Understanding your leadership style
Peer reviewed by Dr Colin Tidy, MRCGPAuthored by Stephen BrownOriginally published 20 May 2026
Meets Patient’s editorial guidelines
- DownloadDownload
- Share
- Language
- Discussion
- Audio Version
- Add to preferred sources on Google
The video gives a topic overview and has a viewing time of around 5 minutes. The written learning guide offers a more in-depth exploration and has an approximate reading time of 10-15 minutes.
Learning objectives
By the end of this guide, you will be able to:
Identify your natural leadership preferences and how they show up in practice.
Recognise when your default style serves you well and when you need to adapt.
Understand how your preferences impact your team and colleagues.
Apply practical strategies to flex your leadership approach when needed.
Why your leadership style matters
Most of us didn't train for our roles thinking we'd end up managing people. Yet here you are, leading a team, navigating practice politics, making decisions that affect people's livelihoods, and somehow still getting through your day job.
Your leadership style isn't something you chose from a menu. It emerged from your personality, your experiences, your training, and probably a few hard lessons along the way. The problem? What works brilliantly in one situation can backfire spectacularly in another.
Understanding your natural style isn't about putting yourself in a box. It's about knowing your defaults so you can make conscious choices about when to lean in and when to adapt.
Your leadership preferences: the foundation
Your leadership style sits on top of deeper preferences about how you work, think, and interact. Let's explore these.
How do you process and make decisions?
Some leaders need to think things through alone before they're ready to decide. Others process best by talking it through with the team. Neither is better, but each creates a different dynamic.
Reflection: Think about the last significant practice decision you were involved in. Did you prefer to:
Gather all the information, think it over privately, then present your view?
Talk through options with others to help you think?
Make a quick call and adjust as you go?
Consider two different approaches to the same situation. One GP reviews the quarterly figures alone, makes notes, formulates a recommendation, then presents it at the practice meeting. Colleagues appreciate the thoroughness but sometimes feel decisions are already made before they're consulted.
Another GP operates differently. The moment an issue arises (say, three complaints about telephone access in one week) they'll call an impromptu team discussion. "Right, what are we going to do about this?" The team appreciate being involved but sometimes wish there'd been more thinking time before everyone was gathered together.
Neither approach is wrong. But both create consequences.
Where do you get your energy?
This matters more than you might think. Leading people is draining if it goes against your natural grain.
Some leaders are energised by being around their team, having multiple conversations, keeping their finger on the pulse. Others find this exhausting and need solo time to recharge and think strategically.
Reflection: After a busy morning, you have a break before the afternoon. What restores you?
Catching up with colleagues and checking in with the team?
Closing your door and dealing with tasks in peace?
It depends on the day?
This isn't necessarily about being introverted or extroverted in social situations. It's about what drains your battery and what charges it back up. If you're leading in a way that constantly depletes you, something's got to give.
How do you handle structure and control?
Some leaders like clear processes, defined roles, and predictable systems. Others thrive in flexibility, adapting on the fly, and keeping options open.
One practice has a protocol for everything. New staff get a detailed induction checklist. Team meetings have a standing agenda. Everyone knows exactly what's expected of them. The practice runs smoothly but can feel rigid when situations need creative solutions.
Another practice keeps things loose. "Let's see how it goes and adjust." The team appreciate the flexibility but sometimes feel uncertain about priorities and expectations, especially newer staff who crave more structure.
Reflection: When you're leading a project or change:
Do you create detailed plans with clear milestones?
Do you prefer to set a direction and figure it out as you go?
Does too much structure feel constraining, or does too little feel chaotic?
Your relationship with conflict
This is potentially the biggest differentiator in leadership styles.
Some people address issues head-on. They're comfortable with confrontation and see it as necessary and healthy. Others avoid conflict, prioritise harmony, and hope problems resolve themselves.
Neither extreme works well. The avoiders let issues fester until they explode. The confronters can create a culture where people walk on eggshells.
Reflection: When there's tension in the practice:
Do you tackle it immediately, even if it's uncomfortable?
Do you wait to see if it resolves naturally?
Do you address it indirectly through someone else?
How your preferences shape your leadership style
Your preferences don't just affect you. They create patterns that your team learns to navigate.
The decisive leader makes quick calls and moves on. Their team appreciates clarity but may feel bulldozed or not consulted. This works brilliantly in a crisis. It can be detrimental when building buy-in for change.
The consultative leader wants everyone's input before deciding. Their team feels valued but can also feel frustrated by slow decision-making. This can build ownership and accountability, but conversely may mean decisions can take weeks when they should take hours.
The hands-on leader stays close to the detail and their team. People feel supported but can also feel micromanaged. This works when staff are new or situations are high-risk. It creates dependency and stifles initiative in experienced teams.
The delegating leader gives people autonomy and trusts them to deliver. Staff feel empowered but can also feel abandoned without enough support. This develops capable teams brilliantly. It also means things can go wrong before you notice.
The harmonising leader values relationships and team cohesion above all else. People feel cared for but difficult issues don't get addressed. This creates psychological safety. It can also let poor performance slide.
The driving leader pushes for results and high standards. The practice achieves a lot but people can burn out. This creates excellence. It can also contribute to turnover.
Reflection: Which of these sound most like you? You'll likely see yourself in more than one (most people do). But what's your default when under pressure?
The context changes everything
Here's what matters most: no single leadership style works in all situations.
Leading a well-functioning team of experienced staff? Delegation and autonomy work beautifully.
Managing someone who's struggling with performance issues? You need to be more directive and hands-on.
Implementing a major system change? You need consultation and involvement to build buy-in.
Dealing with a serious incident? You need decisive action and clear communication.
The best leaders aren't those with the "right" style. They're those who recognise what the situation needs and can flex accordingly, even when it's uncomfortable.
When your style gets in the way
Every leadership preference has a shadow side that emerges under stress.
The decisive leader can become dictatorial. The consultative leader may become paralysed. The harmoniser can be conflict-avoidant. The driver can become overly pressurising. The delegator may become absent. The detail-oriented leader can become a micromanager.
Reflection: Think about a time when your leadership didn't go well. What was happening? Were you stressed, rushed, or out of your comfort zone? How did your usual style show up differently?
Practical strategies: flexing your style
1. Name your defaults
Get clear on what you naturally do. Ask trusted colleagues: "How would you describe my leadership style?" Their answers might surprise you. The gap between how you think you lead and how others experience your leadership is where the development is needed.
2. Recognise your triggers
What situations push you into your least effective version? Time pressure? Conflict? Uncertainty? Financial stress? Once you know your triggers, you can begin to manage them better in the moment.
3. Build your range
If you're naturally decisive, practise asking "What do you think?" before sharing your view. If you're naturally consultative, practise making smaller decisions without consensus. If you avoid conflict, start with low-stakes difficult conversations to build your muscle. If you're hands-on, deliberately step back on a project and let someone else lead it.
4. Match your style to the situation
Before any leadership moment (a meeting, a difficult conversation, a decision) pause and ask: "What does this situation need?" Not "What am I comfortable with?" but "What's needed here?"
5. Be transparent
If you're flexing outside your comfort zone, be honest and say so. "I'm naturally someone who likes to think things through alone, but I know this decision affects everyone, so I want to hear your thoughts first." This level of disclosure builds trust and gives context to your approach.
Key takeaways
Your leadership style is shaped by deeper preferences about how you process information, make decisions, handle conflict, and relate to structure.
No single style is best. Effectiveness depends on matching your approach to what the situation needs.
Self-awareness is the foundation. You can't flex your style if you don't know your defaults.
Under stress, your preferences become exaggerated and less effective.
The best leaders build range by deliberately practising approaches outside their comfort zone.
Actions: try this week
Identify your default: Ask yourself, when under pressure, what's my go-to leadership move? Write it down.
Get feedback: Ask a colleague or team member: "How would you describe how I lead?" Listen without defending.
Spot one pattern: Notice one situation this week where your usual approach might not be serving you. What would a different approach look like?
Experiment once: Pick one small leadership moment this week and deliberately try a different approach. If you usually decide alone, consult. If you usually consult, make a quick call. Notice what happens.
About the authorView full bio

Stephen Brown
Director, Jemco Consultancy
Stephen Brown is an experienced people and organisational development consultant with over 20 years’ experience in shaping leadership, culture and performance strategies within complex, fast-moving organisations. He is an EMCC Senior Practitioner and contributes to coaching publications and wider thought leadership in the field.
Stephen has a particular interest in evidence-informed, behaviour-based development and its application to sustainable performance, with a focus on translating theory into practical interventions that build leadership capability and organisational effectiveness.
About the reviewerView full bio

Dr Colin Tidy, MRCGP
General Practitioner, Medical Author
MBBS, MRCGP, MRCP (Paediatrics), DCH
Dr Colin Tidy is an NHS Doctor, based in Oxfordshire.
Article history
The information on this page is written and peer reviewed by qualified clinicians.
Article also available in English, German, Spanish, French, Italian, Portuguese, Hindi, Hebrew, Arabic, and Swedish.
Next review due: 20 May 2029
20 May 2026 | Originally published
Authored by:
Stephen BrownPeer reviewed by
Dr Colin Tidy, MRCGP
More in leadership for General Practice
- Communicating effectively with your team
- Developing coaching skills
- Emotional intelligence in general practice
- Exploring the difficult conversation
- Giving effective feedback
- Leading through change
- The difference between managing and coaching
- What it really means to manage people
- Why change feels hard in general practice