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Following experience as a staff nurse, I became a health visitor in 1982 until I took up a research post at Kings College.

I gained my PhD in 1991 and worked in a lecturing post where I set up and directed the Centre for Research in Primary Health Care in Buckinghamshire. In 1999 I moved to the University of Hertfordshire as Professor of Nursing and in 2001 was appointed Director of the Centre for Research in Primary and Community Care. I was appointed as Associate Dean Research in 2012.

My monograph on primary care nursing since the declaration of Alma Ata, was published by ICN in 2008. I am the co-editor of Primary Health Care Research and Development and the co-chair of the International Collaboration of Community Health Nursing Research. I am also a Visiting Professor and advisor to the University of Genoa, and to IPAVSI (the Italian Nursing Association), a member of the Academy for Nursing, Midwifery and Health Visiting research and Expert Advisory Group for the Community Health node of the Joanna Briggs Institute, Australia.

I became a Fellow of the Queen’s Nursing Institute in 2012.