Dr Arun Nayyar is GP representative on the CCG partnership board. He has been working in primary care for ten years after originally training in general surgery.

I worked in India for six months after qualifying as a general surgeon and completing my post-graduate training and in 1997 moved to the UK to learn new skills and further my career.

My first job in the UK was as a locum doctor in Stockton-on-Tees. Shortly after that I started a basic surgical training job in Grimsby and gained more experience over the next two years before moving to Scotland in 1999. I spent a year and a half developing my skills further and moved to Norwich where I had the opportunity to move into surgical registrar training.

I returned to Grimsby in 2000 to start the GP training scheme. Over the two-and-a-half-year training scheme I worked at James Street Practice in Louth, Grimsby hospital and Littlefield Lane Surgery in Grimsby. Initially it was challenging, having specialised so much, to then relearn what was required for general practice.

In 2004 I took my first role in primary care as a GP at The Roxton Practice and was always encouraged to get involved in leading changes and developments in health services, especially as a young GP.

I helped to set up and manage a group of young GPs called Young Grimsby Docs that offered peer support and gave young GPs in the area a voice. I no longer sit on the group but it continues to play a key role.

Along with four other GPs I helped to establish a dedicated GP out of hours company, Core Care Lincs. The previous Care Trust Plus wanted local GPs to run the out of hours service and put the challenge us to find a solution. It’s still running and continues to provide good quality out of hours care for local people.

These are just two examples of forward-thinking work that was, and continues to be, encouraged in the area. Both opportunities showed me if you want to change things you have to get involved, rather than sitting on the sidelines.

Thanks to my experience and previous voluntary work on the Care Trust Plus governance forum I was successful in my application to sit on the CCG’s partnership board. It’s challenging having a leadership role and seeing patients too, but I think it’s important that clinicians are involved in improving services.

I would recommend anyone doing their GP training to consider working in North East Lincolnshire – we’ve had many successes (Core Care Lincs being just one example) and offer a lot of opportunities for career development.