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Stepping into management: the GP and PCN director
The BMJ  (IF39.89),  Pub Date : 2021-10-25, DOI: 10.1136/bmj.n2568
Francesca Robinson

The Brent GP talks to Francesca Robinson about the rewards of working with colleagues to improve population health Achieving change in the NHS can be challenging, especially when people are reluctant to leave their comfort zones, says GP Nigel de Kare-Silver. But the rewards of having a role in influencing care at a population level are gained over time as services improve for patients. De Kare-Silver, who is the clinical director of a primary care network (PCN) in Brent, London, is most proud of a covid-19 vaccination programme that he was involved in setting up with three other PCNs last year. By using unconventional vaccine centres such as a temple, a mosque, a church, and pop-up clinics in buses outside supermarkets, it became one of the top 10 programmes in the country. De …