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Leadership in Practice
Our passion is for all things leadership, management and business, and we love writing blogs and articles on these topics. We started creating these more than 10 years ago, releasing short blogs on LinkedIn, writing articles for publications such as Management in Practice, and even publishing our own book ‘Leadership in Practice’. We’re still doing this today and now have a large library which we will share on this page for you to read.


What's the job of a senior partner?
I was asked that question, not too long ago…by a Senior Partner. It wasn’t a surprise to be asked. I’ve never seen anything to suggest there’s a great deal of clarity about this, or preparation for it. Take hold of the reigns you’ve been handed, and continue on a similar path is often the case. That really isn’t going to help. The key to understanding the responsibilities of a Senior Partner is to view the practice as the business. The role of the Senior Partner is the
Gary Hughes
Dec 1, 20252 min read


5 assumptions about your practice you need to challenge
The reasons practices struggle is not always because of the challenging situations they find themselves in. It is often because of the assumptions they make about what is and isn’t possible. Frequently these are based on unhelpful beliefs, and challenging assumptions can provide the solution needed. If I were leading a practice today, these are the assumptions I would be challenging. 1️⃣ We can’t do any better than we are right now. Even if you only improve one thing by 1% th
Gary Hughes
Apr 7, 20251 min read


5 things I would do if I were leading a practice now
General Practice is as tough as it’s ever been, and especially challenging for those in leadership and management roles. Despite this, it can still be a great place, and you can still enjoy success. If I were leading a practice today, these are the five priorities I’d focus on. 1️⃣ Run the Practice Like a Business Make the key business ingredients solid and it will translate to the priority of delivering sustainable patient care. 2️⃣ Set a 5-year Vision and 1 and 3 yea
Gary Hughes
Apr 1, 20251 min read


Are you confusing control with leadership?
Many managers believe they're leading when they're really exerting their control. It's a terrible trait that doesn’t deliver long term success, and will make staff look for the exit. It can come from being driven by power, but it can also come from fear, insecurity, lack of trust, inexperience, pressure and simply being unaware. It’s not uncommon, and if you want to be a great leader then you need to make sure it's not one of the things you do. 🏴☠️ You're more focused on pu
Gary Hughes
Jan 27, 20251 min read


Don't wait if your intuition is screaming, do it!
Not making a decision because of a misunderstood want for more data or evidence is quite common in primary care. It can be frustrating...
Gary Hughes
Nov 4, 20242 min read


Leadership decides
That’s always the case. I’ve seen this year working with practices, PCNs and federations, and more than 16 years working in primary care....
Gary Hughes
Oct 28, 20242 min read


9 big sins of Leaders and Managers
Have you got a manager or leader who acts in a way that makes your blood boil?
Gary Hughes
Oct 20, 20242 min read


If you want to be a successful leader sharpen up your emotional intelligence.
It’s a vital part of a leader’s skill set, but too often in primary care the importance of emotional intelligence is overlooked. Yet in a complex, fast paced, multi professional environment, often with multiple organisations jostling for position and priorities, being aware of your emotions, and able to control and express them can be crucial to success.
Gary Hughes
Sep 22, 20242 min read


If you hired the worlds best CEO
If you hired the worlds best CEO to run your Practice or PCN what would they do? Every Practice or PCN struggles with it's own...
Gary Hughes
Jul 21, 20242 min read


What's your leadership language?
I'd never considered 'leadership language' until listening to a recent podcast. The importance of being able to communicate, be...
Gary Hughes
Jun 16, 20241 min read


Leadership is so often misunderstood
Some interesting conversations in the last few weeks have really highlighted how leadership is so often misunderstood and disregarded by...
Gary Hughes
Jun 2, 20241 min read


Patient centred leadership.
Patient centred leadership. Where is it and what does it look like?
Gary Hughes
May 6, 20242 min read


Is optimism one of your super powers?
If your glass is naturally half full, then you’re fortunate because optimism is probably your default position. As a leader that gives you a natural advantage.
Gary Hughes
Apr 1, 20241 min read


We all do it.
We all do it. Moan about how bad and broken primary care and the NHS is. It’s so easy to do, whether that’s through frustration or...
Gary Hughes
Mar 4, 20241 min read


Leadership, it’s easy right.
Leadership, it’s easy, right? Just get yourself in a position to lead, let everyone know you’re in charge and everything else will take...
Gary Hughes
Jan 15, 20241 min read


Great leaders, bad leaders and some real stinkers.
Over the years I've experienced some great leaders, some bad leaders, and some real stinkers.
Gary Hughes
Aug 6, 20232 min read


Practices and PCNs find it hard to plan for the future.
”Practices and PCNs find it hard to plan for the future when there is so much uncertainty about what is coming next.” As ever, hugely...
Gary Hughes
Jun 18, 20232 min read


Is integrity the most important trait of a leader?
I think so, and we don’t need to look far to see how leaders without integrity are perceived. It’s not about whether you feel you have...
Gary Hughes
Feb 1, 20211 min read


Leadership isn’t...
There are many great examples of leadership but there are just as many examples of what leadership isn’t. You’ll find people who think they’re leading but they’re not, and others who think they know how to lead but they don’t.
Gary Hughes
Dec 14, 20201 min read


Leading beyond your team
Practice Managers and GPs now have leadership roles in addition to those in the practice. But leading in a PCN or Federation is...
Gary Hughes
Nov 2, 20201 min read
It’s worth checking on this page regularly as we like to add new blogs, and if you can’t find what you’re looking for send a request as we may just have something ready that will help.
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