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Changing the system from within

Dr Nikita Kanani juggles training as a registrar with a number of PCT roles, running a national networking organisation and meeting Andrew Lansley. Oh, and she's also a mum...

I qualified from Guys and St Thomas' in 2004 and after my house jobs I worked in Uganda and Sri Lanka before completing a medical rotation in London. Frustrated with ‘the system', and passionate about improving service provision within the NHS, I took a year out of training and became Service Modernisation Lead at my previous trust. In this innovative role I was responsible for managing a number of key projects designed to improve patient flow and experience.

I started my GP rotation in 2009, combining developing my clinical acumen as a trainee with working with my PCT as intern to the Medical Director. I have provided the Project Sponsorship for Intermediate Care, been Clinical Lead for Winter Planning and also for Screening Assurance.

As joint chair of The Network ( I am responsible for providing events, resources and networking opportunities for over 1,000 trainees and newly qualified doctors with an interest in management and leadership in health. We're looking forward to welcoming the health secretary Andrew Lansley to our launch event in the New Year.

I am a council member of the National Association of Primary Care, on the NHS London ‘Prepare to Lead' scheme and a recipient of the RCGP ‘Great Expectations' Award 2010. I undertook a Postgraduate Certificate in Managing in Health and Social Care, am a PRINCE2 Practitioner and a Lean trainer, and hold a DRCOG and DFSRH.

The inefficiencies I have experienced in the NHS as a junior doctor have made me want to change the system from within and keep primary care at the forefront of high quality, accessible, sustainable healthcare.

As one of your regular GP registrar bloggers for Pulse, I will be writing about delivering care from the front line while I complete my GP training, juggling my clinical and non-clinical worlds and trying to make sense of the bigger policy changes and the impact at a local level in an ever-changing community-facing landscape. As mum to a spirited toddler, I will also try to understand the opportunities and challenges for female GPs who ‘want it all'!

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If you are interested, you can follow me on Twitter @NikkiKF or on my blog. I appreciate all feedback - please leave a comment or email me directly at