Actions Speak Louder Than Words: How people showing up unprompted makes a difference that words cannot convey

It has been an amazing week (despite this post being late as I was unexpectedly struck down unwell). Last week, I was fortunate enough to attend the Academy for Healthcare Science Honorary Fellowships and Chair Celebration, which was a joyous way to celebrate the contribution that Healthcare Scientists make to the Academy, but also to acknowledge the impact that Healthcare Scientists make across the healthcare landscape. This week has been Healthcare Science week, and it’s been a delight to see the posts shared, and hear about the great work and impact of Healthcare Scientists.

It’s been especially poignant for me personally, as the AHCS had also been liaising with me to support my book, It Shouldn’t Happen to a PhD Student. They were generous enough to allow me to share copies of the the book as part of the goodie bag for their Fellowship event, as well including an article about why I felt it necessary to write the book within the Spring 2026 edition of the HCS Leadership Journal.

All of which got me thinking…it got me thinking about how it feels to have people step up to support you. It got me thinking about privilege and the importance of knowing where you have it, and where you may lack it. Finally, it got me thinking about the importance of using that privilege recognition to actively engage with others, and decide how to utilise it both for impact and the benefit of others.

Awareness of privilege

We all have privilege, even if it doesn’t always feel like it. If you are reading this blog you have some form of privilege, even if that is just that you aren’t in digital poverty. I have privilege. I am white, middle class, European, and in a heterosexual marriage. I also lack privilege in some ways, being a woman who came from a state education background, and work in a professional structure that is dominated by my medical colleagues. Organisations are the same, they will have spheres of influence, and areas where they are trying to expand that influence.

It is obviously helpful to know where you have influence, and where you may lack it. This is essential to allow informed decision making about where to devote your energies, but more than that, it is important to know where you can expend energy for the benefit of others. There is more danger than we sometimes acknowledge in not understanding, and spending time reflecting on, our privilege. Not doing this can result in making assumptions that can harm ourselves and others.

Awareness of the priviledge gap

What does that privilege awareness look like? I am never going to be able to run an invite only event for 200 people. I have a fair level of of influence, due to you lovely people reading this blog and interacting with me on social media, but I am only one person. I will never have the influence, impact or resources of an organisation or group. Therefore, the privilege I am able to harness for the benefit of others will also be limited. This is why I want to discuss the importance of gestures, such as those made by the AHCS. I am able to reach a certain percentage of Healthcare Scientists that I’m personally connected with across platforms. The Academy in contrast has thousands of members across their registers. They have thousands of followers across social media platforms, and they also have reputation impact, as they are have intrinsic legitimacy due to their role providing professional accreditation.

The AHCS supporting me, by allowing me to share my book and by including an article in their journal, substantially increases my reach, and the chance of something I hope to have impact, getting into the hands of someone who may find it useful. It also lends their validation to that reach as, I hope, they wouldn’t support sharing details of the book if they thought it was rubbish. It gets my book into the hands of people who may never have picked it up otherwise, from students to senior leaders. I’m so grateful to them for using their privilege to support something that means so much to me, and that I hope will support the profession I love. Gestures can be big or small, but the impact of them should never be underestimated.

Support without asking

Now, I’ve talked about the fact that I do have privilege. That said, I don’t have the kind of privilege I’ve seen in some of my academic or medical colleagues. The kind of privilege where doors are just opened, or barriers are just removed. I don’t have a problem with this, I feel like I have proven myself every step of the way. Every promotion I’ve had has been a competitive process. Every committee I’ve sat on I’ve either had to apply for or prove my credentials as part of joining. The support for my book is the first time ever that someone has come to me and asked how they can help. Not just the Academy, but places like Applied Microbiology International. The Academy really followed through, and did not just ask the question, but helped me work out ‘the how’. They don’t know this, but when I got off the call, and recovered from the shock of their kindness, I actually had a little happy cry. There is nothing like people stepping up and showing their faith in your by offering the kind of support you would never have asked for. It is a rare event, and it’s made me determined to do what I can for others in order to make it a little less rare.

Support without conditions

Often when people have offered support for me in the past there has been a certain level of quid pro quo. A level of you scratch my back and I’ll scratch yours. If you’ve followed this blog for any length of time, you’ll know that my leadership style is much more around authentic leadership than transactional leadership. There is nothing wrong per se, with transactional leadership, there is definitely a place and time, but it doesn’t feel the same as someone offering their support with no ties or limitations. There is something special about someone offering unconditional support, support that you don’t feel like you have to pay back or pay off. Now having said that, I’m not saying you shouldn’t try to live up to the generosity being offered you, just that it’s different when that’s a decision you make rather than one that is a condition of the support to begin with.

Support without comeback

The other interesting form of support is that type that comes freely at early stages of your career, but has ramifications later on. I think many of us have probably experienced this one, where you have had mentors or supporters who offered great support, until the point at which you reach a similar level of career progression. At this point the support becomes more transactional, or worse, relationships become less constructive and more distant. Opportunities taken can be greeted with commentary, or judgement. This can be a very confusing scenario if you haven’t encountered it before, or seen it happen to others.

People who offer support irrespective of career stage, or perceived risk to position, are worth their weight in gold. Those individuals and organisations who support others, not for benefit to themselves, nor affected by positionality, are both investing in relationships for the long term and build trust based on consistency. This is one of the best ways to maximise impact over time, both for the person supporting, but also for those offering aid.

Acceptance without doubt

This isn’t just about those offering the support however, no matter how wonderful. It is also about how we receive the support and opportunities that we are offered. It can be easy to question whether to accept unconditional support by wondering what’s the catch? If you have been submerged in a culture where you are surrounded by transactional relationships, or where cultures have become challenging due to resource scarcity, it is both understandable and predictable to question support when offered. It is essential however that we get out of our own way. This can be a challenge if you are in a position where you lack privilege. When working with, and offering support to others who have dealt with a lack of privilege long term, building trust may be a required step prior to acceptance of any support offered.

We can all have a tendency to say ‘why me’ for both good and ill. This can obviously be context dependent, as well as depending on whether we are in a place of pessimism or optimism when the offer is made. It is important to have the self awareness to know when we are drifting to skepticism when we should be embracing opportunity. When we are driven by factors from our past instead of embracing our future.

Acceptance with gratitude

Instead of questioning when we are offered support, it is important to move to a space where we accept with gratitude rather than anxiety. I think it’s key to talk about what I mean by gratitude, I’m talking about gratitude without submission. I have a tendency to over correct on this one. I tend to be so grateful for the support that I can come across as sycophantic, without meaning to. I think the best way you can be grateful however, is to make sure you learn the lessons from being offered the support and ensure that you incorporate it into your practice by role modelling that behaviour yourself. As you are being supported without conditions, you should be thankful and stop looking for some unwritten cost that doesn’t exist. Embrace the opportunity and then make sure you do the same for others.

Delivering on the commitment

The biggest demonstration of gratitude you can give, I believe, is by delivering on the faith that others have placed in you. If someone goes out of their way to show you support, then deliver. Deliver on whatever that may be. It could be by putting in the work to achieve a goal. It could be by working to ensure that the advantage they’ve given you isn’t wasted and allows a next step to be taken. It could just be by embedding the same values in your leadership to benefit others. Actions speak louder than words, and so if given an opportunity act to maximise the outcome.

Paying it forward

I’ve mentioned the importance of making sure that you increase the legacy of any kindness you are shown by role modelling that moving forward, but it’s so important that I wanted to state it again. Not all gestures require large resource or commitment. It can be as simple as stating someone’s name in a room that they are not in, or passing on an opportunity that you may believe would be of benefit. Knowing where our privilege and influence lie, not taking it for granted, and utilising it for the benefit of others in whatever way we can, is such an important part of how we move forward as a profession and lift people up as individuals. Especially at the moment, when resources are limited and times are hard, it can be easy to forget what is in our gift to do, and I think now more than ever it’s crucial to realise that we all still have the capacity to positively impact on others.

A final thank you

So, I wanted to end by saying thank you again to the Academy of Healthcare Science. Not only have they really impacted me by showing such by in with a book that means a lot to me, but they were also kind enough to present me with an extra surprise, the Chair’s Award for Excellence. It’s made a real impact on me, and now all I can hope to do is pay it forward and show the same faith and impact in others.

All opinions in this blog are my own

Leadership: In the words of Wicked ‘It’s All About Popular’, or is it?

With the news of the Oscar nominations for Wicked Part 1 coming out, I thought  it was finally time to dust off this post that has been languishing in draft for over a year. I guess it will surprise none of you dear readers, that I am something of a musicals fan and Wicked is one of my favourites. I saw it for the first time on honeymoon in New York with Mr Girlymicro and knew very little about it going in. Whilst watching it, the song Popular rapidly became one of mine and Mr Girlymicro’s favourite tunes (alongside What Is This Feeling?).

The words have always triggered something in me in terms of thinking about leadership, especially the line ‘It’s not about aptitude, it’s the way you’re viewed’. With everything going on in the world right now, it feels like a really important concept to explore. Is leadership all just really all about being popular? And what does that actually mean?

When I see depressing creatures
With unprepossessing features
I remind them on their own behalf
To think of
Celebrated heads of state
Or specially great communicators!
Did they have brains or knowledge?
Don’t make me laugh!
They were popular!
Please!
It’s all about popular
It’s not about aptitude
It’s the way you’re viewed

So it’s very shrewd to be
Very very popular
Like me!

What’s makes someone popular?

I’d like to start this by saying that I don’t really think I would know what makes someone popular from first principles. If I was in a 90s school based movie, like Mean Girls or Clueless, I would definitely be the girl who hides out in the library rather than being an IT girl or one of the popular kids. So, I’m probably not coming from a position of expertise on this one. I have however put those library skills to use and come up with this from those with greater expertise:

This popularity doesn’t just impact how we interact with others, it also impacts how we are treated, opportunities that we are offered, and helps reduce negative emotions linked to social rejection. This may seem self evident but it is also backed up by research with one study defining popularity as ‘generally accepted by one’s peers’.

How we are perceived by others can, therefore, definitely impact on our working lives and likability, or popularity. Whilst how we are liked one on one is referred to as inter-personality, popularity is determined at the group, rather than the individual level, and is related to a person’s ability to make others feel valued, included, and happy on a more general level. The question is………is all popularity therefore about making others happy, and is leadership therefore all about attempting to make the most people happy in the widest possible way? Does getting ahead professionally mean that you need to be part of the ‘in crowd’ in order to succeed.

Is it all about people pleasing?

If you’ve seen Wicked, there is a great scene where The Wizard talks about how he wants to be seen. A lot of the plot across the entire musical is about superficial appearances rather than the ‘truth’. A lot of sub-par decision making within the plot is hidden behind the mask of popularity, and poor leadership is permitted because of the wide spread popularity of those making the choices.

I’ve written previously about the challenges of being a people pleaser and how it is impossible to please everyone. One of the challenges, in terms of leadership, is that if popularity is considered to be the way forward, in terms of being a good leader, you will be forced to chase good opinion rather than focusing on strategic or other vision. It also inevitably leads to your leadership being less and less authentic as you try to follow, not your central ethos, but a diluted version based on the perceived views of others.

What are the advantages of being civil?

So am I saying that it is not necessary to be nice? Just being ‘nice’ is often considered to actually be a disadvantage within work place settings, it is often good for making friends in a 1:1 setting, but as I’ve said popularity is determined on the group rather than the individual level. Within this context being nice or perceived as ‘warm’ can actually have a negative impact on careers, as warmth is often considered to be inversely associated with competence i.e. you can’t be nice and good at your job. According to Porath (2015), being seen as considerate may actually be hazardous to your self-esteem, goal achievement, influence, career, and income. So being nice alone is not enough. What does allow the switch from nice to being popular?

According to the same paper by Porath, it is about not being considered nice, but is actually linked to respect, and in this context civility, which comprises of both warmth and perceived competence:

“Civility is unique–—it leads people to evaluate you as both warm and competent. Typically, people tend to infer that a strength in one implies a weakness of the other. Many people are seen as competent but cold: He’s really smart . . . but employees will hate working for him. Or as warm but incompetent: She’s friendly . . . but probably is not smart. Being respectful ushers in admiration–—you make another person
feel valued and cared for (warm), but also signal that you are capable (competent) to assist them in the future.”

Civility, in this professional context, demonstrates benefits that being nice alone does not, especially in the context of leadership, where those who reported feeling respected by their leader reported 89% greater enjoyment in their work and 92% more focus. So maybe less about pop…u…lar and more about civ…..ili….ty? Or maybe they are one and the same thing?

Being able to be civil is itself a privilege

I do have quite a significant word of warning linked to this linking however and that is, is the ability to be civil linked to privilege? If being considered civil, and gaining the associated advantages, linked to not having to fight or voice unpopular opinions? Anything that requires warmth as part of the algorithm risks benefiting those who are in a position where they can court popular support, rather than feeling like they need to make a stand. Having the energy and resources to be able to invest in being seen as civil is in-itself linked to privilege. If you are working part time or under resourced, you are unlikely to have the time resource to invest in some of the relationship building needed to be identified as both warm and competent. There are also people who believe that they cannot invest because of the risks to their careers in coming off as warm without the associated benefits of being seen as competent. The costs in terms of income or self esteem are not ones that everyone can risk in case it goes wrong.

Is civility just another way of benefiting those already in positions of seniority?

Is it therefore that civility, and it’s associated popularity, are just another route that benefits those that are already in a position of privilege. Is popularity linked to status? Traditionally status is based on attention, power, influence, and visibility, rather than acceptance from peers, and so popularity may be more significant in informal vs formal leadership settings. This isn’t saying that senior leaders shouldn’t be civil, and that they shouldn’t come across as warm. It does mean that they are probably at lesser risk from the disadvantages and risks once they are in a formal leadership position, where they are able to draw upon different markers of power and visibility to gain influence. This can give the false impression that you need to be popular in order to be a senior leader, whereas the reality may be that you can afford to be popular as a senior leader as you are less at risk of any of the negative consequences of you only being viewed as part of the equation.

What is the difference between being nice and being kind?

So, I’ve talked about being nice as not always a risk free move in terms of career progression, but what about kindness? I’m a massive advocate of kindness, but sometimes I wonder if people have the same understanding of the term as I do or whether they use it as a proxy marker for other things. For instance, we often talk about kindness and niceness as if they are interchangeable, but I’ve been wondering if the difference between the 2 is where the perception of warmth vs civility (combined warmth plus competence) actually sits.

I have certainly met people who believe that being kind and supportive means always being in agreement or always saying yes, whereas I believe that this is more acting from a position of people pleasing and being nice. In contrast I believe that sometimes the kindest thing that you can do is to say no, either because you’re not in a position to deliver what they want or that saying yes would put the other person in a challenging position. Nice can often feel right in the moment, whereas kind considers the wider, and sometimes longer term, implications.

How do we manage kindness in a way that is authentic?

Being kind can be challenging as it is not always about taking the easy route, sometimes it’s about making hard choices in order to help yourself, others or the organisation, to be the best version of itself. It can challenge some of the behaviours linked to people pleasing in order to move towards authenticity in terms of interactions and leadership. For me, kindness is very much about doing the right thing instead of the easy thing, but to really deliver on your values, you need to invest the time to understand what those values are first. What do we stand for? What three words would we assign to our core descriptors of self? Knowing what your core values are enables you to have a self check benchmark to help identify when we are being nice over kind.

Where does social capital fit in here?

Obviously, civility and kindness are not the only factors that come into play in the ‘popular’ discussion.  There are all kinds of other forms of social capital that can impact on how successful we are at network building, influencing and leadership. Especially in the world of science and healthcare, expertise comes into play quite significantly, and access to funding can never be under estimated, in terms of providing leverage and empowerment.

It is always worth being aware of, and investing in, all of these different strands for long term success. Having said that, all of these also require you to have the capacity to invest. As someone who can’t have children, and therefore have greater freedom to balance my work and home life, I’m aware that I probably wouldn’t have been able to build a clinical academic career if my life had been different. If I’d had to leave on time for school pick up or had to be lead carer on the weekends, I wouldn’t have been able to publish the papers or apply for the grants required. There is inbuilt privilege in my being able to prioritise my career at times. This blog requires hours every week. Hours that I enjoy investing and which I reap the benefits of in terms of networks and connections. These are things that I wouldn’t be able to do if I needed to pick up a second job or was caring for a parent. When we ask people to have these additional pieces of capital to progress, we need to be aware that we are putting barriers in place so that not everyone can make the most opportunities. We need to make the most of the tools we have available to us, but as leaders, we also need to understand how to support people to access opportunities in a way that doesn’t disadvantage them in relation to others.

Let’s not forget that leadership is hard

I think that one of the things that it is often easy to forget is that leadership is hard, in some ways, if it’s easy you probably aren’t doing it right or stretching yourself enough. Part of leadership is making the unpopular and challenging decisions, and sometimes there are no win wins. Being popular, being considered empathetic is always a nice thing but it is not the only thing that makes your leadership successful. So is it, in the end, actually all about popular? If you were to ask me it is instead all about authenticity. The key thing, from my perspective, is to let people know who you are, connect with people as much as possible and share/co-create the vision. Then they can make informed decisions about whether to get on board the Girlymicro train or not! On this one, I may be with Elphaba.

All opinions in this blog are my own