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PODCAST

Leadership in Practice

The Leadership in Practice podcast, hosted by Gary Hughes, is for all leaders and managers in general practice and primary care. If you are in one of these roles, you’ll know how complicated and difficult it can be.In each episode I’ll be discussing a business, management or leadership challenge, and I’ll provide ideas and tools to help you understand how you can be a better leader of your practice.If you want to be a regular listener to the show the easiest way is to subscribe onApple Podcasts

business management

All Episodes

34:57

The key to fantastic staff retention

Leadership in Practice ·

2025/10/31

In this episode I chat with Sarah Rhodes, a three-time Practice Manager of the Year. Sarah has achieved something genuinely remarkable. She has not lost a single team member in more than five years. I was blown away hearing how she has done it, from listening and flexibility to creating a culture where people truly want to stay and grow. Her approach is authentic, inspiring and practical and full of ideas that any practice can learn from and put into action. Sarah is a Practice Business Ma...

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40:34

Lessons from other sectors

Leadership in Practice ·

2025/10/01

In this episode, I explore what general practice can learn from other sectors. Like many practice managers, I came into the role from elsewhere—the veterinary and optometry world, in my case—and those experiences gave me skills and perspectives that proved invaluable. General practice can sometimes be insular and inward looking, believing it’s too different—or even superior—to other sectors. But there’s real value in looking outward. Many brilliant PMs rise through the ranks inter...

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41:46

Do Practice Managers affect patient outcomes?

Leadership in Practice ·

2025/07/31

I was scrolling through LinkedIn one evening, when I came across a great question posed by Ed Kennedy. The question was ‘do practice managers impact patient outcomes?’ Well as an ex-practice manager I thought absolutely they did, but it was something that I didn’t consciously think about when I was back in practice. I thought this was a great question for an episode of the podcast, so Ed joined me for a really wide-ranging conversation that showed just how almost everything a practice manager...

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47:03

Should all practices have a Managing Partner

Leadership in Practice ·

2025/03/31

I believe every practice should have a managing partner. That should be the most senior non-clinician, probably the Practice Manager. I believe it’s to the benefit of the practice, the partners, the staff and the patients. Yet only a small number of practices have a Practice Manager Partner. In this conversation we explore the role of the Managing Partner and I hope it will give food for thought for those thinking about becoming a Partner, or inviting their Practice Manager to join the partne...

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48:07

Financial Management in Practice

Leadership in Practice ·

2025/02/20

This episode is a must listen for Practice Managers, PCN Managers, Finance Partners, and anyone else who might be looking after the money. It’s a really helpful episode, that’s worth sharing. Finance in primary care is complicated, and different to most other businesses. It can be a challenge even for the most experienced. Step Forward our guest for this episode, Katy Drew, a Chartered Accountant and ex Practice Manager who just gets it, and shares loads of easily understood and great advice....

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44:08

How coaching can help you and your team

Leadership in Practice ·

2025/01/26

Is your own personal growth really important to you, and have you got a passion for developing your team?I’d answer yes to both of those questions, but sometimes you hit a bump in the road that you’ll only get over with some additional expert help. Whether it’s for your own growth, or developing others, coaching should be in every leaders toolbox. Kristi Adams joins us to explain coaching and its many benefits, and shares a simple tool to help you when you’re coaching your own team.Kristi's j...

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41:15

Bringing your values to life

Leadership in Practice ·

2025/01/04

Agreeing our values is important, for a practice as much as it is for us as individuals.Living our values is essential for primary care and is so connected to what we do in general practice and primary care networks. They are often identified and declared but rarely do we see evidence beyond this. That might be because it’s difficult to do, or it’s poorly understood, or it’s not known what to do once our values are identified.On the face of it, it’s a straightforward thing to do, but there’s ...

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32:07

Building resilience in practice

Leadership in Practice ·

2024/11/24

Resilience is now a must have skill for leaders and managers in primary care, such are the demands and pressures of the job, In this episode we talk to Farnaaz Sharief, join in and you’ll be listening to a real expert on resilience. We learn how to navigate and build resilience, she teaches us how to look after the resilience of our team, and what to do when our own resilience is flagging.At the end of Farnaaz’s brilliant, simple, and accessible advice, that is useful for everyone, we both gi...

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38:04

The Power of a Purpose in Primary Care

Leadership in Practice ·

2024/10/23

In this episode we dive into the crucial topic of ‘purpose’. It’s an area that is not always fully understood, or embraced, and we explore what we mean by purpose, what it means for a practice or PCN, and what makes it more than just words on a wall. The conversation looks at how central principles are powerful and helpful in guiding and uniting us in today’s challenging primary care environment. We consider:What do we mean by a purpose and how is it different to a mission or a visi...

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23:57

Succession planning in primary care

Leadership in Practice ·

2024/10/01

I suspect succession planning and talent management are unfamiliar activities for many in general practice and primary care. Maybe they’re not on your radar, or you’re not sure what they mean or whether they’re relevant to a practice or primary care network. But I’ve found they can often be happening to some degree but without much structure or in a way that maximises what can be achieved.The reality is that its absolutely something worth doing, whatever the size of your practice or PCN, and ...

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38:00

Maximising the PCN Practice relationship

Leadership in Practice ·

2024/09/09

Primary Care Networks are now an important and established part of the primary care landscape but as Tara Humphrey points out in this episode, with multiple organisations coming together it takes a lot of time, thought, reflection and planning to try and build the relationships.We can be certain that Primary Care Networks, in one form or another, are here to stay, so I wanted explore the complex relationships between primary care networks and practices. There is possibly no one better to have...

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46:29

Avoiding the legal pitfalls in primary care

Leadership in Practice ·

2024/07/26

If you think you should only speak to your lawyer when something has gone wrong, you might want to think again. This episode with Edwina Farrell was a real eye opener. It left me in no doubt that your lawyer is there to prevent things going wrong, and to make it less costly if the worst does happen. Keep listening if you’re a Partner in practice, or a Practice Manager taking the lead on governance and legal matters, and you'll hear Edwina share a wealth of knowledge on:Partnership a...

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35:39

Understanding the Partner PM relationship

Leadership in Practice ·

2024/07/17

The relationship between the Practice Manager and the Partners is the most important one in the practice.So much is impacted by this relationship and when it’s positive it benefits everything and everyone, but a negative one can be extremely damaging. It’s a complicated relationship, where the expected hierarchy and the usual dynamics of the employer and employee often don’t work.In this episode I am joined by Ben Allen a GP Partner and a Sam Fellowes a Practice Manager to explore the working...

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42:22

Managing a business in primary care

Leadership in Practice ·

2024/06/13

General practice, PCNs and federations are businesses in every sense of the word but it’s not always easy to get everyone involved to acknowledge this.Its sometimes even harder for all concerned to adopt that approach to the management and ownership of these organisations.I wanted to explore what it means to ‘manage a business in primary care’ and invited George Gavriel, a GP with all the right skills and experience to help me. He shares his thoughts on:Why it’s important to manage your pract...

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37:55

What's expected of a Practice Manager

Leadership in Practice ·

2024/06/03

This episode is as much for GP Partners as it is for Practice Managers. It will help you if you’re setting the expectations or expectations have been made of you. What’s expected of a Practice Manager can vary greatly, and they’re often unrealistic and damaging. When that happens it’s usually to the detriment of the practice and Practice Manager, but get it right and it can deliver a successful practice and Practice Manager.In this episode Peter Maynard joins me to discuss ‘What’s expect...

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20:18

A look inside Leadership in Practice

Leadership in Practice ·

2024/05/11

The interviewer you are listening to in this podcast is ‘Niamh’, an AI voice powered by PlayHT, https://play.ht/.I wanted to do a solo episode to share more about my career, interests and Leadership in Practice, but I don’t find recording solo enjoyable or easy, so instead I thought I would try something different. It was certainly easier and loads more fun, and I love how it’s turned out. Enjoy!The Leadership in Practice podcast, hosted by Gary Hughes, is for Practice Managers, Partners...

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36:10

The skillset of the ideal Practice Manager

Leadership in Practice ·

2024/04/30

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37:01

Managing Conflicts in General Practice

Leadership in Practice ·

2024/04/09

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29:19

Quality Improvement

Leadership in Practice ·

2024/03/20

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20:12

Leading in impossible situations

Leadership in Practice ·

2024/02/29

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35 results

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