The Next GenCast

The NextGen Cast is a podcast from Next Generation GP , a free national leadership programme for GPs at the start of their careers. In this podcast, we go backstage with some of our favourite speakers..and get to know the real people behind the titles. You'll hear candid interviews with some amazing leaders from the NHS and beyond, as they share their stories of leading through challenges, the lessons they've learnt, and their top pieces of advice as you embark on your own leadership journey. Hosted on Acast. See <a style='color:grey;' target='_blank' rel='noopener noreferrer' href='https://acast.com/privac

The Next GenCast is a business podcast hosted by Nish Manek, with 60 episodes on record and a Required Pod Score of 80. PitchCentric scores this show on Booking Probability, Listen Score, and live audience signals refreshed every 24 hours.

Nish Manek hosts The Next GenCast, a business show with 60 episodes published.

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  The Next GenCast

  Episode 55: Backstage with Dame Caroline Clarke

  Aug 10, 202644 min

  It was an absolute pleasure to record this conversation live at NHS Confed Expo 2026 with one of the NHS's most respected leaders. In this special live episode of Next GenCast , I sat down with Dame Caroline Clarke , Regional Director for NHS England in London, to explore the leadership journey that took her from NHS finance trainee to leading health services for almost 10 million Londoners . What followed was one of the most open and honest conversations I've had about leadership, resilience and staying true to your values. We talked about: Her unexpected route into NHS leadership and why she never had a grand career plan Leading one of the UK's largest health systems through enormous change Imposter syndrome - and why it never completely disappears Living with multiple sclerosis while managing one of the NHS's biggest leadership roles Mindfulness, exercise and protecting your energy in demanding jobs Raising an adopted daughter alongside a national leadership career …and so much more. Whether you're an aspiring leader, an experienced clinician, or simply interested in what leadership really looks like behind the scenes at the highest levels of the NHS, I think you'll really enjoy this conversation. ⏱️ What to expect 03:30 Early influences and entering the NHS 06:30 The finance perspective in healthcare 09:30 From finance trainee to CEO 13:30 Royal Free, technology and transformation 15:30 Imposter syndrome and finding your voice 20:30 Listening as a senior leader 22:00 What it's really like at the top of the NHS 26:00 Health, family and managing stress 30:00 Mindfulness, teams and work-life balance 33:00 Authenticity, inclusion and leadership 36:00 Failure, mistakes and learning 38:00 Career highlights and proudest moments 39:30 Neighbourhood health and primary care 41:30 Quick-fire leadership questions 42:00 Advice for the next generation Follow Next Gen GP: Sign up to the monthly newsletter to learn how to join one of our funded GP leadership programmes coming soon LinkedIn Twitter/X Hosted on Acast. See acast.com/privacy for more information.

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  The Next GenCast

  Episode 54: Backstage with Amanda Doyle

  Jun 21, 202653 min

  What really happens behind the scenes when NHS policy is made? In this episode, Nish speaks with Dr Amanda Doyle OBE, &nbsp;National Director for Primary Care and Community Services for NHSE , to unpack how national decisions are actually negotiated, challenged, and delivered into frontline care. From GP partner in a deprived practice to shaping national primary care policy, Amanda shares a rare inside view of leadership, pressure, and influence at the top of the system - and how it really works when ministers, money, and medicine collide. ⏱️ Timestamps 00:00 - Role overview 03:00 - Early life & medicine 06:00 - Becoming a GP 09:00 - Life as a GP partner 13:00 - Leadership emerges 17:00 - Family & career balance 21:00 - From local to national roles 26:00 - Imposter syndrome & confidence 30:00 - National leadership reality 34:00 - Ministers & policy 38:00 - Criticism & scrutiny 42:00 - GP contracts & access 46:00 - PCNs & neighbourhoods 49:00 - Advice for future leaders 💡 Key Themes Leadership often emerges, not planned NHS decision-making is shaped by tight constraints Clinical grounding matters at senior level Policy is negotiation, not control Opportunity comes from saying yes, not chasing titles 🎧 Listen if you want to understand: How NHS decisions are really made Primary care and GP contract politics Leadership at national level in healthcare Real-world career progression in medicine&nbsp; 💡 Follow Next Gen GP: Sign up to the monthly newsletter to learn how to join one of our funded GP leadership programmes coming soon LinkedIn Twitter/X Hosted on Acast. See acast.com/privacy for more information.

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  The Next GenCast

  Episode 54: Backstage with Amanda Doyle

  Jun 21, 202653 minS0

  <p>What really happens behind the scenes when NHS policy is made?</p><br><p>In this episode, Nish speaks with Dr Amanda Doyle OBE, National Director for Primary Care and Community Services for NHSE, to unpack how national decisions are actually negotiated, challenged, and delivered into frontline care.</p><br><p>From GP partner in a deprived practice to shaping national primary care policy, Amanda shares a rare inside view of leadership, pressure, and influence at the top of the system - and how it really works when ministers, money, and medicine collide.</p><br><p><br></p><p><b...

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  The Next GenCast

  Episode 53: Backstage with Jim Mackey, CEO of the NHS

  Mar 23, 202658 minS0

  <p>In this rare and candid conversation, Dr Nish Manek speaks with Jim Mackey, CEO of NHS England, about leadership at the very top of the NHS.</p><br><p>Jim reflects on his journey from a working-class upbringing to leading one of the largest healthcare systems in the world, and speaks openly about the reality behind senior leadership - the burden of responsibility, the privilege of making a difference, and the self-doubt that even the most senior leaders experience.</p><br><p>This is an honest and thoughtful conversation about leadership, imposter syndrome, career journeys that don’t go to...

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  The Next GenCast

  Episode 52: Backstage with Sabrina Cohen-Hatton, Chief Fire Officer

  Feb 22, 202658 minS0

  <p>From sleeping rough at 15 to becoming one of the UK’s youngest female Chief Fire Officers, Sabrina Cohen-Hatton’s story is extraordinary- but this episode goes far beyond inspiration.</p><br><p>This is a masterclass in high-stakes leadership, cognitive bias, psychological safety, and refusing to let your childhood define your ceiling.</p><br><p>We explore what it really means to lead when decisions carry life-or-death consequences - and why the most powerful leadership lessons often come from outside healthcare.</p><br><p>If you care about resilience, systems thinking, and building braver organisations, this conversation is unmissable.</p><b...

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