This blog has been written by Debbie Brown MBE, Director of South East London Primary Care Nursing Workforce and Clinical Director at Lewisham Community Education Provider Network Training Hub.
Let me start at the beginning: nursing was the only job I ever wanted. Yet, my path into healthcare was far from traditional. I struggled in school and left before taking my exams, but my determination to work in the field never wavered.
My career began in 1978 as a dental nurse with the NHS. Shortly afterward, I transitioned to a pathology assistant role at the local hospital. Despite my unconventional start, I passed the entrance test for nursing training and, two years later, qualified as a State Enrolled Nurse (SEN) — a role comparable to today’s Nursing Associate. The turning point came when I transitioned to become a State Registered Nurse (SRN), completing my training within the same local hospital. This foundation was the springboard for a career spanning decades of service, growth, and leadership.
In 1997, I shifted to Primary Care, a move that opened up countless opportunities for further training and development. Over the years, I completed English National Board (ENB) courses, a Diploma of Higher Education (DipHE), a Bachelor of Science (BSc) in General Practice Special Practice Qualification (SPQ), and eventually a Master of Science (MSc) as an Advanced Nurse Practitioner. In 2007, I was honoured to be appointed General Practice Nurse (GPN) Advisor for my local Primary Care Trust (PCT).
My journey continued to evolve. In 2015, I became the first Clinical Commissioning Group (CCG) Primary Care Nurse Consultant in England. Just three years later, I advanced to the role of CCG Clinical Director. Throughout all of this, I stayed grounded in hands-on patient care, continuing to work in General Practice until 2021. Today, I am the South East London (SEL) Director of General Practice Nursing at the SEL Workforce Development Hub, previously known as the ICS Training Hub. Reflecting on this incredible journey, I am reminded that the road to success isn’t always linear, but with persistence, passion, and a commitment to learning, anything is possible.
My career journey has taught me that no matter where you start, determination and a commitment to growth can take you further than you ever imagined. For those considering a career in healthcare, or looking to take the next step in their professional development, here are some insights and tips that I hope will inspire you:
- Each stage of my career was fuelled by a willingness to learn. From ENB courses to my MSc, every qualification expanded my knowledge, confidence, and opportunities. Start small — perhaps a workshop or a short course — and build from there. Continuous learning is the key to unlocking doors you didn’t even know existed.
- Throughout my journey, I was fortunate to have colleagues and leaders who encouraged and supported me. Whether it’s a formal Practice Assessor or informal advice from experienced peers, don’t be afraid to ask for help. Surround yourself with people who believe in your potential.
- Change can be daunting, but it often leads to growth. Transitioning from hospital-based nursing to primary care was a pivotal moment in my career. Embrace opportunities that challenge you, whether it’s moving to a new area of practice or taking on additional responsibilities.
- As healthcare professionals, we have the privilege of shaping the future of care. From my work as a GPN Advisor to becoming the first CCG Primary Care Nurse Consultant in England, I’ve seen the impact of nurses stepping into leadership roles. Speak up, get involved, and be an advocate for your colleagues and patients.
- No matter how far I progressed in leadership, I remained grounded in hands-on patient care. Remember why you started this journey. Compassion, empathy, and the desire to make a difference should always be at the heart of your work.
Your journey might not look like mine and that’s okay. The important thing is to start. Whether it’s applying for a role you’re passionate about, enrolling in a training programme, or simply setting a goal, every step forward counts. To those starting out, transitioning careers, or looking for their next challenge in healthcare: your potential is limitless. The NHS needs people like you — dedicated, curious, and ready to make an impact.
If my journey has taught me anything, it’s this: your starting point doesn’t define you, but your perseverance and willingness to grow will. Take a chance on yourself. The world of healthcare is waiting for you to leave your mark. I hope that you choose Primary Care to do this!
