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      • the trouble with opt-outs

        December 1, 2025
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        Three-parent embryos: can the end ever justify the means?

        August 12, 2025
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        The Leng Review and the leadership void: A call to fill the gap

        August 8, 2025
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        God calls us to care for the stranger in our midst, to protect orphans and widows,

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        God calls us to care for the stranger in our midst, to protect orphans and widows, to ‘act justly and love mercy’ . (Micah 6:8) How does this translate to the way we care today?

        Given the proposed changes to the way that our asylum system works, how can we provide the best possible healthcare to those in need?

        The ‘Refugees and Asylum Seekers Health Course’ (RASH) aims to equip Christian healthcare practitioners and others to:

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        January 10, 2026 10:00 am - 4:30 pm(GMT+00:00)

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        Select:ID Who are you? It is a fundamental question to answer as you start your journey as a health professional. The world has a lot of answers, you are your

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        Select:ID
        Who are you?

        It is a fundamental question to answer as you start your journey as a health professional. The world has a lot of answers, you are your job, your sexuality, your gender, or your racial and national identity. But the gospel of Jesus tells us that we are forgiven, we are chosen, we are beloved, we are made holy, and we are God’s own treasured possession. How do we live out that truth in our everyday life, our studies, and our careers?

        Join us at CMF’s Student Conference – from 30 January to 1 February 2026 (Yarnfield, Staffordshire)

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        1. Grab a cup of tea, and have a read to choose four seminars you would like to attend, look through your options in our Conference Programme.

        2. Get your Student Discount Code.

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        3. Now you’re ready to book onto Student Conference 2026.

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        05mar8:00 pm9:00 pmChristians in Healthcare Leadership Spring Webinar 2026 - How to Raise Concerns

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        Open to all CMF Members 8 – 8.05. Introduction 8.05 – 8.15 Loving the individual, but hating the sin: Lessons from the woman at the well 8.15 – 8.30 Raising concerns: Avoiding the negative

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        Open to all CMF Members

        8 – 8.05. Introduction

        8.05 – 8.15 Loving the individual, but hating the sin: Lessons from the woman at the well

        8.15 – 8.30 Raising concerns: Avoiding the negative and positively influencing culture

        8.30 – 8.45 Counting the cost: Institutional whistle blowing & Dealing with lack of insight

        8.45 – 9.00 Discussion and prayer

        Registration now, you will receive the Zoom details nearer to the event. 

         

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        March 5, 2026 8:00 pm - 9:00 pm(GMT+00:00)

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        Yarnfield, Stone ST15 0NLYarnfield Park Training & Conference Centre

        08may(may 8)6:00 pm10(may 10)2:00 pmNational Conference 2026

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        Save the Date! Bookings will open in January 2026 for this conference...more details are coming soon.

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        Bookings will open in January 2026 for this conference…more details are coming soon.

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        May 8, 2026 6:00 pm - may 10, 2026 2:00 pm(GMT+01:00)

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        Yarnfield, Stone ST15 0NL

        Yarnfield Park Training & Conference Centre

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lead: the freedom of NO!

John Greenall explains why he is no longer a ‘yes man’
I have a confession to make. I secretly enjoy many of Jim Carrey’s films. Whereas my wife finds him over-the-top and puerile, there is something about him that appeals to my juvenile sense of humour. Recently I watched Yes Man where he challenges himself to say ‘yes’ to everything with hilarious (and sometimes painful) consequences. The film reminded me of a recent conversation with a fourth-year medical student who we will call Simon. He epitomised the life of many medical students I meet. He plays for the ultimate frisbee team, runs his church’s online services on Sundays, co-leads the local CMF group and works weekend night shifts in Tesco to pay his rent. He’s also been asked to lead the Youth Group at his church on Friday evenings and has been weighing up doing an online mentoring course after reading the last column in Nucleus! [1] I commented on how weary he looked, and his reply was interesting: ‘I just seem to say yes to everything’.

the freedom of no

One of the most profound leadership lessons I have learnt is the ability to say no. In fact, the mark of your leadership, both of yourself and others, is not what you say yes to. It is what you say no to. Saying no is incredibly liberating, both for us but also for the people who ask us. We must remember that whenever we say ‘yes’ to one thing we are saying ‘no’ to something else. That might be another opportunity, our work, a relationship, sleep, rest, or time with God. When we don’t say no, we risk several things: burnout, cheating others out of time with us and cheating ourselves from working to the priorities God has called us to.

why is it so hard to say no?

Medics are often asked to do all sorts of things because we are generally responsible, personable and capable. Saying no is difficult for several reasons. Firstly, these are often great opportunities and something we could add value to. Secondly, saying no risks disappointing others or getting into conflict. It can hurt our pride to admit our limitations in a culture that so values activity and productivity. We can ‘fear man’ and how we are perceived more than we might fear God. [2] Finally, we struggle personally because we often don’t have a clear idea of how to prioritise what is more or less important. This results in us reacting to opportunities rather than proactively responding. Whilst difficult, it can be kindest — both to ourselves and others — to say no.

what would Jesus do?

Jesus is a great example of someone who knew his priorities. His life was framed by the ‘Nazareth Manifesto’:’The Spirit of the Lord is on me, because he has anointed me to preach good news to the poor. He has sent me to proclaim freedom for the prisoners and recovery of sight for the blind, to set the oppressed free, to proclaim the year of the Lord’s favour.’ (Luke 4:18-20).

Despite this, everyone had their own agenda for Jesus. Crowds kept trying to make him king; others wanted him to lead a revolution; the Pharisees wanted him to stop his ministry; those who were sick demanded healing; people followed him around even when he was exhausted. Despite others seeking to control his priorities and at times even threatening him, [3] Jesus resisted these demands. He restated his priority to preach [4] and to spend time with his father, withdrawing to a quiet place to pray. [5] We too must be ready to challenge the expectations people have of us and be ready to help them understand our Christ-centred priorities. [6]

how do you fill your jar?

A helpful analogy here is considering how to optimally fill a jar with rocks, stones and sand. Jesus lived a full life, [7] saying yes to many things, and yet he was very deliberate in what and whom he said yes to. He knew in which order he filled his ‘time jar’. These key priorities — or rocks — for us are often core commitments like family, [8] studies [9] and regular worship. [10] Every six months I review my priorities around the responsibilities he has given me: My list consists of: relationship with God, personal life/health, relationships (family, friends), church, and work. Yours will of course include your studies and maybe other things.

For each of my five responsibilities, I have a verse and a mission statement that is personal to me. For ‘relationship with God’ my verse is Galatians 4:6-7. My mission statement is ‘I am a son, not a slave. I am a friend of God and want to cultivate a friendship relationship with him. I practice thankfulness and bring my worries and thoughts to him daily.’ I then make a series of commitments which are priorities for me. These are my ‘rocks’ and include: my phone is off at 9.30 pm and on at seven am; I spend time daily with God when I wake up; my focus is on enjoying time with God more than ticking boxes. I know that if I do not do these things the rest of life won’t go too well.

Another example is in ‘personal/health’. My verse is Psalm 139:17-18 with the mission statement ‘I am a human being lovingly created in God’s image and am supremely valuable. But I have limits I need to respect. I show self-control and am able to rest and relax, understanding my identity comes from my acceptance from God.’ My commitments include: I sleep an average of eight hours every night; I exercise four days each week; I eat healthy portion sizes and maintain my weight. Again, I know that when I start saying yes to things that mean saying no to these commitments, life doesn’t go well. [11]

how do I say no for myself?

When someone asks me to say yes to a new thing I will often respond in three ways. Firstly, thank them. ‘Thanks for asking, I can see this is an important and significant work.’ Second, defer. Rather than a reflex ‘reactive’ response I might say, ‘could you email me with more details?’ Or I might say ‘to say yes to this I’d need to say no to something else in my schedule. I need to consider that’. I will then seek to pray about it, consider my commitments in the season of life I am in, probe my motives, seek wise counsel and work through the implications of a new ‘yes’ in my life. Thirdly, respond. We must honour people with a response rather than go quiet on them. A clear ‘no’ means they can ask someone else who might be just the right person for the role. So much time and energy can be wasted through procrastination and a lack of clear communication.

how do I say no to others?

Finally, there are times when we need to extend the ‘freedom of no’ to those we lead. Take for example the person who wants to be in your worship band. They clearly have a voice that isn’t the best. You want to encourage them, but you know you shouldn’t say yes! However in my experience most people say yes, which makes the job of saying no later all the more difficult.

This confusing of ‘nice’ with ‘no’ does people a disservice. A gentle ‘no’ [12] can save months and even years of pain from being in the wrong place when they could be far more effective doing something else. I will often start by helping people say no for themselves. For example, I might say ‘if you were to lead worship alone without any experience it could put you in a very challenging situation’. You might also use their words: ‘You just shared that you are currently busy with no time to rest. Doing this might place you in a bad situation. Does that make sense?’ Further, ensuring you have a culture of review and feedback builds in times when we can say no. It is important for our leadership that both we and those we lead have planned times to check in on how we are doing, receive feedback and have the opportunity to renew our yes or freely express a no.

So, I’ll continue to enjoy my Jim Carrey films. And whilst I don’t want to be known as ‘Dr No’, my days of being a ‘yes man’ are over. How about you?

Author details

  • John Greenall

    John is a paediatrician and CMF's former Associate CEO.

    View all posts

Related Publication


  • Nucleus – Summer 2021

Key Points

1. What consequences of not saying ‘no’ do you recognise in your life?
2. Have you prioritised your ‘rocks’, ‘stones’ and ‘sand’? Write some of them down now. How does that impact how reactive or proactive you are?
3. Are there areas in your life which you need to say ‘no’ to? Why not write them down and make a firm plan to act on this in the next month.
4. If leading a team, what is your key takeaway to ensure you have the right people in the right seats?

References

1. Greenall J. Leadership: Mentoring. Nucleus 2020;50(3):24-27
2. eg Proverbs 29:25. cmf.li/3gfuX0k
3. Luke 13:31-33
4. Luke 4:44
5. Luke 5:15,16.
6. More on biblical time management can be found in Saunders P. Time Management, Jesus Style. Nucleus Summer 2008:27-33. cmf.li/2ShiUYg
7. John 21:25
8. eg 1 Timothy 5:8
9. See 1 Corinthians 10:31; Colossians 3:17 and Greenall J, Bunn A. Working for Jesus. Nucleus. Freshers Edition: 22-23. cmf.li/3g6xA5R
10. Hebrews 10:25
11. For more along these lines see a short and helpful book: Challies T. Do More Better. Minneapolis: Cruciform Press, 2015, and another fantastic resource I use is Newell A. Revisioning. newellandassociates.com/product/revisioning
12. Proverbs 15:1-2

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Privacy Policy

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Join CHLN

The Christian Healthcare Leadership Network (CHLN) is an initiative of the Christian Medical Fellowship (CMF). To be eligible to join the network, you need to be registered with CMF as a Member/ Associate Member or CMF Friend. If you are not already registered as any of the above, please sign up to a member or a friend of CMF before proceeding with your application to join CHLN.
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Would you like to join our monthly prayer WhatsApp group? If so please provide your mobile phone number below
The Christian Healthcare Leadership Network is an initiative of the Christian Medical Fellowship (CMF). To be eligible to join the network, we ask that you are a registered CMF Member/ Associate Member or CMF Friend.
Please confirm that you are a CMF Member or CMF Friend.(Required)

You can update your contact preferences at any time. We take your privacy seriously and will not give your data to any other organisation for their own purposes. For more information see cmf.org.uk/about/privacy-notice

You can update your contact preferences at any time. We take your privacy seriously and will not give your data to any other organisation for their own purposes. For more information see cmf.org.uk/privacy-notice/

Contact the Pastoral Care Team

Pastoral Care is a member benefit for those who join CMF. If you want to access this support, contact us using the form below and we will arrange a telephone call. We aim to get back to you as soon as possible, but we are not a crisis service, and there may, therefore, be a short delay in our response.

Please note, sadly we do not have the capacity to offer this service to non-members.

Please confirm you are a CMF Member(Required)
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Please use the best number to contact you on
e.g. morning, afternoon
Why are you contacting the Pastoral team?(Required)
We will add them to our daily prayers. Please respect patient confidentiality.
Include information on whether you would like to get some mentoring or become a mentor

You can update your contact preferences at any time. We take your privacy seriously and will not give your data to any other organisation for their own purposes. For more information see cmf.org.uk/privacy-notice/

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You can update your contact preferences at any time. We take your privacy seriously and will not give your data to any other organisation for their own purposes. For more information see cmf.org.uk/about/privacy-notice

You can update your contact preferences at any time. We take your privacy seriously and will not give your data to any other organisation for their own purposes. For more information see cmf.org.uk/privacy-notice/

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