Intended for healthcare professionals

Observations BMJ Confidential

Alf Collins: Happy to serve

BMJ 2018; 361 doi: (Published 02 May 2018) Cite this as: BMJ 2018;361:k1289
Duncan Smith


Alf Collins is clinical director for personalised care at NHS England. He has worked as a frontline clinician, researcher, and commissioner and has written widely on shared decision making, self management support, personalised care planning, patient empowerment, and “clinician activation.” He is a visiting professor of person centred care at Coventry University and an honorary fellow of the Royal College of Physicians and the Royal College of General Practitioners.

What was your earliest ambition?

To drive a steam train, like my grandad. I still remember sitting in the cab of a GWR steam locomotive at about age 3.

What was your best career move?

After a tip-off from a friend, I trained in motivational interviewing about 20 …

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