Brighton Chireka

@OpenAI Cannot wait to start using the interruption option. It is annoying to wait when you know you have made a mistake in the prompt. The new feature is like edit button .

GPT-5.4 Thinking and GPT-5.4 Pro are rolling out now in ChatGPT. GPT-5.4 is also now available in the API and Codex. GPT-5.4 brings our advances in reasoning, coding, and agentic workflows into one frontier model.

Well explained the difference between coaching and mentoring.

@Lagarde @flacqua @BloombergTV What a great interview of “Mrs Crisis” giving us the nuggets of wisdom learnt over many years. It is very true that leaders must address the terrible trio of people who feel left out , that they not benefited from the government initiatives and that nobody pays attention to them.

What is my philosophy as a leader? What did I learn about myself during my career? And what worries me about the future? These were some of the questions Bloomberg’s Francine Lacqua asked me as part of her Leaders with Lacqua series. youtu.be/Q934O_uJCiY?si…

Humbled to be part of the 4th lifestyle medicine conference in Hail in Saudi Arabia.

Amazing. Conference with amazing people.

Great conversations taking place here in Hail. Amazing achievements especially the life expectancy of 83.5 years ! Next step is to make sure those years are full of quality life. Indeed more years and more life in those years through lifestyle medicine.

Indeed even listening is a choice .

Excited to be speaking at this conference

@ClareGerada Congratulations well deserved

I’m deeply moved to have been appointed to House of Lords. The NHS has shaped my life, work, & values. it’s where I learned what care, compassion, & public service truly mean. I hope to carry that spirit forward in this new role, speaking up for patients & health professionals

Lessons from a Farmer: Leadership Wisdom from the Fields of Zimbabwe Growing up in the rural villages of Zimbabwe, I learnt lessons that I didn’t recognise as useful back then. Today, as I reflect on those early mornings and long days, I realise they were shaping me into the leader I am becoming. Every morning, before school, we would wake up early to till the fields. After that, we’d prepare for our 3-kilometre walk to school and back again in the afternoon. Six kilometres a day, barefoot or in worn-out shoes, taught me more about resilience than any classroom could. 1. Prepare the Soil – Build the Team Before we ever planted a seed, we prepared the soil. We dug deep, removed stones, and softened the earth. In leadership, preparing the soil is about building your team creating the right environment for growth. You can’t plant seeds of vision in hard, unprepared ground. Take time to understand your people, build trust, and establish psychological safety. As Gallup reminds us, people need to be seen, heard, and valued before they engage fully. A leader’s job is to prepare the emotional soil. 2. Plant and Water – Meet the Needs of Your People We planted seeds and waited patiently for rain or watered them ourselves. In leadership, planting is about casting vision, and watering is about meeting the needs of your team. Tony Robbins teaches that every human being has six core needs: certainty, variety, significance, connection, growth, and contribution. A wise leader pays attention to these needs, nurturing their team so they feel supported and motivated to grow. 3. Remove the Weeds – Protect the Culture Once the plants began to grow, we watched for weeds. Weeds compete for nutrients just like negativity and gossip compete for energy in a team. A healthy leader must be vigilant. Address issues early. Give candid and caring feedback. But be tactical, don’t uproot the good plants while removing the weeds. Protect your culture, but protect your people too. 4. Add the “Top” Fertilizer – Encourage and Refresh When the crops were about to bloom, we added fertilizer and we called it “TOP,” short for “top dressing.” In leadership, this is the stage where you top up your team’s energy and morale. Recognise their efforts, celebrate progress, and offer development opportunities. Growth doesn’t happen by accident, it’s nourished intentionally. 5. Harvest Wisely – Sustain the Cycle Finally came the harvest. We sold some crops, kept some for ourselves, and saved some seeds for the next season. In leadership, harvesting is about celebrating results, sharing rewards, and reinvesting in the next cycle of growth. Great leaders think in seasons and they know that success today prepares the ground for tomorrow. Oh, how I don’t miss those early morning wake-ups! My favourite protest was, “Ko zvandanga ndave kutanga kurara?” (“But I was just about to start sleeping!”) I laugh now, but that season of life prepared me for everything that followed. It taught me patience, diligence, and the rhythm of growth, both in farming and in leadership. Because leadership, like farming, is about tending to people, preparing the soil, planting the vision, nurturing growth, and never forgetting to pull out the weeds before they take over the field.

There is a great need to offer flexible appointments that allows for 30mins to 60mins appointments for complex consultations. The current 10-15 minute appointments are no longer fit for purpose in most cases since minor illnesses are now being seen by other members of the GP team leaving the GPs to deal with complicated cases.

Powerful nuggets

3. CULTURE: Normalized behaviors no longer serve the mission. Heroics, asshole-level aggressive, avoiding conflict. Survival mode made them acceptable, not sustainable. Fix: Name the behaviors explicitly. Define 3-5 non-negotiables. Fire people who violate them repeatedly.

BROAD (normalized behavior): You have 3 typical root causes: 1. POWER: Status games are overshadowing the mission. Leaders are protecting territory instead of pursuing outcomes. Fix: Eliminate fiefdoms. Single-thread accountability. Make collaboration a KPI, not a suggestion.

IS THE PROBLEM NARROW OR BROAD? NARROW (one person): The choices are simple, recovery or removal. Have a direct conversation: get better fast or get out. Set a 30-day timeline. If they can't or won't change, make the change for them.

WHAT'S YOUR ROLE IN THE DYSFUNCTION? You hired these people. Or you inherited them and changed nothing. Or you've been trying ineffectively. If you can't see yourself clearly, you won't see the full problem clearly either. Own your part before you try to fix theirs.

IS THIS A MUST-SOLVE PROBLEM? If fixing your leadership team always takes a backseat to "real work," nothing will change. This IS your real work. A dysfunctional leadership team is a tax on every person, initiative and decision. Be honest: worth solving or not?

Let's meet

People with an aggressive form of lung cancer are set to benefit after we recommended a new treatment option today. Find out more about lorlatinib: nice.org.uk/guidance/indev…

People with myeloma are now living almost twice as long as they did in the mid-2000s. “These results show that research works, but if we are to keep improving survival, we must do whatever it takes.” - Dr Richard Francis We must keep driving progress. bit.ly/4gdwC5i