Vision is a fashionable but ill defined term in management circles. Ne
vertheless, it embodies a significant concept related to guiding an or
ganisation from present realities, through opportunities and hazards,
to a viable future. Until recently a typical general practice could as
sume a stable external environment, but now it is caught up in the unc
ertainties stemming from the NHS reforms. For such a practice to under
take effective strategic planning it will have to develop a vision con
necting the present with aspirations for the future. While vision is u
sually considered to be an individual talent, it is possible to develo
p a collective organisational vision within a general practice, and th
e small size of general practices makes this relatively easy. The visi
on needs to be broad; it needs to be continuous; and its capacity to p
redict the future needs to be monitored.