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6Ps…reflections on leadership in the NHS
  1. David James Fillingham
  1. St. Helens, Merseyside, UK
  1. Correspondence to Mr David James Fillingham, St.Helens, Merseyside, UK; fillinghamd{at}


In this article the author reflects on leadership lessons from a 30 year NHS career in local, regional and national roles. He explains how he has used a 6P model to diagnose and respond to the challenges he has encountered, encompassing purpose, patients, people, processes, partners and politics. Readers are encouraged to use the framework and learning from it to inform their own leadership journeys.

  • clinical leadership
  • learning
  • management

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  • Contributors DJF is sole author with no other contributors.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.