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Patterson's leadership was considered to be uninspired. He was unable to resist the Co-operative Commonwealth Federation's rise to power in the 1944 election under Tommy Douglas. Patterson's Liberals were reduced to five seats in the Legislature. He resigned as Liberal leader in 1946.
Patterson served as lieutenant-governor of the province from 1951 to 1958, becoming the first person to have been both Premier and lieutenant-governor of the province.
| Preceded by: James G. Gardiner 1934-1935 | Premier of Saskatchewan 1935-1944 | Followed by: Tommy Douglas 1944-1961 |