This article seeks to comment on the important part that reflective practice can play in enhancing the manager's day-to-day role and performance. Staff holding professional qualifications such as doctors and nurses are trained and experienced in using reflection as part of their everyday clinical practice. However, as managers, this is something which is rarely prioritised or seen as important. It is the author's view that the value of reflection within management therefore needs to be recognised. Managers need to develop skills and use models of reflection, becoming aware of the benefits that reflective practice can bring. Reflective practice is about ensuring quality care is delivered and quality decisions are made.