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What happens when a business owner truly switches off, and the person left holding the reins has nowhere to hide?

In Episode 91, Ami Assigal and Zac Pandur unpack what happened during Ami’s 2.5-week trip away, turning what started as a simple handover into a broader conversation about delegation, autonomy, confidence, burnout and growth.

Ami shares what it was like to properly disconnect from the business, then return to find that things had kept moving without her. Zac reflects on suddenly taking greater responsibility for payroll, doctors’ payments, staffing pressures and key decisions without Ami’s usual safety net, and how that pressure forced him to back his own judgement and operate with a new level of confidence.

They explore:

• Why a good handover is about more than a list of outstanding tasks
• How journaling and reflection can help separate frustration from the actual problem
• What happens when responsibility is genuinely shared across a team
• Why feeling stagnant at work can show up as frustration, burnout, negativity or dread
• How stepping outside your comfort zone can rebuild confidence and motivation
• The difference between delegation and actually letting go
• How leaders can build a culture of accountability, problem-solving and autonomy

Ami and Zac also discuss the culture within industry Facebook groups, where useful conversations can quickly become buried under negativity, resentment and passive aggression. They make the case for something different: a genuine community where practice managers and owners can speak openly, share their wins, work through challenges and learn from people who actually understand the job.

For practice owners, practice managers and leaders who feel like they’re carrying too much, Episode 91 is a conversation about what can happen when you loosen your grip, trust your people and give yourself permission to grow through discomfort.

Support the show

We would love for you to share your thoughts, questions, and stories to: info@practicepartners.com.au

Find any resources discussed in this podcast, and all of our other resources at https://www.practicepartners.com.au/resources/

Send us your enquiry or question directly!

The landscape of ADHD management in New South Wales has changed significantly, with expanded prescribing pathways giving General Practitioners a much greater role in the diagnosis, treatment and ongoing management of ADHD. But with increased scope comes increased responsibility, new workflows, and plenty of questions from both clinicians and practice teams. Let alone the patient base!

In this episode, Ami and Zac unpack the latest NSW ADHD prescribing reforms, explore the new GP pathways now available, and discuss the concerns being raised by GPs across the state about training, clinical responsibility and the practical realities of implementing these changes.

They also focus on what practices can do behind the scenes to make these reforms successful, or not. From setting clear patient expectations and developing consistent reception workflows, to supporting doctors and managing increased demand, this episode is packed with practical operational strategies that every general practice should be considering.

In this episode:

• Understanding the new NSW ADHD prescribing pathways for General Practice
• Why many GPs remain cautious about the expanded scope of practice
• Managing patient expectations during a period of significant change
• Creating clear workflows for reception, nursing and clinical teams
• Practical operational tips to improve consistency and reduce patient dissatisfaction
• Preparing your practice for the future of ADHD management in primary care

Whether you're a GP, Practice Manager, Nurse or Practice Owner, this episode provides practical insights into one of the biggest changes to ADHD care in recent years, and what it means for your practice and your patients.

Support the show

We would love for you to share your thoughts, questions, and stories to: info@practicepartners.com.au

Find any resources discussed in this podcast, and all of our other resources at https://www.practicepartners.com.au/resources/

Send us your enquiry or question directly!

Who really drives change in a general practice?

In this episode, Ami and Zac tackle one of the biggest leadership challenges facing healthcare businesses: when does listening to your team become allowing your team to dictate the direction of the practice? (or the tail wag the dog)!!

They explore the balance between supporting staff and doctors through change and recognising when ongoing resistance begins to hold the business back. How much time should leaders invest in bringing everyone along before making the decision to move forward regardless?

The conversation then takes an unexpected turn into one of general practice's most debated topics: who should discuss fees with patients?

Should GPs confidently explain their billing decisions as part of the consultation, or is it more efficient to leave those conversations to an experienced administration team?

Ami argues that doctors should focus on medicine, while trained support staff handle the financial discussions to create a smoother patient experience. Zac believes doctors need to become more comfortable having transparent billing conversations and that avoiding them ultimately undermines private billing success.

It's a passionate debate with strong arguments on both sides.

Key Topics

• Who really drives change within a medical practice?
• How long should leaders tolerate resistance before making difficult decisions?
• Should doctors discuss fees directly with patients?
• The impact of billing confidence on private practice success
• The role of reception and administration teams in financial conversations
• Creating a consistent patient experience around billing

We'd love to hear your thoughts.

Should doctors confidently discuss their fees with patients, or should those conversations be handled by the practice support team?

Join the conversation by connecting with Practice Partners on LinkedIn or Facebook, or send us your thoughts. Your feedback might even feature in a future episode.

Support the show

We would love for you to share your thoughts, questions, and stories to: info@practicepartners.com.au

Find any resources discussed in this podcast, and all of our other resources at https://www.practicepartners.com.au/resources/