Why change is constant in pursuit of our goals

change management

You are chief executive of your own business! Whether you accept this is a different matter; however, we are all in charge of our own destiny. If you don’t like your work, don’t like your outcomes, are not enjoying life, nobody can fix that for you, you have to be willing to fix it for yourself.

Nobody can help anyone unless they are prepared to help themselves first.

I hear daily of people who have had enough of their job, their role, are not enjoying life and and want “something different” (often undefined). There are other plays on any of those themes.  However, no matter the variation on the  theme, when challenged, they are not prepared to change anything, or accept it is within their gift to make the change. Their problem is usually someone else’s fault or is something someone else has done to them.

While all change brings about a degree of discomfort, my view remains that unless you are 100% happy with the outcomes you achieve now, in any aspect of work or life, unless you are prepared to change what you do, potentially change role, move jobs, move house, change lifestyle, diet, exercise more, or whatever it is, you cannot expect any difference in the outcome.

This is the very essence of the work I deliver across the various companies I own and clients I work with. Change is constant in pursuit of our goals and agreed outcomes. We innovate time and again, looking for new and better ways to achieve our aims. We never settle for second best or coming up short. 99% is never enough, on the basis that if I was asked to board an aeroplane with a 1% chance it wouldn’t land at the destination, I wound’t do it and I suspect neither would most people. That 1 in a 100 chance that your flight wouldn’t  make it equates to approximately 12 to 13 flights a day leaving Heathrow not landing at their destination, which translates to approximately 4700 a year that would not arrive safely. 99% is not good enough in this scenario, so why should it be good enough in any other scenario?

The key is to try and get it right the first time and keep on getting it right the first time; however, we appreciate this will not always happen.  When something doesn’t work, don’t leave it not working, get to the root of the problem and fix it. Don’t under any circumstances put off making a decision, particularly if it is your business, your livelihood, affects the company you work for negatively, which may in turn result in no pay increase, fewer benefits or ultimately job losses or the business closing down. The outcome is almost certainly never going to be better by not making a decision.

Worse still is to make a decision you know is right, absolutely right for you, and at the 11th hour 59th minute and 59th second, just as you are about to implement, pull back and say: let’s look again in 6, 9 or 12 months. It is unlikely to be better in whatever time period you choose and you know it because that’s why you made a decision that was right for you.

At that point the time has arrived to be brave and see it through; it really is the only way. Nobody can help you unless you are prepared to help yourself first.

Applied to General Practice, I know from my work many are teetering on the brink of collapse and yet they continue to put off making decisions on the future and using the time now to explore their options. Instead, many leave it until it is too late, find a panicked solution and make decision that would never have been made had more time been available, ultimately leading to a less than ideal outcome.

There are options, you simply need to be in a place where you are willing to consider them all and then make a decision on the right way forward for you, which may well be different to the practice next door, and then implement that decision.

If you would like to explore your options as a Practice, if you want to test your ideas and theories against what we have done with others, or if you would simply like to know more about forming an at scale provider, please make contact.

I have many examples of what can be achieved when we bring General Practices together in Federations, Super Practices or hubs of 30,000 to 50,000; all of them available across the clients we work with and support. You don’t ever need to reinvent what already exists.


Scott McKenzie is director at Scott McKenzie Consultancy.