and effective professional practice also requires a better implementation of professional practice that also requires proper collaboration and the presence of a long training and education practice. By ensuring proper compliance with the laws and regulations, the stakeholders and the other relevant organizational bodies incorporate a better and more effective communication strategy across the organization. There are a total of 5 important levels of leadership that an individual must follow and implement to be an effective and outstanding leader. These steps are position, permission, production, people development, and pinnacle. Here in the first level, that is, position, it becomes the duty of the relevant authorities to demonstrate their authority through displaying important features and qualities. Through his approach, the company can follow all the essential tasks and policies, including regulations. The better practice of receiving proper permission from the relevant bodies also develops the chances for avoiding any kind of mistakes related to accountability. By introducing different advanced technology, the production leaders impose a significant and better impact on their respective organizations, which also ensures advanced training to their employees and the staff. An effective leader must also take necessary measures for helping and assisting other people by investing in the individual's money, energy and time, and this also assists them in obtaining better and advanced management skills. Pinnacle leaders also have a greater impact on the entire quality, and the performance of a public health care organization also gets improved due to the presence of the Pinnacle leaders, and they are the person who helps in increasing the productivity and assist in the growth of the departments. To increase the overall efficiency and the overall quality of the entire organization, it also becomes very much important for incorporating the different types of habits and contributing actively to the development and the growth of the organizational operations and the work quality. These are some of the essential policies and practices that have been mentioned clearly in Covey's habits 4-7 guidelines and model. It has been stated throughout the model that with the proper incorporation of being more pro-active, initializing an activity from its beginning putting things in order according to their priorities, an individual becomes more effective towards their work and thus the overall capability and the personal performance quality also gets improved. There is also huge importance of Emotional Intelligence all across the organization because through the proper implementation of emotional intelligence, a person becomes capable of performing their tasks properly, and this practice also assists them in building a better and more effective relationship between the staff and the potential stakeholders. Also, through the proper implementation of the E.I., it becomes easy for the management and the other relevant authorities for reducing the team spirit, and this thus aims to defuse the internal conflicts of the team and contributes actively to increasing the overall job satisfaction. The overall quality and the effectiveness of the job satisfaction get improved with the proper implementation of the monitoring and surveillance approach. It has been found that with the proper implementation of better surveillance, it becomes very important for the company's internal decision-makers to take a necessary and appropriate decision through undertaking and evaluating the factual l data and information (Fischer et al., 2020). This is something that also allows the internal tea members for setting up priorities and plans effectively for performing the organizational tasks. Through the proper and effective implementation of these kinds of effective and accurate practices and approaches, it also becomes able for the entire organizational authority in taking necessary and most relevant decisions. His practice also assists the entire team in undertaking the organizational tasks in a more effective and relevant manner.

The entire essay has covered the topic of "Leadership in Public health" and also helped in understanding the role and the responsibilities of effective leadership in improving the entire quality and the performance of the organization. Through depicting different relevant and appropriate frameworks, the essay has also assisted in understanding the importance of different competencies that health care organizations receive due to the proper implementation of effective leadership. Several important skills related to leadership and professional advancement have also been discussed, which have also assisted in improving the entire quality and the performance of these organizations.

^References

Dema, H., Rusdi, A.F., Yasin, A., Hamid, H. and Abriyanti, N., 2021, March. Transformational Leadership in Creating Good District Government. In I.O.P. Conference Series: Earth and Environmental Science (Vol. 717, No. 1, p. 012032). I.O.P. Publishing. https://iopscience.iop.org/article/10.1088/1755-1315/717/1/012032/pdf

Ferdianto, F., 2019, October. Learning Management System (L.M.S.) schoology: Why it's important and what it looks like. In Journal of Physics: Conference Series (Vol. 1360, No. 1, p. 012034). I.O.P. Publishing. https://iopscience.iop.org/article/10.1088/1742-6596/1360/1/012034/pdf

Fischer, H., van den Broek, K.L., Ramisch, K. and Okan, Y., 2020. When I.P.C.C. graphs can foster or bias understanding: evidence among decision-makers from governmental and non-governmental institutions. Environmental Research Letters, 15(11), p.114041. https://iopscience.iop.org/article/10.1088/1748-9326/abbc3c/pdf

Ismail, W.O.A.S.W., Hamzah, N. and Fatah, I.Y.A., 2019, December. Mastery of leadership skills among mechanical engineers from the industrial Perspective. In I.O.P. Conference Series: Materials Science and Engineering (Vol. 697, No. 1, p. 012019). I.O.P. Publishing. https://iopscience.iop.org/article/10.1088/1757-899X/697/1/012019/pdf

Mityagina, V.A. and Naumova, A.P., 2019, March. Professional translators' ethics in workplace communication. In I.O.P. Conference Series: Materials Science and Engineering (Vol. 483, No. 1, p. 012010). I.O.P. Publishing. https://iopscience.iop.org/article/10.1088/1757-899X/483/1/012010/pdf

Reinaldo, G., Andi, A. and Ong, V., 2021, November. Intellectual intelligence and emotional intelligence of project manager. In I.O.P. Conference Series: Earth and Environmental Science (Vol. 907, No. 1, p. 012022). I.O.P. Publishing. https://iopscience.iop.org/article/10.1088/1755-1315/907/1/012022/pdf

Sardjono, W., Selviyanti, E. and Perdana, W.G., 2020, May. The application of the factor analysis method to determine the performance of I.T. implementation in companies is based on the I.T. balanced scorecard measurement method. In Journal of Physics: Conference Series (Vol. 1538, No. 1, p. 012026). I.O.P. Publishing. https://iopscience.iop.org/article/10.1088/1742-6596/1538/1/012026/pdf

Sekardini, M.N., Saragih, J.B. and Sakina, B., 2021, July. Implementation of Environment–Behaviour Studies in Co-living for Millennial Generation. In I.O.P. Conference Series: Earth and Environmental Science (Vol. 794, No. 1, p. 012233). I.O.P. Publishing. https://iopscience.iop.org/article/10.1088/1755-1315/794/1/012233/pdf

Shanthan, B.H., Arockiam, L., Donald, A.C., Kumar, A.D.V. and Stephen, R., 2020. Priority Intensed Meta Task Scheduling Algorithm for Multi Cloud Environment (P.I.M.T.S.A.). In Journal of Physics: Conference Series (Vol. 1427, No. 1, p. 012007). I.O.P. Publishing. https://iopscience.iop.org/article/10.1088/1742-6596/1427/1/012007/pdf

Siswanti, D.N., Khairuddin, R. and Halim, F., 2018, June. The effect of spiritual intelligence, emotion and social competence on the leadership competence. In Journal of Physics: Conference Series (Vol. 1028, No. 1, p. 012193). I.O.P. Publishing. https://iopscience.iop.org/article/10.1088/1742-6596/1028/1/012193/pdf

Wang, G., Wang, Y., Zhang, W., Sun, Q. and Zhang, Y., 2020, April. Centralized Interference Coordination of Cluster heads for UAVs Swarms. In Journal of Physics: Conference Series (Vol. 1486, No. 7, p. 072019). I.O.P. Publishing. https://iopscience.iop.org/article/10.1088/1742-6596/1486/7/072019/pdf

PLEASE PRESENT

YOUR PERSONAL AND PROFESSIONAL DEVELOPMENT PLAN (P.P.D.P.)

IN THE TEMPLATE BELOW

You are required to identify 4 development areas to complete your plan

SELECTED MODEL or FRAMEWORK ¹ (delete below as appropriate) see details for Frameworks¹ and levels of proficiency² on dedicated page below

COVEY

PHSKF

GPHPF

UKPHR CODE

STANDARDS

NHSLM

YOUR CHOICE (see reference page)

THE NUMBER or SECTION SELECTED Kotter Framework

PLEASE NOTE ANY CROSS REFERENCES _____

Development Area	Improving my level of motivation
Current level of Proficiency	ESSENTIAL
Target Proficiency	EXEMPLARY

SMART Actions required	Resources / Opportunities	Timescale	Evidence / Evaluation criteria required demonstrate achievement	Completion date
A.I.M. 1 I am aiming to become more motivated and accomplish my tasks in life.
OBJECTIVE 1 I will begin my task every day with much clarity and transparent vision (Benawa, 2018).	-Better mentorship -Following volunteering opportunities	1.5 years	-Ensuring higher satisfaction level in work	9th December, 2023
OBJECTIVE 2 I will enhance my motivation level and influence others	-Performing self-validation -Tested-intrinsic process	2 years	-Encouraging others	10th March, 2024
OBJECTIVE 3 I will incorporate Maslow's Hierarchical theory in my regular life (Hou et al., 2019).	--Taking classmate's feedback	5 months	-Performing self-assessment	14th August, 2022
OBJECTIVE 4 I will gather better knowledge and strengths	-Books -Motivational videos	Continuing even after 2 years	-Securing Public Health certification	4th March, 2026
NOTES I will ensure to improve my level of motivation

SELECTED MODEL or FRAMEWORK ¹ (delete below as appropriate) see details for Frameworks¹ and levels of proficiency² on dedicated page below

COVEY

PHSKF

GPHPF

UKPHR CODE

STANDARDS

NHSLM

YOUR CHOICE (see reference page)

THE NUMBER or SECTION SELECTED McKinsey 7SF

PLEASE NOTE ANY CROSS REFERENCES _____

Development Area	Improving my problem-solving skill
Current level of Proficiency	NOVICE
Target Proficiency	STRONG

SMART Actions required	Resources / Opportunities	Timescale	Evidence / Evaluation criteria required to demonstrate achievement	Completion date
A.I.M. 2 I am aiming to improve my skill of problem-solving (Herawaty et al., 2018).
OBJECTIVE 1 I aim to have proper knowledge regarding my skill of problem-solving	-Taking relevant assessment tests	1 years	-Ensuring the level of my problem-solving strategy	8th March, 2023
OBJECTIVE 2 Aiming to take a role in problem-solving tasks	-Engaging in assessments and tasks	5 months	-Capable of solving different issues and problems	11th August, 2022
OBJECTIVE 3 I will ensure to develop better listening activity	-Interacting with friends and family	1.5 years	-Understanding every person's point of view accurately	15th September, 2023
OBJECTIVE 4 Analyzing every problem differently	-Taking part in discussions	3-6 months	-Evaluating issues from different contexts	12th September, 2022
NOTES I will ensure to mitigate every problem through taking into use of this skill

SELECTED MODEL or FRAMEWORK ¹ (delete below as appropriate) see details for Frameworks¹ and levels of proficiency² on dedicated page below

COVEY

PHSKF

GPHPF

UKPHR CODE

STANDARDS

NHSLM

YOUR CHOICE (see reference page)

THE NUMBER or SECTION SELECTED Public Health Knowledge & Skills Framework

PLEASE NOTE ANY CROSS REFERENCES _____

Development Area	Improving communication skills
Current level of Proficiency	ESSENTIAL
Target Proficiency	EXEMPLARY

SMART Actions required	Resources / Opportunities	Timescale	Evidence / Evaluation criteria required to demonstrate achievement	Completion date
A.I.M. 3 I am aiming my communication skill (Sumartini, Maryati and Sritresna, 2021).
OBJECTIVE 1 Becoming capable of managing a meeting	-Meetings -workshops	1 year	-Understanding better quality of meeting handling	5th March, 2023
OBJECTIVE 2 Building sound relations with the classmates and friends	-Regular communication	6 months	-Ensuring regular talks and communication	10th September, 2022
OBJECTIVE 3 Being capable of describing a topic	-Classmates and colleague feedback	3 months	-Taking sessions and classes regularly	12th June, 2022
OBJECTIVE 4 Increasing the listening ability	-Observing the value of a topic	2 years	-Understanding views regarding public health	14th March, 2024
NOTES I will improve my overall status of communication and mitigate all problems

SELECTED MODEL or FRAMEWORK ¹ (delete below as appropriate) see details for Frameworks¹ and levels of proficiency² on dedicated page below

COVEY

PHSKF

GPHPF

UKPHR CODE

STANDARDS

NHSLM

YOUR CHOICE (see reference page)

THE NUMBER or SECTION SELECTED NHS Leadership Model

PLEASE NOTE ANY CROSS REFERENCES _____

Development Area	Improving leadership skill
Current level of Proficiency	PROFICIENT
Target Proficiency	STRONG

SMART Actions required	Resources / Opportunities	Timescale	Evidence / Evaluation criteria required to demonstrate achievement	Completion date
A.I.M. 4 I am aiming to develop my skills of leadership
OBJECTIVE 1 I want to manage people while undertaking health tasks (Sujana, 2020).	-Engaging in public health meetings	2 years	-Managing healthcare people properly	8th March, 2024
OBJECTIVE 2 Improving self-awareness	-Evaluating from different aspects	1 years	-Identifying health tasks from different aspects.	10th March , 2023
OBJECTIVE 3 Adopting change management	-Gantt chart implementation -Stakeholder analysis	1 years	-Analyzing different change management scenarios	11th March, 2023
OBJECTIVE 4 I aim to motivate people within health organizations	-Intrinsic Motivation	1 year and ongoing	-Increasing level of motivation of the colleagues	23rd September, 2026
NOTES I will take proper feedback for my classmates regarding my leadership performance.

¹ Framework / Model Legend

COVEY	Covey’s 7 Habits of Highly Effective people
PHSKF	Public Health Knowledge & Skills Framework
GPHPF	Good Public Health Practice Framework
UKPHR CoC	UK Public Health Register Code of Conduct
UKPHRPS	UK Public Health Register Practitioner Standards
NHSLM	NHS Leadership Model
NHSCM	NHS Change Model
OTHER	Any other relevant framework/model e.g. Mental Wealth / Kotter / McKinsey 7SF

² Proficiency descriptors

NOVICE	A person is new to and inexperienced in a job or situation.
ESSENTIAL	Basic, Fundamental level of competence
PROFICIENT	Competent and Experienced
STRONG	Highly Capable; Substantial level of competence
EXEMPLARY	Excels at what they do: outstanding: an example of excellence to others.

References

Benawa, A., 2018, March. The important to growing self-efficacy is to improve achievement motivation. In I.O.P. Conference Series: Earth and Environmental Science (Vol. 126, No. 1, p. 012086). I.O.P. Publishing. https://iopscience.iop.org/article/10.1088/1755-1315/126/1/012086/pdf

Herawaty, D., Widada, W., Novita, T., Waroka, L. and Lubis, A.N.M.T., 2018, September. Students' metacognition on mathematical problem solving through ethnomathematics in Rejang Lebong, Indonesia. In Journal of Physics: Conference Series (Vol. 1088, No. 1, p. 012089). I.O.P. Publishing. https://iopscience.iop.org/article/10.1088/1742-6596/1088/1/012089/pdf

Hou, B.D., Yang, R.X., Wang, J.H., Xiao, W.H., Zhao, Y. and Wang, H., 2019, October. Conceptual framework of hierarchical water demand. In I.O.P. Conference Series: Earth and Environmental Science (Vol. 344, No. 1, p. 012074). I.O.P. Publishing. https://iopscience.iop.org/article/10.1088/1755-1315/344/1/012074/pdf

Sujana, C.M., 2020, February. Contractor project manager leadership style based on path goal theory to support construction sustainability. In I.O.P. Conference Series: Earth and Environmental Science (Vol. 426, No. 1, p. 012007). I.O.P. Publishing. https://iopscience.iop.org/article/10.1088/1755-1315/426/1/012007/pdf

Sumartini, T.S., Maryati, I. and Sritresna, T., 2021, July. Correlation of self-efficacy on mathematical communication skills for prospective primary school teachers. In Journal of Physics: Conference Series (Vol. 1987, No. 1, p. 012037). I.O.P. Publishing. https://iopscience.iop.org/article/10.1088/1742-6596/1987/1/012037/pdf

Y

You can use the same

framework twice if you wish - eg, you could select another of Covey’s Habits, or NHSLM or the same framework you selected initially

ou are required to identify 4 development areas to complete your plan

see details for Frameworks¹ and levels of proficiency² on dedicated page below

SELECTED MODEL or FRAMEWORK ¹

COVEY You MUST include in your plan

P Choose from areas noted in the Module Competency Framework You MUST select 1 of these to include in your plan HSKF

G PHPF

UKPHR CODE

STANDARDS

NHSLM You MUST include in your plan

T HIS ONE IS YOUR OWN CHOICE You MUST choose 1 more area from Any of the frameworks on the left O R A Change Management Model OR Professional Fitness Mental Wealth Competence

NUMBER 4

NUMBER 3

NUMBER 2

NUMBER 1

T

APPROPRIATE CHANGE MODELS ARE NHS Change Model / Lewin / Kotter / McKinseys 7S Framework /

HE NUMBER or SECTION SELECTED _______ E.g., – COVEY HABIT 4 or GPHPF A3 or CoC 7.5

PLEASE NOTE ANY CROSS REFERENCES _____E.g., P.H.S.K.F. B2.2 aligns with COVEY Habit 6 – Synergise

Delete as appropriate

Development Area	Note the selected section to be addressed here
Current level of Proficiency	NOVICE / ESSENTIAL / PROFICIENT / STRONG / EXEMPLARY 2
Target Proficiency	NOVICE / ESSENTIAL / PROFICIENT / STRONG / EXEMPLARY

SMART ACTIONS required	Resources / Opportunities	Timescale	Evidence / Evaluation criteria you will need to be needed to show outcome / achievement	Completion date
Specific /Measurable /Achievable/Realistic /Timescale Identify what you need to do to improve Overarching A.I.M. then 2 or 3 specific OBJECTIVES	What / Who is available to you to support your aim?	3 / 6 /9 /12 months 1 / 2 years	How will you know when you have achieved your intended goal? What proof will you need?	Your Intended completion date
NOTES – you should indicate here your rational / evidence to support your chosen A.I.M. as well as any other relevant points you wish to make

¹ Framework / Model Legend

COVEY	Covey’s 7 Habits of Highly Effective people
PHSKF	Public Health Knowledge & Skills Framework
GPHPF	Good Public Health Practice Framework
UKPHR CoC	UK Public Health Register Code of Conduct
UKPHRPS	UK Public Health Register Practitioner Standards
NHSLM	NHS Leadership Model
NHSCM	NHS Change Model
OTHER	Any other relevant framework/model e.g. Mental Wealth / Kotter / McKinsey 7SF

² Proficiency descriptors

NOVICE	A person new to and inexperienced in a job or situation.
ESSENTIAL	Basic, Fundamental level of competence
PROFICIENT	Competent and Experienced
STRONG	Highly Capable; Substantial level of competence
EXEMPLARY	Excels at what they do: outstanding: an example of excellence to others.