This report discusses many challenges faced by the manager at the time of leading the organization and demonstrates strategies used by the manager to improve the human resource challenges. The report highlights the challenges faced by the manager at St Mary’s Hospital, and the strategies that could be used to overcome these challenges. The strategies include effective leadership skills, effective communication tool, appropriate allocation of task, giving value to employees opinion, making transparent relationship with employees, using team negotiation, showing the organization’s value, higher employee motivation, continual improvement, praising and correcting employees, projecting a positive attitude, and presenting clear goals. The report concludes that the human resource manager could consider best practices at the working place for sustaining the organization’s position in the marketplace.