Firstly assess or keep re-assessing your practice challenges in the coming year(s) (e.g., New GP Contract; DES or QOF requirements) - what do you know will be happenign in 12 months or longer. It a dynamic process as in situations change all the time of course.
Identify any critical risk positions to support business continuity (e.g., GP Partners, Practice Management, Nurse Leads, Paramedics, Pharmacists .....)
Identify any skills and competencies that you need but don’t have. Do you actually know what your gaps are?