I used to commission, start, and sometimes run community based NHS services by taking doctors (sometimes kicking and screaming) away from hospitals and putting them in GP locations so that they go to to the patients rather than the other way around. It was rewarding and exciting and challenging. But the hours were insane, the mileage was insane, the bureaucracy of hospitals, the NHS, and CCGs is insane,
So I downsized and now I’m a Practice Manager in a GP, I still have to deal with all the insanity, but I get to walk away from at at a reasonable hour, and instead of an average of 50000 miles a year of motorway bashing I cycle 8 miles to and from work.