In this opening episode of the Foundations First mini-series, James Johnstone invites GP partners and Practice Managers to step away from spreadsheets for a moment and tune in to the emotional heartbeat of their practice finances. Instead of asking “Are we profitable?” or “What does the budget say?”, we explore a deeper question:

·      What does stability actually feel like—day to day, decision to decision—in a general practice setting?

Drawing on real-world stories from two very different partnerships, James contrasts: 

·      A large urban practice with healthy turnover but low-grade panic in every corridor

·      A rural practice working to tight margins yet operating with calm, collective confidence

Throughout this conversation you’ll discover:

·      Common “fog signals” that quietly erode clarity—missed budget reviews, habitual drawings, hushed car-park chats

·      Markers of genuine financial calm—proactive meeting rhythms, shared language, transparent proposals and simple break-room dashboards

·      Five vivid pictures showing how small, consistent habits prevent surprise invoices from turning into panic crises

·      Why culture—not just cash—forms the bedrock of stability, and how your team’s psychological safety around money can make or break your plans

James weaves in seven reflective prompts designed to spark real dialogue in your next partners’ meeting or leadership huddle so by the end of this episode, you’ll see that financial stability isn’t just a balance-sheet outcome—it’s the tone in the room whenever money comes up. You’ll have concrete ideas for shifting from reactive “firefighting” to proactive planning, and for building a foundation of trust and shared ownership that can withstand the unexpected.

If you’ve ever felt that undercurrent of dread when an invoice arrives—only to discover your practice is technically “solvent”—this episode will help you close the gap between numbers and nuance. It’s about turning financial management into a collective heartbeat, not a solo emergency.

Ready to feel the pulse beneath your practice’s finances? Hit “Play” and let’s begin.