Research Article

Developing organisational vision in general practice.

BMJ 1993; 307 doi: (Published 10 July 1993) Cite this as: BMJ 1993;307:101
  1. A al-Shehri,
  2. I Stanley,
  3. P Thomas
  1. Department of General Practice, University of Liverpool.


    Vision is a fashionable but ill defined term in management circles. Nevertheless, it embodies a significant concept related to guiding an organisation from present realities, through opportunities and hazards, to a viable future. Until recently a typical general practice could assume a stable external environment, but now it is caught up in the uncertainties stemming from the NHS reforms. For such a practice to undertake effective strategic planning it will have to develop a vision connecting the present with aspirations for the future. While vision is usually considered to be an individual talent, it is possible to develop a collective organisational vision within a general practice, and the small size of general practices makes this relatively easy. The vision needs to be broad; it needs to be continuous; and its capacity to predict the future needs to be monitored.