Kay has worked in the NHS for her whole career. Accepting redundancy from NHS England in 2014 Kay decided to look for her dream job as a Practice Manager. Her first job was at Alvanley Family Practice where she developed a collaborative practice model to work with volunteers and the local community to add capacity and improve health outcomes. Kay now works at Urban Village Medical Practice in Ancoats, Manchester.  It is a unique practice having a standard contract, but also a contract to provide health care to the city’s homeless community.  The practice works closely with statutory and voluntary bodies, community interest companies and those experiencing homelessness to improve health outcomes.